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�L.I T 1, GATE E 4.�`�I" L� l;�-y�`l=�i�C ' I( �`�SUII-l`J.�NIGLt-, DATE(MM/DD/YYYY) 9/17/2019 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 endrsement(s). PRODUCER SUNZ Insurance Solutions, LLC ID: (Essential) c/o Essential HR, Inc. dba First Star HR 4455 LBJ, Freeway, Suite 1080 Dallas, TX 75244 NCONT AMEACT Jennifer Hau er PHONE Arc No EXt : 972-404-0295 FAX No: E-MAIL ADDRESS: lennifer.hau er firststarhr.coin INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: SUNZ Insurance COMDany 34762 INSURER B: INSURED Essential HR Inc. dba FirstStar HR 4455 LBJ Freeway Suite 1080 INSURER C: INSURER D: INSURER E : Dallas TX 75244 INSURER F : COVERAGES THIS INDICATED. CERTIFICATE EXCLUSIONS INSR LTR CERTIFICATE IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY OF PERTAIN, POLICIES. ADDL IN. D INSURANCE SUBR WVD NUMBER: 51173493 LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN POLICY NUMBER ISSUED TO CONTRACT THE POLICIES REDUCED BY POLICY EFF MM/DD/YYW THE INSURED OR OTHER DESCRIBED PAID CLAIMS. POLICY EXP MM/DD/YYYY REVISION NUMBER: NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS CLAIMS -MADE D OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL & ADV INJURY $ AGGREGATE $ POLICY ❑ PRO -GENERAL OTHER: JECT LOC PRODUCTS - COMP/OPAGG $ COMBINED SINGLE LIMIT Ea accident))$ AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ - Per accident $ EACH OCCURRENCE $ A UMBRELLA LIAR OCCUR EXCESS LAB CLAIMS -MADE N/A WCO25-00001-019 WCO25-00001-018 10/1/2019 10/1/2018 :: 10/1/2020 10/1/2019 DED RETENTION$ WORKERSCOMPENSATIOIJ AND EMPLOYERS'LIABILITY Y/N ANYPROPR IETOR/PARTNER/EXEC UTI VE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) AGGREGATE $ PER OTH- $ STATUTE ER E. L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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 CERTIFICATE HOLDER .. ._._-. bLLUUU9y For Informational Purposes Only I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE VVITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / Rick Leonard h1l.0 fCU '..UMi'UKA l JUN. All rights reserved. ACORD 25 (2.016103) The ACORD name and logo are registered marks of ACORD 51173493 1 Essential HR Inc PEO 025 MASTER CERT I Natalie Matthews 1 9/17/2019 6:17.:57 AM (CDT) I Page 1 of 1