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® AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DDNYYY) I 03/25/2011 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 Aon Risk services, Inc Of Florida 1001 Brickell Bay Drive CONTACT NAME: (AHICNNo.Ext): (866) 283 -7122 FAX No : (847) 953 -5390 E -MAIL ADDRESS: suite 1100 Miami FL 33131 USA INSURER(S) AFFORDING COVERAGE NAIC # A cG INSURED wi l l i ams Paving co., Inc. 11300 NW south River Dr. INSURER A: old Republic General Ins Corp 24139 INSURER B: Starr Indemnity & Liability company 38318 INSURER C: Miami FL 33178 USA INSURER D: INSURER E: $100 , 000 INSURER F: COVERAGES CERTIFICATE NUMBER: 570041900416 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. Limits shown are as requested LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER iMMIDDIYYYYI (MM1DD1YYYY) LIMITS A GENERAL LIABILITY A cG EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $100 , 000 CLAIMS -MADE 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 LOC A AUTOMOBILE LIABILITY A4CA 7161100 03/2 5/2011 03/25/2012 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS I X PROPERTY DAMAGE Per accident B UMBRELLALIAB X OCCUR SISCCCL00014511 03/25/201103/25 /2012 EACH OCCURRENCE $5,000,000 X EXCESS LAB CLAIMS -MADE AGGREGATE $5,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER/ EXECUTIVE A4cw37161100 03/25/2011 03/25/2012 X WC STATU- OTH- TORY LIMITS I IER E.L. EACH ACCIDENT $S00,000 OFFICER /MEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $500,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Proof of insurance m w c ru d L O 2 V 0 rn 7 0 O Z d N V t d U .-3 -o-S W CERTIFICATE HOLDER CANCELLATION E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Proof Of Insurance AUTHORIZED REPRESENTATIVE ......... I ........................... .............................. FL 33178 USA cX1'o�a i�'L�rDfc �i�rcta0 e.Jna ��C�tia'� ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD