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181* Metropolitan Systems Cert of Ins ! rav I : 13721 /^ WO DATE (MM /DD/YYYY) .. AR CERTIFICATE OF LIABILITY INSURANCE 7/27/2012 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). CONTACT PRODUCER Certificate Department NAME: Commercial Lines - (813) 639 -3000 PHON . EXtr 813- 639 -3000 FAX No): 813- 639 -7180 Wells Fargo Insurance Services USA, Inc. E-MAIL SS: clw.certrequest @wellsfargo.com ADDRE 2502 N. Rocky Point Drive, Suite 400 INSURER(S) AFFORDING COVERAGE NAIC # Tampa, FL 33607 INSURER A : Auto - Owners Insurance Co. 18988 INSURED INSURER B : Zenith Insurance Company 13269 Metropolitan Systems Inc. Etal INSURER C : 3014 Horatio Street INSURER D : INSURER E : Tampa FL 33609 INSURER F : COVERAGES CERTIFICATE NUMBER: 4662413 REVISION NUMBER: See below 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DDIYYYY) (MM /DDIYYYY) A GENERAL LIABILITY 12015300 7/1/2012 7/1/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 150,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 PRO- POLICY FST LOC $ A AUTOMOBILE LIABILITY 12015300 7/1/2012 7/1/2013 C (Ea OMBaccideINED nt) SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS PROPERTY DAMAGE HIRED AUTOS AUTOS (Per (Per accident) $ $ A X UMBRELLA LIAB X OCCUR 12015300 7/1/2012 7/1/2013 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 4,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION X WC STATU- OTH- B AND EMPLOYERS' LIABILITY Z831250620 3/3/2012 3/3/2013 TORY LIMITS ER ANY PROPRIETOR /PARTNER /EXECUTIVE Y / N 1 E.L. EACH ACCIDENT $ 1,000,000 I OFFICER/MEMBER EXCLUDED? N / A ' 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY CERTIFICATE HOLDER CANCELLATION CITY OF SANFORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: CITY CLERK ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1778 SANFORD FL 32711 AUTHORIZED REPRESENTATIVE 96 I The ACORD name and logo are registered marks of ACORD © 1988 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05)