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Certificates of Insurances & Licenses LIFES-1 OP ID: RJ A C7R° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08/2812013 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 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 Phone: 239-945-1900 NEACT David Kennedy Olin Hill&Associates Inc. Fax: 239-945-3163 PHO� 239-945-1900 FAX 2804 Del Prado Blvd.#107 (A1C,No,Ext): (A/C,No): 239-945-3163 Cape Coral, FL 33904 E-MAIL David Kennedy INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Southern-Owners Insurance Co. 10190 INSURED Lifestyle Exterior Products INSURER B:Owners Insurance Company 09386 Inc&Windstar Holdings, Inc. 206 Center Road INSURER C Fort Myers, FL 33907 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 S POLICY EFF POLICY EXP TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY '' EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 120728102 02/28/2013 02/28/2014 DAMAGE 10 RENTED 50,000 PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- JUT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 500 000 (Ea accident) $ , B X ANY AUTO 4832407801 02/28/2013 02/28/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS _ HIRED AUTOS AUTGOWNED PReOPPERdentDAMAGE $ I I $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE 4832407802 02/28/2013 02/28/2014 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Okeechobee is named as Additional Insured on the General Liability with respect to Insured's operations. CERTIFICATE HOLDER CANCELLATION OKEEC-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Okeechobee ACCORDANCE WITH THE POLICY PROVISIONS. (863)763-1686 fax 55 SE Third Avenue AUTHORIZED REPRESENTATIVE Okeechobee, FL 34974 ftl-v;f) K ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `�- 8/27/2013 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 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 NAME:ACT Mary Retz Lutgert Insurance Ft Myers PHONE FAX (A/C. o.Exn:239-418-2120 A ,No):239-936-8288 12660 World Plaza Ln Bldg 73 E-MAIL Fort Myers FL 33907 ADDRESS:mretz @lutgertinsurance.com INSURER(S)AFFORDING COVERAGE NAIC C INSURER A:Bridgefield Employers Insuranc INSURED LIFES-3 INSURER B: Lifestyle Exterior Products INSURER C: Inc INSURER D: 206 Center Road Fort Myers FL 33907 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1239559935 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 C ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR IN$R,WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 7 POLICY IFS:T LO $ (Ea accident) ED SINGLE LIMI AUTOMOBILE LIABILITY I (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS -- HIRED AUTOS AUTOS (Per PROPERTY DAMAGE Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ __ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ A WORKERS COMPENSATION 83052098 1/1/2013 1/1/2014 C A U- x 0TH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory In NH) 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 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Manufacturing and Installation of Hurricane Shutter&Windows CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Okeechobee ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE 3rd Ave Okeechobee FL 34974 AUTHORIZED REPRESENTATIVE 771.a. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD THIS DOCUMENT HAS A COLORED BACKGROUND•MICROPRINTING•LINEMARK"'PATENTED PAPER .. " AC# 6194622 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L1207100112°r DATE BATCH NUMBER LICENSE NBR I 07/10/2012 128005823 CGC1518597 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 MATASA, LIVIU FLORIN LIFESTYLE EXTERIOR PRODUCTS INC 206 CENTER RD FORT MYERS FL 33907 • RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW • ‘peCouhy LEE COUNTY LOCAL BUSINESS TAX RECEIPT 2012 - 2013 Tax Co for ACCOUNT NUMBER: 0503881 ACCOUNT EXPIRES SEPTEMBER 30, 2013 0f m -..of00(k May engage in the business of: CERTIFIED GENERAL CONTRACTOR Location 206 CENTER RD FT MYERS FL 33907 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY LIFESTYLE EXTERIOR PRODUCTS INC —_ LIVIU MATASA THIS IS NOT A BILL- DO NOT PAY 206 CENTER RD FT MYERS FL 33907 PAID 317351-197-1 10/01/2012 03:15 WEB $50.00