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® A oR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/28/2021 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 pol)cy(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). PRODUCER Nexus Partners Insurance 5745 North Scottsdale Road, Suite B120 Scottsdale, AZ 85250 NAME: CT Cory Strahler P 904-739-2722 FAX Ne: E-MAIL ADDRESS: a matrixonesource.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: StarStone National Insurance Company 25496 INSURED Ally HR, LLC LICIF Timothy Rose Contracting Inc. 12735 Gran Bay Parkway West Ste 202 Jacksonville FL 32258 INSURER B: INSURERC: INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 65913344 REVISION NUMBER: THIS 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 I LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD LIMITS AUTHORIZED REPRESENTATIVE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Jodie R. Kramer Cole EACH OCCURRENCE $ AMA �TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: JECTPOLICY ❑ PRO ❑ LOC OTHER: GENERAL AGGREGATE $ PRODUCTS-COMP/OPAGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDNON-OWNED AUTOS ONLY AUTOS ONLY COMBINED GLELIMIT $ Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per de 1 UMBRELLAUAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEM BER EXCLIJ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A 780220001-843 1/1/2022 1/1/2023'/ STATUTE ERS E.L. EACH ACCIDENT $1,()00,000 E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE- POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS f 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. 1/1/2021 r-GATICICA-rE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 65913344 I Matrix 1 2215065 1 Master certificate I Melissa Ash 1 12/28/2021 11:24:47 AM (EST) I Page 1 of 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Timothy Rose Contracting, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1360 Old Dixie Hwy SW ACCORDANCE WITH THE POLICY PROVISIONS. Suite 106 Vero Beach FL 32962 AUTHORIZED REPRESENTATIVE Jodie R. Kramer Cole ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 65913344 I Matrix 1 2215065 1 Master certificate I Melissa Ash 1 12/28/2021 11:24:47 AM (EST) I Page 1 of 1