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CERTIFICATE OF LIABILITY INSURANCE 12 /27 /2010 PROWLER (30S)822 -7800 FAX (305) SS8 -4294 Collinsworth, Alter, Fowler A French LLC Square Blvd 8000 Governors S A Suite 301 Miami Lakes, FL 33016 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 H.A. Contracting Corp. 9500 N.W. 12 Street Bay 1 Doral , Fl 33172 INSURER A: Amerisure Mutual Ins Co 23396 INSURERB: Amerisure Insurance Co 19488 INSURER C: GL20062S9080010 INSURER D: 01/01/2012 INSURER E: : 1 000 0 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 CONOrflONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY GL20062S9080010 01/01/2011 01/01/2012 EACHOCCURRENCE : 1 000 0 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,0001 CLAIMS MADE a OCCUR HIED EXP (Any one person) $ 5,0001 PERSONAL s ADV INJURY $ 1 0oO Q A X Bl anet A/I X Bl anet Waiver GENERAL AGGREGATE S 2 000 1 00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 r 000 QQ POLICY JET LOG AUTOMOBILE LIABILITY X ANY AUTO CA11980951302 01/01/2011 01/01/2022 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACG $ ANY AUTO $ AUTO ONLY: AGG EXCESSI MBRELLA LIABILITY CU20167440602 01/01/2011 01/01/2012 EACH OCCURRENCE S 4,000,00( AGGREGATE $ 4,000,00 X OCCUR El CLAIMS MADE $ B $ DEDUCTIBLE $ RETENTION $ wORKERs coMPENSATION AND WC138262209 10/10/2011 10/10/2012 X Wes ANTU X OTH- E.L. EACH ACCIDENT $ Soo 00 B EMPLOYFJRS WI&LITY ANY PROPRIETOR/PARTNERAEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ Soo 00 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ Soo 00 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS For Information Purposes Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE tMING INSURER WILL ENDEAVOR TO MAIL 30 DAYS wwTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE Len, BUT FAILURE TO MAIL SUCH NOTICE SHALL WPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. For Information Purposes Only AUTHORIZED REPRESENTATIVE D Lee Fowler SANDYS (�G�, ACORD 25 (2001/08) ••• •r ••• ••, • .•,... �••.•