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ACC R" CERTIFICATE OF LIABILITY INISURANCEF J 16.�® DATE (MMIDDlYYYY) 9/26/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). SUNZ Insurance Solutions, LLC ID: (Essential) c/o Essential HR, Inc. dba First Star HR 4455 LBJ Freeway, Suite 1080 Dallas, TX 75244 CONTAPRODUCER NAME: Jennifer Hau er PHONE FAX c No 972-404-0295 A/c No): E-MAIL ADDRESS: 'ennifer.hau er firststarhr.com INSURERISI AFFORDING COVERAGE NAIC # INSURERA: SUNZ Insurance Company 34762 INSURED Essential HR Inc., Essential HR II, Inc. dba FirstStar HR INSURER B : INSURERC: 4455 LBJ Freeway INSURER D: E: Suite 1080INSURER Dallas TX 75244 INSURER F rnW=AnCC CERTIFICATE NUMBER- gRnnAR21 REVISION NUMBER: vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INS. SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS AUTHORIZED REPRESENTATIVE t� COMMERCIAL GENERAL LIABILITY Glen J Distefano EACH OCCURRENCE $ DAMAGE O RENTED PREMISES Ea occurrence $ CLAIMS -MADE 1:1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ POLICY ❑PROJECT LOC OTHER: AUTOMOBILE LIABILITY cccidentSINGLE LIMIT $ Ea COMBINED BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION WCPE0000018405 10/1/2017 10/1/2018,/ STATUTE �RH AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE❑ WCPE0000018404 10/1/2016 10/1/2017 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLU DED7 (Mandatory in NH) N / A E.L. DISEASE -POLICY LIMIT $ If yes, describe under1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Coverage provided for all leased employees but not subcontractors of: Timothy Rose Contracting, Inc. 1360 SW OLD DIXIE HWY SUITE 106 Effective date: 10/1/2013 r E:DTIGIr`ATF Wn! rIFR CANCELLATION x62200099 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Indian River Count Purchasing THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1 800 27th St Bldg ACCORDANCE WITH THE POLICY PROVISIONS. Vero FL 32960 AUTHORIZED REPRESENTATIVE t� Glen J Distefano ©1988-2015 ACORD GUKPURA I IUN. All rights reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I Essential HR Inc PEO 184 MASTER CERT I Natalie Matthews 1 9/26/2017 5:16:08 PM (CDT) I Page 1 of 1