Certificates of Insurance
ACORDN CERTIFICATE OF LIABILITY INSURANCl;,u~td~ S~ DATE (MM/DDIYY)
07/26/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
J Rolfe Davis Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 945255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Maitland FL 32794-5255 INSURERS AFFORDING COVERAGE
Phone: 407-691-9600
INSURED Southeastern Staffingi Inc. INSURER A: Continental Casual tv Company
Southeastern Prof Emp oyers
Inc., Southeastern Personnel INSURER B:
Mana~ement, Inc. Inc. INSURER C:
Globa Em~l. Solutions
225 West usch Blvd INSURER D:
Tampa FL 33612 INSURER E:
I
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.
I~f: TYPE OF INSURANCE POLICY NUMBER &~~Ir'MM/DD7YY'{f: Pd'kt~~~~rl{.?N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
I--
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
I--
GENERAL AGGREGATE $
I-
GEN'l AGGREGATE LIMIT APnS PER: PRODUCTS-COM~OPAGG $
n .nPRO.
POLICY JECT LOC
AUTOMOBILE LIABIUTY - ~reENT COMBINED SINGLE LIMIT
I-- AP ,~ '1 ~~MI $
ANY AUTO (Ea accident)
I- BY t\ L ,
ALL OWNED AUTOS
- V I Q"~( -DO BODILY INJURY $
SCHEDULED AUTOS DATE (Per person)
-
HIRED AUTOS N/A ...../, BODILY INJURY
- WAIVER ES (Per accident) $
NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I TORY LIMITS I IUER-
A EMPLOYERS' LIABILITY WC194260645 02/01/02 10/01/02 $ 1000000
E.L. EACH ACCIDENT
E.l. DISEASE - EA EMPLOYEE $ 1000000
E.L. DISEASE. POLICY LIMIT $ 1000000
OTHER
. i _'
c.c . - ~
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS :lllIllIlV
Covers all employees of insured as respects to Employment Leasing Agreement'lJ8lllltjC1lONMANAGEMENT
with Global Employment Solutions, Inc./Southeastern Companies, Inc. and
Preservation Services, Inc. *project: CC9820/Reference West Martello Tower AUGmo!
-. -
Renovation.
\
I
CERTIFICATE HOLDER "' N I ADDmONAL INSURED; INSURER LETTER: CANCELLATION ..
MONRCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIm
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3.L DAYS WRITTEN
Monroe County, Florida NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Stephen Pizaza,AIA,NCARB
Service Building Sl IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
5100 College Road REPRESENTATIVES.
Key West FL 33040 A~~ENTATIVE
I '-'.I .I .I ,/ ".A./1
ACORD 25-S (7/97) 1/ c.- - - /@ACORDCORPORATION 1988
ACORO,. CERTIFICATE OF LIABILITY INSURANC~uf't6~ S~ DATE (MM/DDIYY)
07/23/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
J Rolfe Davis Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 945255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Maitland FL 32794-5255 INSURERS AFFORDING COVERAGE
Phone: 407-691-9600
INSURED Southeastern staffingi Inc. INSURER A: Continental Casual tv Company
Southeastern Prof Emp oyers
Inc., Southeastern Personnel INSURER B:
Mana~ement, Inc. Inc. INSURER C:
Globa Em~l. Solutions
225 West usch Blvd INSURER D:
Tampa FL 33612 INSURER E:
I
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 MAYBE 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.
I~~: TYPE OF INSURANCE POLICY NUMBER ~QP?rN EFFI;GTIfYE P.9.L!~~,j~~M T{.?N LIMITS
DATE MMlDDIYY DATE MMlDDIYY
GENERAL LIABILITY EACH OCCURRENCE $
c--
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
-
GENERAL AGGREGATE $
I---
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
I .nPRO- nLOC
POLICY JECT
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO ,~EN~ (Ea accident)
- ~ ~~A~
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS APP~\ ~\u;:: w/" (Per person)
-
HIRED AUTOS ()
f--- BY -,.- ~~le:, \T BODILY INJURY $
NON-OWNED AUTOS - (Per accident)
- DAlE Z'
s-- -- PROPERTY DAMAGE
- .. ..." N/A 'I (Per accident) $
-.r< $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
tJ OCCUR 0 CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I TORY L1MrrS I IUII'-
ER
A EMPLOYERS' LIABILITY WC194260645 07/10/02 08/01/02 $ 1000000
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $ 1000000
E.L. DISEASE - POLICY LIMIT $ 1000000
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Covers all employees of insured as respects to Employment Leasing Agreement
with Global Employment Solutions, lnc./Southeastern Companies, Inc. and
Screens Etc., Inc.
L
(G:~
CERTIFICATE HOLDER I N 1 ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MONRCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..3.L DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Monroe County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
5100 College Road REPRESENTATIVES.
Key West FL 33040 A~SENTATIVE
'~ ~ " ~ ~.AA
ACORD 25-5 (7/97) P' L...h- ... /@ACORDCORPORATION 1988
COVERAGES