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CERTIFICATE OF LIABILITY INSURANCE I Date
9/18/2024
Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend
Holiday, FL 34691 or alter the coverage afforded by the policies below.
(727) 938-5562 Insurers Affording Coverage NAIL#
Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075
2739 U.S. Highway 19 N. Insurer B:
Holiday, FL 34691 InsurerC:
Insurer D:
Insurer E:
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 policies 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 ADDL Policy Effective Policy Expiration
LTR INSRD Type of Insurance Policy Number Date(MM/DD/YY) Date(MM/DD/YY) Limits
GENERAL LIABILITY
Each Occurrence $
Commercial General Liability
=Claims Made Occur Damage to rented premises(EA
occurrence) $
Med Exp $
General aggregate limit applies per: Personal Adv Injury $
Policy ElProject ❑ LOC General Aggregate
Products-Comp/Op Agg $
AUTOMOBILE LIABILITY Combined Single Limit
Any Auto (EA Accident) $
All Owned Autos Bodily Injury
Scheduled Autos (Per Person) $
Hired Autos Bodily Injury
Non-Owned Autos (Per Accident) $
Property Damage
• (Per Accident) $
EXCESS/UMBRELLA LIABILITY Each Occurrence
ROccur ❑Claims Made Aggregate
Deductible
A Workers Compensation and X WC Statu- OTH-
Employers'Liability WC 71949 01/01/2024 01/01/2025 I tory Limits I I ER
Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000
excluded? NO
E.L.Disease-Ea Employee $1,000,000
If Yes,describe under special provisions below.
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/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 91-68-048
Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company":
Sunshine Contractors,Inc
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 emailing a request to certificates@Iioninsurancecompany.corn
Project Name:
ISSUE 02-16-21(AR).REISSUE 07-03-23(KLT).REISSUE 09-18-24(BP)
Begin Date:9/26/2014
CERTIFICATE HOLDER CANCELLATION
CITY OF DANIA BEACH BUILDING DEPARTMENT 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.
100 W DANIA BEACH BLVD
DANIA BEACH, FL 33004