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COI Expires 06/01/2020 A`o® CERTIFICATE OF LIABILITY INSURANCE DATE(dIN1DDlYYYY) 10/2/2019 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 POUCIES 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 poilcy(les)must have ADDITIONAL INSURED provisions or 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 SUNZ Insurance Solutions,LLC ID: (Decision HR) CONTiE CT Cortney Horn do Decision HR WC.No.EMI: 888-828-5511 C,No): 11101 Roosevelt Blvd N EMAIL Saint Petersburg, FL 33716 ADDRESS: Certs0,Dec sionHR.com INSURER(S)AFFORDING COVERAGE NAIC D INSURERA: United Wisconsin Insurance Company 29157 INSURED INSURER B: Decision HR Holdings Inc. 11101 Roosevelt Blvd. N. INSURERC: Saint Petersburg FL 33716 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 51597889 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. INSR ADDL SUBR POLICY EFF POUCY EXP LIMITSLTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MM/DDIYYYY) (MMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMATO RENTED CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ — PERSONAL&ADV INJURY $ GEN1.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY n JECT LOC Y 11165 PRODUCTS-COMP/OP AGG $ OTHER: _ $ AUTOMOBILE LIABILITY BY / ��� COMBINED SINGLE OMIT $ (Ea accident) ANY AUTO DATE 'C) _ BODILY INJURY(Per person) $ — OWNED —AUTOS ONLY _ SAUTOSCHEDULED WAIVER N/)L YES__. BODILY INJURY(Peraoddent) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB — OCCUR EACH OCCURRENCE $ EXCESS LlAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC518-00001-019-SZ 6/1/2019 6/1/2020 ✓ la.11TIfiE OTH- AND EMPLOYERS'LIABILITY ER ANYPROPRIETOR/PARTNERIEXECUTIVE YIN NIA EL EACH ACCIDENT $1,000,000 OFFICERIMEMBERE(CLUDED7 (Mandatory In NH) EL DISEASE-EA EMPLOYEE $1,000.000 It yes,SCRIPTION describe under F OPERATIONS below. EL DISEASE-POUCY LIMIT $1,000,000 DE i DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Coverage provided for all leased employees but not subcontractors of:Electrical Contracting Service Effective date:1/1/2018 • CERTIFICATE HOLDER CANCELLATION 151141 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street, Suite-2-216 ACCORDANCE WITH THE POLICY PROVISIONS. Key West FL 33040 AUTHORIZED REPRESENTATIVE I Rick Leonard ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 51597889 I Decision HR Holdings PEO 518 MASTER CERT I Certs Department 110/2/2019 2:22:18 PM (EDT) I Page 1 of 1 �'0 0000DecisonHR ° . 9 TERMINATION NOTICE: i 1 1 In the event of'termination of the Client Service Agreement (CSA) between DecisionHR and the client named on the attached certificate, DecisionHR shall endeavor to provide 30 days' notice to the certificate holder. A Professional Employer Organization,Florida License GL57 11101 Roosevelt Blvd.N.,St.Petersburg,FL 33716 Phone 727-456-5003,Toll Free 888-828-5511 Fax 727-572-6827 ACORD i `� CERTIFICATE OF LIABILITY INSURANCE DATE o0119 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(les)must have ADDITIONAL INSURED provisions or 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 SUNZ Insurance Solutions,LLC ID:(Decision HR) CONTACTutaus Cortnev Horn do Decision HR Pnum HONE Ne.E,�: 888-8285511' I INC.No): 11101 Roosevelt Blvd N SNAIL Saint Petersburg, FL 33716 ADDRESS: Certs(0,DecisionHR.eom INSURERS)AFFORDING COVERAGE NAIC I INSURER A: United Wisconsin Insurance Company 29157 Decision HR Holdings Inc. 11101 Roosevelt Blvd. N. Saint Petersburg FL 33716 INSURER D: 1 INSURER E: INSURER F: COVERAGES I . • CERTIFICATE NUMBER: 51597889 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. POLICY EXP LTR TYPE OF INSURANCE nen INVo POLICY NUMBER (rMWDD YY) nrWODIYYYY) WAITS COMMERCIAL GEMERALLIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISETOREtI't1iD PREMISES lER ooameRm) S _ E APP BY A i NAGEME*T MED EXP(Any one person)) s I BYYAr) �q PERSONALn INJURY S GEN-T.AGGREGATE UI4�IT APPLIES PER � GENERAL AGGREGATE S R PoucY n Jn n DATE4J LOC ^44--4J= -- __ PRODUCTS-COMP/OP AGG $ OTHER: I WM141 WO( VOA s AUTOMOBILE LIABILITY O RMBINEDt)SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) S OWNED -SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED (Per PROPERTY DAMAGE S AUTOS ONLY • AUTOS ONLY S -- UMBRELLA uAB f OCCUR EACH OCCURRENCE S EXCESS IS LB 1 CLAIMS-MADE AGGREGATE S DED ! RETENTIONS S A WORKERSCOMPENSA'IION WC518-00001-019-SZ 6/1/2019 6/1/2020 / Pse AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNE WEXECUTWE YIN NIA EL EACH ACCIDENT $1.000.000 OFFICEIR/MEMBEREXCLUDED7 �N (Mandatory In NH) EL DISEASE-EA EMPLOYEE S 1.000.000 yes, OF OPERATIONS D EL.DISEASE-POLICY LIMIT S1,000,000 DESCRIPTION below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.maybe attached U more apace Is required) Coverage provided for all leased employees but not subcontractors of:Electrical Contracting Service Effective date:1/12018 1 'CERTIFICATE HOLDER CANCELLATION 151141 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street,Suite-2-216 ACCORDANCE WITH THE POUCY PROVISIONS. Key West FL 33040 I AUTHORIZED REPRESENTATIVE I Rick Leonard @ 1988.2015 ACORD CORPORATION: All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 51597889 I Decision HR Holdings PEO 518 HASTER CERT I Certs Department 110/2/2019 2:22:18 PH (EDT) I Page 1 of 1