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�c^oRo CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />03/10/2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Bouchard Insurance for WBS - TG <br />PO Box 6090 <br />Clearwater, FL 33758-6090 <br />CONTACT Todd George <br />NAME:_ <br />PHONE FAX <br />(A/c, No. Exth (866) 293 3600 ext. 623 t,/C. Not: <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC It <br />_ <br />INSURERA: Zurich -American Insurance Company 16535 <br />INSURED <br />_ <br />INSURER B : <br />Workforce Business Services, Inc. Alt. Emp: Guettler Brothers Construction LLC <br />1401 Manatee Ave. West Ste 600 <br />INSURER C: <br />INSURER D: <br />Bradenton, FL 34205-6708 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:20FLO79902691 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />PREMISES Ea occurrence $ <br />CLAIMS -MADE r_1 OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY PRO - <br />LOC <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />1 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />L <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />1 <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAR CLAIMS -MADE <br />$ <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />A <br />OFFICER/MEMBER EXC EXCLUDED? ECUTIVE � <br />N/A <br />WC 90-00-818-10 <br />12/31/2020 <br />12/31/2021 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />I E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />Location Coverage Period: <br />12/31/2020 <br />12/31/2021 <br />Client# 050682 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Guettler Brothers Construction LLC Baytree Dunes Restoration <br />Coverage iprovided for 4401 White Way Dairy Road <br />only those c <br />so -employees <br />of, but not subcontractors Fort Pierce, FL 34947 <br />to: <br />Ur -11 I Ir I%,A 1 t MULUtK I.ANI,tLLA I IUN <br />Baytree Condominium Association, Inc <br />8400 N At <br />Vero Beach, FL 32963 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and Joao are registered marks of ACORD <br />