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CERTIFICATE OF LIABILITY INSURANCE Date I 1/21/2015 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N rights upon the Certificate Molder. This Certificate does not amend, exten Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC # Insured; South East Personnel Leasing, Inc. & Subsidiaries Insurer A. Lion Insuran e Corripany 11075 2739 U.S Highway 19 N. Insurer Et: Holiday, FL 34691 Insurer C; Insurer a Insurer E. Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, form 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. Aggregate limits shown may have been reduced by paid claims. INSR i LTR j ADDL INSRD Type of Insurance Policy Number Policy Effective Policy Expiration Date Date MM/DD(VY) /OD/YY Limits GENERAL LIABILITY • . Each Occurrence . a Commercial General Liability mg Claims Made 0 Occur • . Damage to rented premises (EA occurrence) , i Med Exp • r „ . , Personal Adv Injury eneral aggregate limit applies per Policy Project LOC .• General Aggregate . . El 0 ^ Products - Comp/Op Agg I , ' UTOMOBILE LIABILITY . i . . I ; Combined Single Limit (EA Accident Any Auto 'r -Bodtly All Owned Autos Injury (Per Person) 5 1 . Scheduled Autos Hired Autos Non -Owned Autos Bodily Injury ' (Per Accident) . ! Property Damage (Per Accident) 'S. ' . .. .. EXCESS/UMBRELLA LIABILITY _ .. i Each Occurrence Occur Claims Made i Aggregate . Deductible . . 1 J A Workers Compensation and Employers' Liability , WC 71949 . 01/01/2015 01/01/2016 X WC Statu- tory Limits I OTH- : 11 ER Any proprietor/partner/executive officer/member •, E.L. Each Accident 51,000,000 excluded? NO E.L. Disease - Ea Employee 11.000.000 II Yes, describe under special provisions below EL. Disease - Policy Limits , 51 000,000 Other Lion Insurance Company is A.M. BestCompany rated A- (Excellent. AMB 2616 Descriptions of Operations/LocationsNehiclesfExclusions added by Endorsement/Special Provisions: Client 1.0- 81-67-368 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. ir. Subsidiaries that are leased to the following "Client Company”. Kerns Construction and Property Management Corp. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s;, while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938-5562. .'n Date 10 2012 .. .. ... . ....... CSRTIFICATE HOLDER CA CEL TION Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer its agents or representatives - . . - .............. . . .._ , .... - __, . _. ..... r .. „4„