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Certificate of Insurances 2016-2017CERTIFICATE OF LIABILITY INSURANCE Date 12/14/2015 Producer: Plymouth Insurance Agency 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938 -5562 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage - NAIC # Insured: South East Personnel Leasing, Inc.& Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurer B: Insurer C: Coverages 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 polices 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 LTR ADDL INSRD Type of Insurance yP Policy Number Policy Effective Date (MM /DD/YY) Policy Expiration Date (MM /DD/YY) Limits GENERAL LIABILITY Commercial General Liability Each Occurrence $ Damage to rented premises (EA occurrence) $ Claims Made Occur Med Exp $ Personal Adv Injury $ General D aggregate limit applies per: Policy ❑ Project ❑ LOC General Aggregate $ Products - Comp /Op Agg $ AUTOMOBILE LIABILITY Any Auto All Cwned Autos Scheduled Autos Hired Autos Non -Owned Autos Combined Single Limit (EA Accident) $ Bodily Injury (Per Person) $ °UU "Y " 'ju'0 (Per Accident) $ Property Damage (Per Accident) $ EXCESS /UMBRELLA LIABILITY Occur ❑ Claims Made Deductible Each Occurrence Aggregate A Workers Compensation and Employers' Liability Any proprietor /partner /executive officer /member excluded? No Ir Yes, describe under special provisions below. WC 71949 01/01/2016 01/01/2017 X I WC Statu- I tory Limits 1OTH- ER E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee $1,000,000 E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /Locations /Vehicles /Exclusions added by Endorsement/Special Provisions: Client ID: 12 -57 -152 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company ": Scott's Quality Cleaning 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. Project Name: ISSUE 10 -16 -14 (AF) Bee Date 10/26/199 CERTIFICATE HOLDER CANCELLATION CITY OF OKEECHOBEE 55 SE 3RD AVE. OKEECHOBEE, FL 34974a..�s 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. - SCOTT -2 OP ID: MB Ac RTIFICATE OF LIABILITY INSURANCE 10/07/2015 0 THIS CE CA I UED 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(les) 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 ISU Lawrence Insurance Agency PO Box 549 Okeechobee, FL 34973 Heath Lawrence CONTACT Lawrence PNAMNE Heath FAX (Alm No Eat): 863 -467 -0600 (Am, No): 863 -467 -5142 x. EADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American States Insurance Co 19704 INSURED Scotts Quality Cleaning, Llc 2344 SR 70 West Okeechobee, FL 34972 INSURERB: 010181352310 INSURER C: 07/22/2016 INSURER D : $ 1,000,000 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NU 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. IN R TYPE OF INSURANCE ADM INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIWY`) POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 010181352310 07/22/2015 07/22/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR PREMISES (Ea RENTED urrrence) $ 200,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENII X AGGREGATE POLICY OTHER: LIMIT APPLIES JE PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 1,000,00 $ AUTOMOBILE — LIABILITY ANY AUTO ALL OWNED AUTOS HRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY accciidenDAMAGE $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A I PER 1 STATUTE 0TH - ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) JANITORIAL SERVICES City of Okeechobee is included as an additional insured with respect the General Liability under form CG8674 CERTIFICATE HOLDER CANCELLATION 1 CTYOKEE City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . 6� %�, '.- ACORD 25 (2014101) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 f • CERTIFICATE OF LIABILITY INSURANCE 112/16Date /2014 confers no amend, Producer: Plymouth Insurance Agency 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938 -5562 This Certificate is issued as a matter of information only and rights upon the Certificate Holder. This Certificate does not extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc.& Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurer B: Insurer C: :overages ie policies x:ument Scies. of insurance with respect Aggregate 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 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 limits shown may have been reduced by paid claims. SR TR ADDL INSRD Type of Insurance Policy Number Policy Effective Date (MM /DD/YY) Policy Expiration Date (MM /DD/YY) Limits GENERAL LIABILITY Commercial General Liability Each Occurrence $ Claims Made ■ Occur Damage to rented premises (EA occurrence). $ �■ Med Exp $ General aggregate limit applies per: DIPolicy ❑ Project ❑ LOC Personal Adv Injury $ General Aggregate $ Products - Comp /Op Agg $ AUTOMOBILE LIABILITY Any Auto All Owned Autos Scheduled Autos •••�� -•���- Non -Owned Autos - - . Combined Single Limit (EA Accident) $ Bodily Injury (Per Person) $ Bodily Iniury (Per Accident) $ Property Damage (Per Accident) $ EXCESS /UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Deductible Aggregate Workers Compensation and Employers• Liability Any proprietor /partner /executive officer /member . excluded? NO If Yes, describe under special provisions below. WC 71949 01/01/2015 01/01/2016 X I WC Statu- I tory Limits J I OTH- ER E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee $1,000,000 E.L. (*ease - Policy Limits. $1;000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 scriptions of Operations /Locations/Vehicles /Exclusions added by Endorsement/Special Provisions: Client ID: 12 -57 -152 rerage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company ": Scott's Quality Cleaning rerage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL. rerage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. st 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. )jest Name: >UE 10 -16 -14 (AF) Begin Date 10/26/199 2RTIFICATE HOLDER CANCELLATION CITY OF OKEECHOBEE 55 SE 3RD AVE. OKEECHOBEE, FL 34974 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. • 333788