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ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE ( <br /> 066/26/0/26/0 YYYY) <br /> 3 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Providence Property & Casualty Insurance Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2995 L.B.J . Freeway, Ste. 121 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Dallas, TX 75234 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Providence Property & Casualty Insurance Company 28711 <br /> SkilStaf, Inc. INSURER B : <br /> P.O. Box 729 <br /> Alexander City, AL 30511 -0729 INSURER C: <br /> L/CIF INSURER D: <br /> The AYS Group, Inc. dba AYS Employee Leasing <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br /> REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br /> SUCH POLICIES. <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ _ <br /> COMMERCIAL GENERAL LIABILITY PREMISES Es occurrence $ <br /> CLAIMS MADE I OCCUR MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> POLICY PEOT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) — <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> (Per accident) $ <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR 1 CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> A WORKERS COMPENSATION AND X ORY L M TS m <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1 ,000 000 <br /> ANY PROPRIETORIPARTNER/EXECUnVE INCL WC0100004 01 /01/03 01/01 /04 <br /> OFFICERIMEMBER EXCLUDED? "et E. L. DISEASE - EA EMPLOYE $ 19000,000 <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ 1 ,000.000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> Workers ' compensation coverage is provided by contract to all employees of Skustaf, Inc. & The AYS Group, Inc. dba AYS Employee Leasing. Employees are <br />provided by <br /> contract to G.R. O. W. by The AYS Group, Inc. dba AYS Employee Leasing and any emplopees .working under the directive of the mentioned companies are covered <br /> by the <br /> referenced policy effective 07101103. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> G. R.O.W. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 4855 43rd Avenue REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVI �� •`_ rs'r,�; c- - ^Jc' _� <br /> Vero Beach, FL 32967 - <br /> ACORD 2S (2001/08) © ACORD CORPORATION 1988 <br />