HomeMy WebLinkAboutCOIs (2)CERTIFICATE Off- IABILI
'�','�. RANCE
Date
12/8/2025
Producer: Plymouth Insurance Agency
-,This Certificate is issued as -a matWr of information only and confers`ro ;
2739. U.S. Highway 19 N.
Holiday, FL 34691
?
riOtsi iipon the Certificate Holder. This Certificate does not amend,
!6A.end or alter the coverage afforded by the policies below. -
Insurers Affording Coverage -
NAIL #
_
(727) 93875562 . , ........
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Holida , FL 34691
Insurer C: -
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
LTR
- ADDL.
INSRD
Type of Insurance
Policy Number.
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits a
'
GENERAL LIABILITY
Each Occurrence
e
< ..7.
Commercial General Liability
Claims Made Occur
Damage to rented premises (EA
occurrence)$
fvledExp =t;:,
$
t
�sx.
- a-un•
-
:n S'�.yrY,c
tva. J'F Fr
i i
L ''K .�
N..a ... •.+v.e- a:..�cYrWlw.c.w
—
1�erson.. dv ln)t A Try+ e
`�Q
-
General -a re ate flmlta he er
9g - g t pp - p
IT Policy Project LOC
t
"
Cener0Aggregate
ProduMs. ComplOp Agg
UTOMOBILE•LIABILITY
' `
GornhmedSngieCunrt.`
Any Auto
(EA Accident)
Bodily Injury `
All Owned Autos.:
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos ' "
Non -Owned Autos
(Per Accident)
$
Pr"_0y_0?me .- ---
---
-----
- ------.-----------
--- ----
---- - -.- --
-
---.--- - - - ---
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
F
Each. Occurrence
Occur Claims Made
Aggregate
r
Deductible
I A
Worker's Compensation and
Employers' Liability,
WC 71949
01/01/2026
01/01/2027
X
.WC Statu- OTH-
to, •Limits ER
.Any proprietor/ artner/execu(ive officer/member ---'•
excluded?.. p r...,. .
N.O:.:.. i ; ., r:. ,.. ?
If Yes, des l e under,speclal pre4isions t erbw.
..,..
-'-• ' ,�
~~
E'L.'Each ACcident` :" -
E,L. Disease - Ea Em alc ae000;000
000;coo
[$1'�!.
E:L: Disease_,Policy Limits
000,000
Other ..............Lion
Insurance'Company
is A.iN:
Best Companyrated_nt),,,:IAMB # 12Ci16,.,.
Desaripttr-16WEzclLis ions-added;tiy End orsemenVSpecial Provisions', W - Clle� nt•ID.--•90=69-829
J' Coverage onlyapplies to active employeejs_of South East Personnel _Leasl-ng, Ind._&. Subsidiades_that arP leased to;the-fol;6wing Client Company': " "
a w. SD Roofs and Exteriors, 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 tostatutoryemployee(s) or Independent contractor(s) of the Client Company or any other entity. I.
A list of the active.employee(s) leased:to the Client Company can be obtained by emailing a request to certificates@lioninsurancecompany.com
Project Name::
ISSUE 11-19-24 (KID)
..... .. : ...
..,.., . , ., _ Begin Date: 1/17/2022.
CERTIFICATE HOLDER
CANCELLATION
CITYOF SEBASTIAN
Should any of the above described policies be cancelled before the exppiration date thereof, the issuing
BUILDING DEPARTMENT
insurer will endeavor to mail 30 days written notice to the certificate holder named to tho left, but failure to do
so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives:'-
1225 MAIN STREET
SEBASTIAN; FL 32958 ' _
:....
..
i
CERTIFICATE OF LI BIL'
ItY XN8U ANCE
12/9/2025
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
This Certificate is issued as a matter of information only and confers no
rights. upon the Ceitiffcate Holder. This Certificate does not amend,
Holiday, FL 34691
eittend or alter the coverage afforded by the policies below. .
Insurers Affording Coverage
NAIC #
(727) 938, 5562 :..
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
2739 U.S. Highway 19 N.
Insurer B:
Holiday, FL 34691
Insurer C:
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
'LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD/YY
Policy Expiration
Date MM/DD/YY
Limits
'
GENERAL LIABILITY..-
Commercial General1iability
Each Occurrence
$
Damage to rented premises (EA
occurrence
Claims Made ® Occur
Med Exp
General•aggregate Ilmlt applies per:
Policy Protect 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)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
Property -Damage- - - - -
r -
- - - - - -
(Per Accident)
.
EXCESS/UMBRELLA
LIABILITY
Each Occurrence _
Occur Claims Made
Aggregate
Deductible
A
,._
Workers Compensation and
Employers' Liability
Any proprietor/partner/executive officer/member
excluded? ,NO . :,
If Yes, describe under special.provisions""tielow..
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
to Limits
OTH-
ER
E.L. Each Accident: $1,000,000
E:L. Disease _ Ea Em to ee 1;o00;o00
E.L: Disease -Policy Limits 1,000,000
Other -.—Lion Insurance, Company is A.M. Best Company rated A (Excellent). 'AMB #.12616 • Y
Desctiptrons of Operations/,I ocatlonsNel11cles/Exclusions added by Endorsement/Special Provisions: Client ID: 96 65 668
Coverage only applies to active employees) of South East Personnel Leasing,- Inc:_& Subsidiaries that are leased to the following-' Client Company': --. --
Near Shore Roofing LLC '
Coverage only apPlie's to injuries Incurred by SoOff East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working In: FL. .
Coverage does not apply to statutory.empioyee(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 emalling a request to certificates@Iloninsurancecompany.com
Project Name:.•
ISSUE 05-08-25 (CF)
CERTIFICATE HOLDER CANCELLATION Deal nDate: 8 12 1024
CITY OF SEBASTIAN
CONTRACTOR LICENSING
1225 MAIN STREET
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.
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
INSURANCE
12/8/202s
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,
Holiday, FL 34691
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
InsurerB:
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer C:
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DDN
Policy Expiration
Date MM/DD/Y
Limits
1
GENERAL LIABILITY .'
Commercial General Ljability
Claims Made ❑ Occur
Each Occurrence
$
Damage to rented premises (EA
occurrence
$
Mad Cxp
$
"Persona l'Adv'Injury'
$:-..•
_
General, aggregate limit.applie,s••per:
cenera(Aggregate.:'.,:,.' `',
..=': $
Policy ❑ Project ® LOC
Products.- Comp/Op Agg
$
UTOMOBILE LIABILITY
Combined single Limit
Any Auto
(EA Accident)
$
Bodily Injury'
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
Ftoperty Damaje —
—
` — — —
— — - — — — — — — - - —
—
(PerAccident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
oTH-
Employers' Liability
tory Limits
ER
Any proprietor/partner/executive officer/member.
E.L. Each Accident
J$1,000,000
excluded?. Np
FE.L. Disease - Ea Employee
J$1,000,000
E1.`Disea6e1- Policy Limits
$1;000,000
If Yes, describe under speciallprovisions below:"'-: 1
Other Lion Insurance Company is A.M. Best Company rated,A•(Excellent): AMB # 12616
Descriptions of Ope'rations/Loc'ations/Vehicles/Exclusions added. by Endorsement/Special Provisions: :, . . , Client ID: 93-67-380
Coverage only applies to_active ern ployee(s),ofSouth East. Personnel Leasing, Inc._& Subsidiaries.that_are_leased to_the_following Client Company'.':.
Doyle Masonry, 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 enployee(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@lioninsurancecompany.com
Project Name:
ISSUE 10-07-14 (CF)
Begin Date: 9 28 2014
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the'above described policies be cancelled before the expiration date thereof, the issuing
CONTRACTOR LICENSING
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.
1225 MAIN STREET.
SEBASTIAN, FL 32958
.��
CERiIFICAiE OF iLIA YLII
P INSURANCE iz/9izozs
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 3469.1'
"
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage .
NAIC # '
727) 938-5562,... ,
Insured. South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
insurer C:
Holida , FL 34691
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
dN9R
' LTR
- : ADDL,
wsRD
Type of Insurance
Policy Number
Policy Effective
Date MMIDD
Policy Expiration
Date MM/DD
Limits
,.....
.... . ,,...
GENERAL LIABILITY..,,.,,` .
:,,..• ,., .;.. ,:•
..... ...
....
Each Occurrence
$
Com'Inercial"General:Liability
Claims Made Occur
v
L
E 7 i-'
Damage to rented premises (EA
occurrence
:'Mel Exp:. .
t!
r, •.,i.'
q:.: ,
General aggregate IlmlYapphes per:
Policy Project LOC
EWW
ceneTalAggregate
i
Products -.Coin i0 A
.P P 99
$•
AUTOMOBILE LIABILITY
Combined SingIe Limit
Any Auto
(EA Accident)
$
Bodily Injury:
Al Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
i
i
(Per Accident)
EXCESS/UMBRELLA
LIABILITY
Each Occurrence
jOccur
Q Claims Made
Aggregate
'
Deductible
i
A
Workers -Compensation and
Employers' Liability . _
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
toy Limits
OTH-
ER
'
........
-
Any-proprietor/partnerlexecutive officer/rpe.mber-"�
E.L: Each Accident"'. ' " "`"
$1;000',000
excluded? NO.: ;:-;, _,.
p
:nder,s
E.L: Disease - Ea Einolo ee
$T00o,000
i"
.If Yes, describe edial rovis:ons'below.
P. .P.
H.L.,Disease:-:Polio Limits
Y
$1,000,000
Other .- _ :....... Lion Insurance
Company is A.M. Best Company rated A (Excellent)::, AMB # 12tiifi
Descriptions of Operations/Locations/Vehicles/Exclusions added, by Endorsement/Special Provisions: - - Client ID: --96 66-402;---
Coverage only applies to alive employees) of South East Personnel Leasing, Inc. &_Subsidiaries that are leased to the following Gllerit_Company":_
Peay's.Electric II, Inc
Coverage only applies to -injuries inctirredby`South'East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL.
Coverage does not,.:epply.tostatuiory employee(s) or Independent contractor(s) of the Client Company or, any other entity.
Alist of the active employee(s).leased to the Cllent.Company can be obtained by.emailing a request to certificates@lioninsurancecompany:com i
Project Name:'
ISSUE 05-30-25 (TD) ,. ..... .,.
i .
Begin Date: 5 17 2025
? CERTIFICATE HOLDER CANCELLATION
- CITY OF SEBASTIAN, BUILDING DEPARTMENT, CONTRACTOR LIC
Should any of the above described policies be cancelled before the expiration date,thereof, the issuing f
insurer will endeavor to mail 30 days written notice to the certificate holder named to the left but failure lo.do
so shall impose no obligation or; liability of any kind upon the insurer, its agents or representatives:
1225 MAIN STREET
l' SEBASTIAN' FL 32558
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers AffoCding Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holiday, FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date(MM/DDIM
Limits
GENERAL LIABIL• ITY
Each Occurrence
•'
Commercial General Liability
- _ CIaIn1S MadE'.: Occur
-
- _
rented pre ses (E4
premi
occurrence)
Mad Exp
$.
Persdrial'Adv9n)ury .
General: aggregate- limit- applies •per:
Generarnygregaie'-.',
$
Policy Project. ®. LOC
Products - ComplOp AgIg'
$
AUTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
$
Any Auto
Bodily Injury
All Owned Autos
•
(Per Person)
Scheduled Autos
Bodily Injury
Hired Autos
Nan -Owned Autos
(Per Accident)
$
PoperlyDarnage
-
-------
- -------------
--------------
--
-------
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each, Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
OTH-
Employers' Liability
to , Limits
ER
Any proprietor/partner/executive-officer/member
E.L. Each Accident
1,000,000
E.L. Disease - Ea Em Io ee
1$1,000,000
excluded? -NO
E.L. Disease = Policy Limits
$1,000,000
If Yes, deson be'under"special'provisioris below.
Other Lion Insurance Company is A.M. Best Company rated?A,(Excellent).1 AMB # 12616
Descriptions of Operations%LocatioilsNehicles/Exclusions added by Endorsement/Special Provisions: _ Cilenf ID 34-01-019
_ .:,.•,
-Coverage-Only applies -to active- employyee(s)-of-south East -Personnel -Leasing; -Inc. &Subsidiaries that -are -leased -to -the -following "Client Company":.--
Xtreme Electrical Services, 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@lioninsurancecompany.com
Project Name:
ISSUE 02-26-20 (SS)
Begin Date: 12 3 2003
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET .
SEBASTIAN, FL 32958
���
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL' 34691
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
LTR
ADDL
INSRD
I Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY
Each occurrence
$
Commercial General Liability
Claims Made Occur
Damage to rented premises (F11
occurrence
$
ed Exp ,
_.
16
-
PePsonal'Add Injury''
-
eralaggregate limit applies -per:
GeneralAggregate
EPolicy❑ Project 13 LOC
Products - Comp/Op Agg
$
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto -
All Owned Autos
Scheduled Autos
(EA Accident)
$
Bodily Injury
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01101/2027
X
WC Statu-
tory Limits
OTH-
ER
Any proprietor/partner/executive officer/member
E.L. Each Accident
J$1,000,000
excluded?, .NO
E.L. Disease - Ea Em Io ee
$1,000,000
If Yes, describe underspecialprovisions, 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/LocationdNehi6Ids/Exclus! oIns added, by Endorsement/Special Provisions: Client ID:- 42-47-0o1
Coverageonly-appiies-to-active-employees) oESouth-East-Personnel:Leasing�Inc.-&Subsidiaries-that are,leased-to-the-following-"Cllent.Company':
Pat Lynch Construction LLC
Coverage only applies to injuries lncutred'by Sotith'East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL. . .
Coverage does not apply to stafutory 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@lioninsurancecompany.com
Project Name:
ISSUE 08-24-21 (SS)
Be in Date: 7 13 2020
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration dale thereof, the issuing
insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure io do
so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
1225 MAIN ST
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
INSURANCE
12/9/2025
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
Holiday, FL 34691
This Certificate is issued as a matter of information only and confers no
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
' (727) 938-5562
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY
Each Occurrence
I
Commercial General Liability'
Claims Made Occur
Damage to rented premises (EA
occurrence
$
r
riled Exp
`PersonalAdv'Injury ....• ,.
General Aggregate,, ,, •:,;
General aggregate limit applies per:
LOC
Policy El Project .,11
Products - Comp/Op Agg
$ .
AUTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
$
Any Auto
Bodily Injury
All Owned Autos
(Per Person)
Scheduled Autos
Hired Autos
Non -Owned Autos
Bodily Injury
(Per Accident)
$
ProperNOamage - - - =- -
--
( .•
------------
---
- -
- -----_
----
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability ..
Any proprietor/partner/executive officer/member.:
excluded? NO
If Yes, describe under special •provisions below.
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
tory Limits .
OTH-
ER
E.L. Each Accident
$1,000,000
E.L. Disease -'Ea Employee
$1.000.000
E.L. Disease -,Policy Limits 1$1,000.000
Other Lion Insurance Company is A.M...Best Company rated A,(Excellent). AMB # 12616
Descriptions of Operat! ons/LocationsNehicles/ExclusioIns added by Endorsement/Special Provisions: - "" - --Client ID:..96-65-853 .
Coverage only applies to active employee(s)" of South East Personnel Leasing, - Inc. & Subsidiaries that are leased to the following Client Company":
----
Style, Gallery Holdings Corp dba Highmark Lighting & Signage
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@lioninsurancecompany.com
Project Name:
ISSUE 11-24-25 (KILT)
Be in Date: 10 28 2024
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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. }
1225 MAIN STREET
SEBASTIAN, FL 32958�
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Date
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD .
Type of Insurance
Policy Number
Policy Effective
Date MMIDD
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY
Each Occurrence
$
Commercial General Liability
Claims Made Occur
e premises (EA
Damage to rented pre
ren
occurrence)
$
Mad Exp
$
Personal Ativ"Injury
g
General aggregate limit applies per:
Genera! A99 9 re ate„',.i
Policy El Project ❑ LOC
Products 'Comp/OpAgg'
$
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
Property Damage
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
I tory Limits
OTH-
I ER
Any proprietor/partner/executive officer/member.
E.L: Each Accident
$1,000,000
excluded? NO
E.L. Disease =Ea'Em to ee
$1,000,000
If Yes, describe -under special.provisjons 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 Operatiori6lL6cations/V6 iicles/Exclusions added.by Endorsement/Special Provisions: Client ID: 13-03-207
.Coverage onlyapplles-to,actrre:emplbyee(s) of=South-East•Personnel Leasing, -Inc.-&.Subsidiaries-that are leased -to the following Client Company":
Affordable Electrical Contractors of South Florida, 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@lioninsurancecompany.com
Project Name:
ISSUE 02-11-20 (SS)
Be in Date: 6 30 2003
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
CONTRACTOR LICENSING
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
INSU NICE
12/8/2025:
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
This Certifcate is issued as a matter of information only and confers no
rights upon the Certificate Holder. This Certificate does not amend,
Holiday, FL 34691
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
I, 2739 U.S. Highway 19 N.
Insurer B:
Holida , FL 34691
Insurer C:
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'
LTR
Aooi
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD/YY
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY .
Each occurrence
Commercial General Liability
Claims Made ® Occur,!
,;
Damage to rented premises (EA
occurrence).
Med Ezp'
$
Petsona(AdVtlnjtii ..
$ ..
General aggregate limit applles.per<•
Policy Project �' LOG
._..
>
General Aggregate
Prodiicts Comp/Op Agg
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos:
Non -Owned Autos
(Per Accident)
Property_^_mage- -- ---
---
j
,_
- -
- ---- - -
- -- --
-- -- - -- ---
-- -- --- - ---
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ® Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
Any proprietor/partner/executiye,.officer/member. .
excluded?,''NO
If Yes, describe'under special provisions below.
WC 71949
01/01/2026
01/
XFtory
Statu-
Limits
OTH-
ER
,
E.L. Each Accident
lsi,om,obo
E.L.'Disease - Ea Em to ee
1;000,000
E.L: Disease:'.; Policy Limits
1,000.000
` Other
'
Lion Insurance' Company is A.M. Best Company rated A.(0cellerjQ,•.:AMB # 12616..
'Descriptions'pf Operations/LOdations/Vehibl@$/EXCIUSIOnS added;.by Endorsement/Special Provisions: Client ID.- -90-67-814 "
Coverage only aRplles to active employees) of South East Pejson_nel Leasing,. Inc.-& Subsidiarles_that arealeased-to-the following -"Client Company": -
;'' ;,:" :Rhino Roofs &General Constructiori,Corp.
Coverage only appites todnjuries, Incurred by:South.East Personnel Leasing, Inc. & Subsidiaries active employees) , 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 emalling a request to certificates@lioninsurancecompany.corh
Project Name:
ISSUE 04-16-25 (KD)
Be in Date: 6 24 2019
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
BUILDING DEPARTMENT
225 MAIN STREET
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.
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY INSURANCE
12/8/2025
-'Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727): 938-5562 ..
Insured: . South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
insurer B:
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer C:
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY. ;.;
Each Occurrence
Cominercial`General'Liability
Claims Made ❑ Occur
=
Damage to rented premises (EA
occurrence
Mod Exp '
.Personal AdVlrijiiry
Genetai aggregate limlY applies.per: '.
'
General Aggregate..; ..... _-
:Policy ®Project ❑ LOC
Products. Camp/Op'A • -
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident) -"
$ .
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos `
Non -Owned Autos
(Per Accident)
-Property Damage
--
--
-----
------------ - ----
--
-- -- -----
-
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each occurrence
Occur ❑ Claims Made
Aggregate
•
Deductible
A
Workers Compensation and
Employers' Liability -
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
to Limits
OTH-
ER
Any proprietor/partner/executive officer/member'
"'
E.L: Each'Accident ' 1,000,000
excluded? NO :
If Yes, describe under special- provisions below.
E.L. Disease - Ea Em to ee' V1.000,000
E.L. Disease - P.olicy Limits E1,000,000
Other "Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB'* 12616
'Descriptions;of_Operations/LocationsNehicles/Exclusions added by Endoisement/Special Provisions: Client ID: 43-67-052"-
Coverage_only applies to active employee(§) -of South East Personnel -Leasing, Inc,_ &-Subsidiaries that-are_leased-tothe_following "Client Company"_:
Veritas Roofers, LLC ,
Coverage only applies to Injuries Incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL.
Coverage does riot 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@lioninsurancecompany.com .
Project Name:
.ISSUE 02-01-21 (PH)
Be in Date: 5 13 2019
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
BUILDING DEPARTMENT
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.
1225 MAIN ST
SEBASTIAN, FL 32958
�G•i ��.�
......... CERTIFICATE OF LIABILITY.INS
lD RA IV C E
Date
12/9/2025
Producer: Plymouth Insurance Agency
This certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend;
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC !#
(727) 93875562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
InsurerB:
2739 U.S. Highway 19 N.
Insurer C:
,Holiday, FL 34691
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. j
INSR
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MMIDD
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY
Each Occurrence
Commercial.General Liability
Claims Made Occur
-
Damage to rented premises (EA'
occurrence
MedExp•.
•
Gr
-Personal Adv Injury
• -
:.
General aggregate . -limit applies ,pen , .
:.. , . ...
oeneFal Aggregate .t
; $ ."
Policy: `❑ Project ® LOC
Products Comp/Op Agg • .
-
AUTOMOBILE LIABILITY
Combined Single Limit` '
Any Auto ..
(EA Accident)
Bodily Injury
All Owned Autos
Scheduled'Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
PrppgrtyDamage -
- --
- ---
----------- -- ----
-- - ---
-- ----- -
-- -
(Per Accident)
i
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers', Liability, • . . .
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
to Limits
OTH,
ER
Any. proprietor/partner/executive officer/member -•
excluded? NO. -
If Yes, describe under special provisions'befow.
E.L: Each Accident ' '
$1,000,000
E.L. Disease = Ea Employee
1$1,000,000
E.L.. Disease.; ;Policy Limits.
$t o00,000
Other „•__r ,__.•.....Lion
Insurance
Company is A.M. Best Company rated.A (Excellent). AMB # 12616
Des criptions'of_Operations/Locations(Vehicles/Exclus! ons added by Endorsement/Special Provisions: .Client.ID:. 84-67-108 .
Coverage only applies to active employees) of South East Personnel Leasing, Inc. &-Subsidiaries that are leased to the following "Client Company_":
,. --
Estep Construction, Inc.
Coverage only applies to injuries Incurred by. South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working -in: FL....
Coverage does riot 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@lloninsurancecompany.com
Project Name; 25-20-713
ISSUE 10-03-25 (KILT). REISSUE 10-09-25 (KD) "
Be in Date: 8 26 2018
CERTIFICATE HOLDER . CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
��`_
CERTIFICATE OF LIABILITY
INSURANCE
'
I 2/8/2b25
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
Holiday, FL 34691
This Certificate is issued as a matter of information onlyar
rights upon the Certificate Holder. This Certificate d'oe
extend or alter the coverage afforded by the policiesi'be
Ino
to
d confers no
amend,
Insurers Affording Coverage
I•
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, -Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
2739 U.S. Highway 19 N.
insurerB:
I
Holiday, FL 34691
Insurer C:
i
Coverages
I
I 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
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
policies. Aggregate limits shown may have been reduced by paid claims.
I
d6ntr3ct
and
or other
tions of such
IINSR
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD/Y
Policy Expiration
Date MM/DD/YY)
I L
its
GENERAL LIABILITY ;.
:.:-: Colhmercial Genetal-Liabilit�i -
Claims Made ® occur �:
..�-"` °'�.• -
� `�
Each Occurrence
i
$
Damagep
occurrence) rented rani
se
I
EA
$
Med'Exp , ..
E
i
.,
�%'•
H4,:-
•
r
, i is
:
General aggregate Ilmlt applies per,
_ _
:C...
:"'
i.
�
' ' A ' ,`
x .. -
'
Persbnaf Adv'Inj�lry
$ ,
General Aggrega !
tei
Policy n Project ® LOC
Products Comp/Op A
g. I
"
$
AUTOMOBILE LIABILITY
Combined Single Limit
!
Any Auto
(EA Accident)
Bodily Injury
All Owned Autos
Scheduled Autos.
(Per Person)
$
Bodily Injury
I'
Hired Autos
Non -Owned Autos
(Per Accident)
$
- -- - --- --- -
- - - -- --
--.-- - - - ---
-- - -
P;operty-Da age
(Per Accident) I'
N
EXCESS/UMBRELLA.LIABILITY
Each occurrence
Occur ® Claims Made
Aggregate
'
I
Deductible
N A
I, .
•
Workers Compensation and
Employers' Liability,
Any proprietor/partnerlexecutive officerlmember'
excluded? NO ._, ,
If Yes, desc de ribeunrspecial'provisionsbelow..
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
to Limits
t
'
TH-
R'
E.L: Each Accident
!.
$1,000,000
E:L: Disease— Ea 12
f
$1•, 6e
000;000
EfL.'Dlsease'PoliLi'
it's Ist000,000
:-Other 'Lion Insurance. Company is A.M. Best Company rated A_(Excellent) j;
`Descriptions'of 0perations/L66ati4bns Vehicies/Exclusions added by Endorsement/Special Provisions: Client1
:Coverage only applies to active employge(s)fof South East Personnel Leasing, Inc..& Subsidiaries that are leased to the following Client Company":,,
I C. - '•' L&A Consulting Professional Services LLC
AM
::90-65-631
:.#k 12616
..... , .:_ _ .... -
ICoverage 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@Iloninsurancecompany.com
Project Name:`
i
ISSUE 08-22-22 (PH). REISSUE 03-04-25 (BP) I,
I
•
�
�
I
I 1
Be fn
i
D at]
7 9 2018
CERTIFICATE HOLDER CANCELLATION II I
CITY OF.SEBASTIAN
1225 MAIN STREET
'' SEBASTIAN, FL 32956
Should any of the above described policies be cancelled before the expiration date theiecf,l th6
insurer will endeavor to mail 30 days written notice to the certificate holder named to"the lelt
so shall impose no obligation or liability of any kind upon the insurer, its agents or reprEsen,lati
issuing
but failure to do
ves.
CERTIFICATE OF LIABILITY
INSURANCE
1 Date
2/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19.N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holiday, FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY
Each Occurrence
t
Commercial General Liability
Claims Made ❑ OCCur
Damage to rented premises (FA
occurrence
$
Mad Exp
. ..
Pefsona(A'dv'Injury
.j' i•"
... •.
•. -
-ayra-r c.. a.•. r
;,q: ,.,��. 6_. :� ,
...p.. r t t�? e7. ..,r�C�...x
General aggregate limit applies. per:
GeneralAggrepate
$
Policy Project LOC
Products Comp/Op Agg
AUTOMOBILE LIABILITY
Combined single Limit
"
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
$
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
PioperiyDarnaye ---- ---
- ---
�.-----
'----------------------
------ ----
--- ------
----- --- - - ---
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
I tory Limits
OTH-
I ER
Any proprietor/partner/executive officer/member
E.L: Each Accident
$1,000,000 '
excluded?. NO
E:L: Disease'- Ea Ern lo"ee
$1;000,000' `
If Yes, describe underspecial,provisions below:_ •• :
E.L. Disease - Policy Limits
1$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: 92-71-841
_,Covjerage.only-applies-to-activaemployiee(s):ofSouth East-Personnel-Leasing,-Inc.-&-Subsidiaries-thatarefeased-to-the-following Client.Company'".
Sommers Construction, LLC dba Riverside Docks
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@lioninsurancecompany.com
Project Name:
ISSUE 03-22-21 (KILT)
Be in Date: 11 27 2017
CERTIFICATE HOLDER CANCELLATION
i
CITY OF SEBASTIAN
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.
1225 MAIN STREET
SEBASTIAN, FL 32958�-.—
CER.TIIFICATE OF LIABILITY
I.9 SURANLt 12/8/2025,1
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
Oghis upon the Certificate Holder. This Certificate does not amend,
'exte"nd or alter the coverage afforded by the policies below.. • -
(727) 938-5562
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSIiD
`' Type of insurance
Policy Number.
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
.r
GENERALL IABILI.—T-Y-.., !
Each Occurrence
Commercial General Liability
I Claams;MadP .;Occur.
-..
i ,, r ,;;,,
_
, ,;�;, , a; ;. ,;; _
a
,,,,i;s
Damage to rented premises (EA
occurrence
�
, it �.
`> � .iy�r �,
�'
:� t„
ry: - f'-r� 1
. ,
•�.
,k..."a-
Gl aggregate Ilmita.pphes:per:
Folic Pro'ect : LOC
y 1
caneralAggregate
Products Come/OP}?9,9
.,.,,,"-
'
AUTOMOBILE- LIABILITY
Combined single Limit
(EA Accident)
$
Any Auto
__.
Bodily Injury
. .
All Owned Autos
(Per Person)
Scheduled Autos -
'.
Hired Autos
Bodily Injury
Non -Owned Autos
(Per Accident)
Fogerty Damage- - - - - -
- - -
--------- - - -- - - - - -
�- - - - - -
--
--'-
---
.(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each occurrence
Occur 0 Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers'_ Liability ,..: �: ..
WC 71949
.. .....
01/01/2026
_ ,.,
01/01/2027
..
X
WC Statu-
to Limits ..
.. , .
OTH-
ER....
E.L-.;Each Accident 1$1.000.000
Any proprietor/pariner/executive officer/Member. -
excluded? O
If Yes, describe under spec'ial prosi'sions below.
"bcd,NL- '000.000
E.L. Disease - Policy Limut ` $1;OOo;ooO
_
Other t ;.Lion Insurance Company is A.M:
Best Company rated;A''(1=xelTent)':AMB
#�,'12616'°';
Descriptions'of Operations/Locations/Vehicles/EXclusions added by Endorsement/Special Provisions: Client ID 96 65 523
Coverage only applies to octave ernployee(s)`of5outh East Personnel Leasing, Inc. & Subsidiaries that are leased to the following Client;Company"
' Local Roofing Experts LLC
`
Coverage only applies to .injuries incurred. by South East Personnel Leasing, Inc.. Subsidiaries active employees) ,while working'in:,. FL •
Coverage does not apply -to statutory employee(s)•or independent contractor(s) of the Client Company-o�, any other. -entity.-
A list'of the -active employee(s) leased to the Client Company can be obtained by emailing a request to certificates@lioninsurancecorripany.com
Project Name:
ISSUE 03-31-25 (KD)
Be in Date: 6 5 2024
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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 td do'
so shall impose no obligation or,liability of any kind upon the insurer, its agents or.representatives,.
1225 MAIN STREET
:SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
INSURANCE
Date
12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by.the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
110�5
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits
GENERAL L:IABILITIL
Each Occurrence
$
Commercial General Liability
�,premises
Claims Made. Occur
....;
Damagerente mise
occurrence)
..
„
..
Mad Ezp r
$
Personel Adv`Irijury'
$
_
-
General•aggregate limit applies per:
General Aggregate,;,.;__: ' _
Policy_ , ❑Project LOC
Products - Comp/Op Agg,_
$
N
UTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
(Per Accident )
$
N
M
Hired Autos
Non -Owned Autos
- -
- - -
- - - - - - - -- - - - -
- - -
- - -
Properiy Damage - -
- - - -
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability -
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
tory Limits
OTH-
I ER
Any proprietor/partner/executive officer/member
E.L: Each Accident
$1,000,000
excluded?. NO "'"
E.L'. Disease: Ea Em to ee
1$1,000,000
If Yes, describe under -special provisions,below. _
E.L. Disease - Policy Limits
J$1,000,000
< < Other
'Lion Insurance Company is A.M..
Best Company rated-A'(ExceII6ht) "AMB # 12616
Descriptions of Operations/Locatio- ns/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 93-68-422
Coverage -only applies to active, emplpyee(s) of South East Personnel Leasing,Jnc. &-Subsidiaries that -are -leased to the following "Client,,Company": - --' - -
Home Wreckers 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@lioninsurancecompany.com
Project Name:
ISSUE 03-30-21 (PH)
Be in Date: 3 4 2020
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN ST
SEBASTIAN; . FL 32958
CERTIFICATE ®F LIABILITY INSURANCE lz/sizozs
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers rio
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend, .�
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC''#
.
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MMIDD/Y
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY
Each occurrence
$
"
Commercial General Liability
Claims Made Occur
®
Damage to rented premises (EA
occurrence
$
Mad Exp
$. ,
ems•-_.
�_..�.:,,,
�- ..W4��n �_:•_:,._: ......-._._..-�• -
_ -
- -
-
_ -
Personal Adv.Injury�
- -
$ j
General:aggregate llmit,applies per:_
cene`ral Aggregate
Policy Project LOC
Products Comp/Op Agg
$
AUTOMOBILE LIABILITY
Combined Single Limit'
Any Auto
All Owned Autos
Scheduled Autos
(EA Accident)
$
Bodily Injury
(Per Person)
..
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
I
Prcperiy-DanlBye= -'----
- -
-
- -
- ------------- - -
-- - ----
- --------
I
- -- - - - -j- -
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
I
Occur � Claims Made
Aggregate
i
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027;
X
. WC Statu-
OTH-
Employers' Liability
tory Limits
ER
Any proprietor/partner/executive officer/member
E.L. Each Accident
1$1,000,000
excluded?. NO ' '
EL. Disease - Ea Employee
J$1,000,000
E:L:`Disease -Policy Limits
J$1,000,000
If Yes, describe:underspecial -provisions•below. .•;...
..Other Insurance
Company is A.M. Best Company rated,A (Excellent). AMB # 12616
_Lion
Descriptions of Opera'bons/Locatlons/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID. 92 72 877 '.
Coverage only applies to active employees) of South East Personnel Leasing, Inc. & Subsidiaries that are, leased to the following Client Company :.
Zabitosky.Construction LLC I
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 employees) leased to the Client Company can be obtained by emailing a request to certificates@lioninsurancecompany.corrl
Project Name:
ISSUE 10-31-24 (PH)
I
i
Begin Date: 9 28 2023
CERTIFICATE HOLDER CANCELLATION I
CITY OF SEBASTIAN
BUILDING DEPARTMENT
Should any of the above described policies be cancelled before the expiration date thereof, the issuing .I
insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure told.
so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
1225 MAIN STREET
- SEBASTAIN, FL 32958
�C I
CERTIFICATE OF LIABILITY
INSURANCE
Date
i2/8/2025
-Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Lion Insurance Company
11075
L1nsurerA:,
rer B:
2739 U.S. Highway 19 N.•
Holida ,FL 34691
rer C:
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MMIDD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY'
Each Occurrence
$
+ .
Commercial General Liability
Claims Made Occur
`Damage to rented premises (EA
occurrence
$
,Mad Exp,•
.Personal Adv-Injury
$
- •
.�
General aggregate limit applies.R?-r;-..
,
Genera lAggregale
$ ....
_.:.,.,.... , .........".....
:. . .......... ,.:.
:. -
Polio
y t '"
ProjecLOC
® ❑
Products"- Comp/OP
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
i
Scheduled Autos
(Per Person)
$
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
Property Damage- - -
- -
- - -
- - - - - - - -
- -
-
-
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY''
Each Occurrence
Occur ® Claims Made
Aggregate
Deductible
A
i.
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
to Limits
oTH-
ER
is
r;
i•
Any proprietor/partner/executive officer/member,
excluded? NO
If Yes, describe under special''o visions.below.` ''
_
E.L. Each Accident
$1,000,000
E.L: Disease : Ea Employee
$1,000,000
E.L: Disease:.- Policy Limits-
I$i,000,000
i Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616
Descriptions Operations/LocationsNehicles/Exclusions addedby Endorsement/Special Provisions: 'CliehtID: 84-65-049......
,'Coverage only applies to active, employee(s)-of Soilth-East Personnel Leasing, Inc. & Subsidiaries that are! leased to the following "Clie1.nt; Compan y
Summerlin's Marine Construction,.LLC
Coverage only applies to.Injurles incurred by South..East Personnel Leasing, Inc. & Subs!dlarles active employee(s) , while working In FL.'
i 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 cert!ficates@lioninsurancecompany.com
i Project Name:
i FAX 772-464-7470 / ISSUE 02-24-11 (SD)Reissued 12/10/12 (SH) / Reissued 12/9/13 (SH)
i
i
I
i
r
i
i
i
i
i
Be in Date: 2 17 2011
� CERTIFICATE HOLDER CANCELLATION
j CITY OF SEBASTIAN
I
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
��✓
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
(727) 938-5562
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY.
Each Occurrence
$
Commercial General Liability
Claims Made Occur
Damage to to premises (EA
occurrence) rend
Med Exp :
$
Personal Ado In u
_
General a re ate limit a _lies per:
99....9 pP, _. P .
General Aggregate
$ .
Policy ® Project ❑ LOC
Products -Camp/Op Agg
$ - -
AUTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
$
Any Auto
Bodily Injury .
All Owned Autos
(Per Person)
$
Scheduled Autos
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
9roperty_D3ma0e-------
----
i--
----
------------------
--- ---
------- --
----------
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
OTH-
Employers' Liability
tory Limits
ER
E.L. Each Accident
J$1,000,000
Any proprietor/partner/executive officer/member
E.L. Disease - Ea Employee
$1,000,000
excluded? NO
E.L: Disease- Policy Limits
1$1,Ooo,000
If Yes, describe under special, provisions below.,
Other Lion Insurance Company is A.M. Best Company rated A•(Excellent).;•AMB # 12616
Descriptions -of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client -ID: 93-68-642
Coverage only-appliesto-active_empl_oyee(s) of.South_East Personnel leasing, Inc._& -Su bsidiaries_that areleased_to_the_following_"Client-Comparty'':
AMS 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@lioninsurancecompany.com
Project Name:
ISSUE 02-21-22 (TD)
i
Begin Date: 1 2 2022
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET
SEBASTIAN, FL 32958y
��
CERTIFICATE OF LIABILITY
INSURANCE
12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
ured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Holida , FL 34691
[The
Insurer C:
erages
olicies 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
ent 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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY
Each Occurrence
$
Commercial General Liability
Claims Made Occur
'
Damage to rented premises (EA
occurrence
$
MedExp i ;
. Personal Adv In u
)ry_.
$ '
_......, .-_
General: aggregate limit: applies'per:
General Aggregate • .
$
Policy ❑Project ❑ LOC
Products - Comp/Op Agg '
$
AUTOMOBILE LIABILITY
Combined single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
$
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
Pr r)ertv_Damage
- - - - - - - -
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability ..
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
tory Limits
OTH-
I ER
Any proprietor/partner/executive officer/member
excluded? NO
E.L. Each Accident
1$1,000,000
E.L. Disease -Ea'Em to ee
1$1,000.050
If Yes, describe under'speoial'provisions below:-..
E.L, Disease - Policy Limits
$1,000,000
j other "'Lion
Insurance Company is A.M.
Best Company.rated A (Excellent). AMB # 12616
Descriptions of,Operations/Lo6ati6ns%V4hic1es'IExclusions added by Endorsement/Spegial Provisions: -_...:, -., -Client ID: 07757400 - -
-Coverage Coverage only applies to active erployee(s) of South East Personnel Leasing, -Inc. & Subsidiaries that are leased to the following"Cllent Company":
--------- --
Matt Combs Concrete, Co.
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@lioninsurancecompany.com
Project Name:
FAX: 561-795-1745 & 772-589-2566 / ISSUE 04-08-11 (TD) / REISSUE 11-07-11 (CF)Reissued 12/10/12 (SH) / Reissued 12/9113 (SH) REISSUE 01-08-16 (AF).
REISSUE 09-01-22 (KILT)
I
Begin Date: 10 6 1997
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
-77777-
CERTIFICATE OF LIABILITY INSURANCE 12/9/202
Producer: Plymouth Insurance Agency This Certificate is issued as a'matte'r of information only and confers no
2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,
Holiday, FL 34691 extend or alter the coverage! afforded by the policies below.
(727) 938-5562 ` Insurers Affording Coverage NAIC #I
Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075�
2739 U.S. Highway 19 N. Insurer B:
�l Holiday. FL 34691 Insurer C:
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 contractor other I
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
LTR
ADDL
INSRD
Type of insurance '
Policy Number
Policy Effective
Date MMIDD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY .
Each Occurrence
- . •
Commercial General Liability
Claims Made _, Occur
Damage to rented premises (EA
occurrence
$
Metl Exp
+
Persona `In)Ury
''-!
,.
General`aggregate Itmlf2pphe5 per:
G_enefal Aggregate
Policy Pro ecI LOC
y 1,
Product..- Comp/Op Agg .
AUTOMOBILE LIABILITY
•
Combined Single Limit
9
i
'
(EA Accident) ,.
$
Any Auto
00—
Bodily Injury
All Owned Autos
(Per Person)
Scheduled Autos
Bodily Injury
j
•
Hired Autos
Non -Owned Autos
(Per Accident)
-Rronprt_mgae_ - ------
- - --
- ----
---- ----
---- -- - --- - - ----- ---- -x`----
-- --
-------,--.-
------------
(Per Accident)
i
EXCESS/UMBRELLA LIABILITY
Each Occurrence
I
i
Occur Claims Made
Aggregate
f
Deductible
�t A
Workers Compensation and WC 71949 01/01/2026 01/01/2027; X VVC Statu- OTH-
Employers' Liability. to Limits . ER
Any proprietor/partner/executive officer/member E,L. Each Accident $1,000.000
excluded? NO E.L. Disease - Ea Employee $1,000,000
is If Yes, describe 'urder special`proJisiors below.•E.L..L:.Disease - Policy Limits 1,000,000
Other Lion Insurance Company is A.M. ;Best Company rated: A {EXcellertt),.;AMB #.12616
'L'escriptions of�Operations/LocationsNehicles/Ekciusions added by Endorsement/Special Provisions: -' -Client ID: • 90 69 254
_Coverage only. -applies fo,active employee(s)`bf South .East Personnel Leasing,. Inc. & Subsidiaries that are leased to the following Clieht Company':-
h Straight Edge Builders and Roofers, Inc
I 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 employees) 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@lioninsurancecompany.com
Project Name: .�
j ISSUE 05-22-25 (KLT) '
I
C
Be in Date: 2 1 2021 I
CERTIFICATE HOLDER CANCELLATION
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 toido
so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
1225 MAIN STREET
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is'issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
(727) 938-5562
Insurers Affording Coverage
NAIC #'
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
InsurerC:
Holida , FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY
Each Occurrence
Commercial'General Liability
Claims Made OccurDamageme
premises
o re pre s
occurrence)
$
xp '
g
,.
,
PersonaliAdd'Injury-
;;
Geiseral:aggregate.limit.applies per.
fan?ralAggregale ;_•
Policy p Project LOC
`.1
Products Comp/Op Agg --
$
AUTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
$
Any Auto
Bodily Injury
All Owned Autos
(Per Person)
$
Scheduled Autos
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
Property -Damage - -
- -
- -
- - - -
- - -
-
- - - -
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
oTH-
I
Employers' Liability
toy Limits
ER
E.L.. Each Accident
J$1,000,000
Any proprietor/partner/executive officer/member
E.L. Disease - Ea Employee
1$1,000,000
excluded? NO
E:LrDisease:-Policy Limits
$i,000;000
If Yes, describe.underspecial•provisionsbelow.,-
Other, -Lion Insurance Company is A.M.
Best Company rated ;A,(Excetlpnt)„o.AMB # 12616.
Descriptions -of'Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: :,".'"" -' Client ID: 14-73-002--- -
Coverage_only-applles.to.active employee(s)..of,South East P_ersonnel-Leasing,-Inc. &.Subsidlaries,that-are_Igased to. the following "Client_ Company":
Stant Construction Co.
Coverage only applies to Injuries Incurred b South East Personnel Leasing, Inc. & Subsidiaries active em
9 Y PP �� J Y 9, Ployee(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'Compahy can be obtained by emailing a request to certificates@llonihsueancecompany:com
Project Name:
FAX: 772-388-6104 / ISSUE 05-28-08 (CF) l REISSUE 11-06-09 (To) / RENEWAL 12-17-09 (SH) / REISSUE 10-09-12 (SD)Reissued 12/10/12 (SH) / Reissued 12/9/13 .
(SH) / REISSUE 09-.15.16 (KR) REISSUE 02-08-23 (SD). REISSUE 02-27-24 (BP)
Be in Date: 10 24 2007
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN 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.
.1225 MAIN STREET
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Date
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers n6
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
(727) 938-5562
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A, Lion Insurance Company
11075
Insurer B:,
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD
I Type of Insurance
Policy Number
Policy Effective
Date MM/DD ..
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY ..
Each Occurrence
$
`
Commercial General, Liability "
Claims Made OCCUR
" `
'
Damage
o currrencerente mice d premises (EA
Med Exp
_
PersonaFAdv"In)ury
$.-.
- ,
General aggregate; Ilmit.applles per:
General Aggregate'
Policy ®Project ❑ LOC
Products Comp/Op Agg `-
$'
AUTOMOBILE LIABILITY
Combined single Limit
(EA Accident)
Any Auto
Bodily Injury
All Owned Autos
(Per Person)
$
Scheduled Autos
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Property-Dam_ge - - - -
- - -
-
- -
- - - -
- - -
-
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each occurrence
Occur M Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
I
OTH-
I
Employers' Liability
tory Limits
ER
-Any proprietor/partner/executive officer/member ' '
E.L. Each Accident
J$1,000,000
excluded? NO
E.L: Disease - Ea Employee
$1,000,000
E.L.-Disease.-Policy Limits
$1.000,000
If Yes, describe.underspecial,provisions. below:
Other Lion Insurance Company is A.M. Best Company rated A.(IExc@Ilent),.,.AMB # 12616
Descriptions. of Operations/LocationsiVehicles/Exclusions added by Endorsement/Special Provisions: - Client ID:-' 91-69-461-
Coverage only applles,to active employ_ee(s). of. South East - Personnel Leasing, Inc. &_Subsidiaries that_ are_ leased_ to the following Tlient_Company":_
Treasure Coast Construction Management, L.C.
Coverage only applies to injuriesincurred 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@lioninsurancecompany.com
Project Name:
ISSUE 05-15-17 (PH). REISSUE 08-19-19 (SS)
k
Begin Date: 4 5 2017
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
i ���
CERTIFICATE OF LIABILITY
INSURANCE
12/8/2025
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,
Holiday, FL 34691
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC # °
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
2739 U.S. Highway 19 N.
Insurer B:
Holiday, FL 34691
Insurer C:
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 INSR
I LTR
ADDL
INSRD'
Type of Insurance
Policy Number
Policy Effective
Date MM/DD/Y
Policy Expiration
Date MM/DD/YY
Limits
'
GENERAL LIABILITY . ' . ,
Commercial General,Liablllty
Claims Made ® Occur
Each Occurrence
$
Damage to rented premises (EA
occurrence
$
.Med'Exp::1.
$
t
..
... ;. ... ""
. i ;!,A . .•
I
,...
`, ..
-PersonalAdv:`Ihjuly
G. eneral aggregate I rri t.applies.per:..
Policy Pro/ect LOC
cenerai Aggregate,
$'.. ..:
Products "Comp/6 A'
$
AUTOMOBILE LIABILITY
Combined single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos'
(Per Person)
$
Bodily Injury
Hired Autos
.
Non -Owned Autos.
(Per Accident)
$
'Property -Damage-
_
(PerAccident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
to Limits
OTH-
ER
Any proprietor/partner/executive officer/member _
excluded? NO . „
If Yes, describe tinder special provisions -below.
E.L. Each Accident
$1,000,000
E.L. Disease = Ea Em to ee
E.L.,. ..,Disease -"Policy Limits
_.
$1:000,000
s1,000,000
Other
Lion Insurance Company is A.M. Best Company rated A (Excellent),,.AMB #-12616
'Descriptions of Operations/Locations/Vehicies/Exclusions added. by Endorsement/Special Provisions: Client ID:" "43-65-283-
Coverage only applies to activee"empI6y6's)"of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company":
- - - - - - -- ------ --
"' ` A/C Service Masters, LLC
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 employees) leased to the C_ lient Company can be obtained by emailing a request to certificates@lioninsurancecompany.com
Project Name:
FAX: 321-956-9451 & 772-589-2566 / ISSUE 07-02-10 (TD) / REISSUE 01-04-11 (TD) / REISSUE 12-02-11 (SD)Reissued 12/10/12 (SH) / REISSUE 11-19-13 (TLD) /
Reissued 12/9/13 (SH) / REISSUE 11-04-14 (SD)
Be in Date: 8 12 2009 "
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN 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.
" 1225 MAIN STREET
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITYANSURANCE
12/8/2025,
Date
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
(727) 938-5562
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holiday, FL 34691
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
.LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY
Each Occurrence
$
Commercial �Geneial Liability
Claims Made Occur
Damage to rented premises (EA
occurrence
PersorishAdv Injury,.�-
•
- -• -•
G.1 . 1.aggregate"ljmit,applies.per:
GenerarAggregale
Policy Project "❑ LOC
Products Comp/OpAgg-
$
UTOMOBILE LIABILITY
Combined single Limit
(EA Accident)
$
Any Auto
Bodily Injury
All Owned Autos
(Per Person)
$
Scheduled Autos
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
p-eperty0emago-- ---
- -
-
-
- ---- ------------
-------
-----------
- -
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
OTH-
Employers' Liability
tory Limits
ER
Any propfletor/partner%e>:ecutive officer/member
excluded'?., NO
If Yes, describe_under-specialprovisions, below;,. ,:
E.L. Each Accident
$1,000,000
E.L.-Disease --Ea Employee
J$1,000.000
E1:!Disease :-Policy Limits
J$1,000,000
Other 'Lion Insurance Company is A.M. Best Company rated: A,(Excellent).;,AMB # 12616.
Descriptions"' f Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: -Client ID: 08-65-206 -
Coverage -only applies.to.active employees) of.South.East Personnel. Leasing, Inc. & Subsidiaries thatare to the following Client -;Company":
Mark's Air;Conditioning, Inc.
es ou'.esdb ySotCoverage onlyapplitin'i'incurrei 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 certiflcates@lioninsurancecompahy.com
Project Name:
FAX: 772-978-9868 & 772-589-2566 / ISSUE 02-19-10 (TD) / REISSUE 04-26-11 (SD)Reissued 12/10/12 (SH) / Reissued 12/9/13 (SH) / REISSUE 07-09-15 (TLD)
Begin Date: 10 22 2003
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
insurer wili 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.
1225 MAIN STREET
.SEBASTIAN, FL 32958��
kLI'TY
CERTIFICATE OF L1
O NCE
=2!5
Producer: 7iymouth 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, '!
Holiday, FL 34691
extend or alter the coverage! afforded by the policies below.
Insurers Affording Coverage
NAIL #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075I
2739 U.S. Highway 19 N.
InsurerB:
Holida , FL 34691
11'Coverages
insurer C:
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 i
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
I policies; Aggregate limits shown may have been reduced by paid claims.
INSR
1• LTR
ADbL
: INSRD .
Type of Insurance.
Policy.Number
Policy Effective
Date MM/DD/Y
Policy Expiration
Date MM/DD/YY)
Limits
GENERAL11ABILITY
Each Occurrence
Commercial General Liability
Claims Mad@ '"Occur'
=
Damage to rented premises (EA
occurrence'
j
Med Exp.
_
-- -:-- ,---------- u
r 1. �
PetSdhel Ativ to U
)
�
General aggregate limit applies per
Policy,' ' Project' ` LOC
GeneralA re ate..._' .
I
r.
Products Comp/OpAgg.
$,'
AUTOMOBILE LIABILITY
Combined single Limit
Any Auto
(EA Accident) .
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
$I
Bodily Injury
Hired Autos -
Non -Owned Autos
(Per Accident)
$
l ---
- - --
------------- - - - - --
- -- - -
- - - - - - --
--. - -- -
Propertl Damag= -- -- -
--
-...
-
..
(Per Accident)
j
I.
EXCESS/UMBRELLA LIABILITY
Each Occurrence
.
Occur ®Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
Any proprietor/partner/executive"officer/member
excluded.?
If Yes, describe under,special provisions below.
WC 71949
01/01/2026
01/01/2027,
x
WC Statu-
tory Limits'
t7TH-
ER
'.
I.
E.L. Each Accident 1,000,000
E:L: Disease :__Ea Em Io ee 1,000.000
E.L: Disease'= Polic Limits $1,000;000
Y.
s other ,' „_,-,•:-Lion Insurance Company, is A.M. Best
Company rated A (Excellent)'
.• AMl3#41616---:
uesc.npuons or.vperatlonsrL.ocauonsfvemclesftxctuslons aodeo by rnoorsement/Special Provisions:Client ID: 98 66 560 I Coverage only -applies to_acbve_employee(s)_of_SouthFast Personnel Leasing,.Inc.,&.Subsidiaries_that are leased -to-rhe-following Client Compam/
Nelsen Hoofing and Construction"Inc . I
Coverage only applies to..inluries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working,in: FL I
.Coverage does not apply to statuto em Io ee s or inde endent contractors of the Client Corp ' an or, an other enti PP Y N. P Y O P O P Y Y ty:
A list of the active employee(s) leased to the Client Company can'be obtained by emailing a request to certificates@lioninsurancecompany.com j
Project Name: I.
I
ISSUE 01-29-25(TD)
Be in Date: 4 13 2020
CERTIFICATE HOLDER CANCELLATION
CITYOFSEBASTIAN Should anv of the above described policies be cancelled before the expiration date thereof, the issuing
insider will endeavor to mail 30 days written notice to the certificate' holder named to the left, but failure toido
so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
1225 MAIN STREET
CERTIFICATE OF LIABILITY
INSURANCE 12/9/2025
Date
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,
Holiday, FL 34691
extend or alter the coverage afforded by the policies below. .
Insurers Affording Coverage
NAIL #
(727) 938-5562
insured: South.East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Holida , FL 34691
Insurer C:
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 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.
INSR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date' MM/DD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY
Each occurrence
rLT
.Commercial'GerieralLiability
Claims Made ❑ Occur
Damage to rented premises (EA
occurrence
..
.. -
_
'Pe'['sonaf1Ad6-lnjury
I ..
General-a9g.re.a.te. -l.imit apptli.e,s per:
GeneraLAggrega to
� $
l
Policy Project LOG
❑ ®
Products ComplOp Agg
!AUTOMOBILE
LIABILITY
Combined Single limit
(EA Accident)
$
Any Auto
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
P-ropert D.3m33e.--
-- --
-
--- -
- -- --------- - - - - -- -
- - - -
- - - -
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and -
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
I
OTH-
Employers' Liability
tory Limits
ER
Any proprietor/partner/executive officer/member
E.L. Each Accident.
J$1,000.000
excluded? NO _ .
E.L. Disease - Ea.Em to ee
J$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 # 1261.6
Descriptions;of,Operafiorisi.Lbcatiotis/Vehicles/Exclusions added' by Endorsement/Special Provisions: - "- Client3D: 92=72-676 --
tCoverage.only applies to active employee(s)-of South. East Personnel -Leasing, Inc. _&-Subsidiaries that -are leased -to the following _Cllenf:Company":
t Luxury Roofing Service LLC
Coverage only applies to ihjuries'Iricurred'bySouth 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.acdve employee(s) leased to the Client Company can be obtained by emailing a request to certificates@lioninstirancecompany.com
Project Name:
ISSUE 08-15-25 (KLT)
Be in Date: 7 17 2023
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
BUILDING DEPARTMENT
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. -
1225 MAIN STREET
--SEBASTIAN, FL 32958
�%\ —�. �----✓
CERTIFICATE OF LIARILM
INSURANCE
12/8
2025
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
Holiday, FL 34691.
This Certificate is issued as a matter of information only and confers no
rights upon the Certificate Holder. This Certificate does not amend,
ezterid or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562 -
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
2739 U.S. Highway 19 N.
insurer B:
Holiday, FL 34691
Insurer C:
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
LTR
ADDL,..
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MMIDD/Y
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY..
Each Occurrence
$
.
Commercial General Liability
Claims' Made. Occur
Damage to rented premises (Ea
occurrence)$
Med fxp..
:._.... ... .
Pemohal Adv Injury
General aggregate Ilmlt applies per:
".
General Aggregate
Policy Protect ® LOC
Products - Comp/Op Agg
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
B---
.
Hired Autos
Non -Owned Autos
(Per Accident)
Property-Camage — — — —
—
(Per Accident)
EXCESS/UMBRELLA. LIABILITY
Each occurrence
Occur ® Claims Made
Aggregate
Deductible '
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
TVIVY
C Statu-
Limits
OTH-
ER
.
Any proprietor/partner/executive officer/member "'
excluded? NO ..
If Yes, describe under special provisions. below:
E.L. Each Accident
1;000,000
E:L. Disease - Ea Employee
$1.000.000
E.L. Disease - Policy Limits
P1.000.000
Other
Lion Insurance Company is A.M.
Best Company rated A (Excellent). AMB # 12616
Descriptions of,OperationslLocationsNehicles/Exclusions added1by Endorsement/Special Provisions: Client ID: 91-67-430
Coverage_oniy appllesto active eni to ee s-of,South East -Personnel -Leasing, Inc. &-Subsidiaries that are'leased to the following "Client Company": ------------ --- - -
:•- Progressive Builders of Central Florida, Inc. dba Progressive Roofing and Remodel,
-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@lioninsurancecompany.com
,Project Name:,
RYAN J. LECUYER LICENSE NO. CCC1330203 & CRC1329372 AS QUALIFIER. ISSUE 09-23-19 (CF)
Be in Date: 8 26 2013
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
BUILDING & LICENSING
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.liabilily of any kind upon the insurer, its agents or representatives.
1225 MAIN STREET
SEBASTIAN, FL 32958
�7 /
CERTIFICATE OF LIABILITY
INSURANCE 12/972"025
.
11 Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no.
! 2739 U.S. Highway 19 N.
Holiday, FL .34691
r
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
(727) 938-5562
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY'
Each Occurrence
$
Commercial General Liability
Claims Made , n Occur
Damage to mepremises
ocdurrence
Med Exp . ,
ersonBl Adv I'rijury.....
General aggregate limit -applies per:ceneralAggregate
Policy _, Pro/ect , LOC
�.,:. .: .• �; .
Produdts -Comp/OP, A99.._.._...
AUTOMOBILE LIABILITY
Combined Single iLimit
(EA Accident)
Any Auto
Bodily Injury
All Owned Autos
(Per Person)
Scheduled Autos
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
�rox�erty D mega
.-e. — —
— --—
--—
— ——
—--———————————————
—————--—
---—— — — —_ —`
_ _ _ _- _ _ - - - _ _
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
OTH-
Employers' Liability
tory Limits
ER
E.L. Each Accident
$1;000,000
Any proprietor/partner/ezecutive.officer/member
E.L. Disease = Ea Em to ee
s?,000,000
excluded.. NO
E.L..Disease.- P..olicy Limits
$1,000,000
If Yes, describe undenspecial provisjonsjbelovv
Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616
Descriptions of'Operations)LocationsNeFiidi s/Exclusions added by Endorsement/Special Provisions: - '- Client -ID:- 92-71.580
rag _Coyee_only applies to active employ ee(s). of South East_Personnel_Leasing,_Inc. &Subsidiaries that are leased to the _following "Client Company":_
3 Guys Solar, LLC
Coverage only applies to,injurieslncurred by South East Personnel Leasing, Inc. & Subsidiaries active employees) , while working In: FL.
Coverage -does not apply to statutoryemployee(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@lioninsurancecompany.com
Project Name:
ISSUE 01-11-21(BP)
Be in Date: 8 28 2017
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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
1225 MAIN STREET
SEBASTIAN, FL 32958%\/
so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
CERTIFICATE OF LIABILITY I INSURANCE I2/9/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
ekidird or alter the coverage afforded by the policies below.
Insurers Affording Coverage NAIC
#
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer C:
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.
LTR
,. ADDL
wsRD
Type of Insurance
Policy Number
Policy Effective
Date MMIDD/YY
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY-.
Each Occurrence
,.. .
Commercial General Liability
Claims,Mad2 Occur
a
f
Damage to rented premises (EA
occurrence
Mod Exp ...
------ -:
PersonalAdvinjury=
General aggregate;limit"applies`per:
;GenerarAggregale r:'
Policy Project LOC
"
"Products Comp/Op Agg
AUTOMOBILE LIABILITY
Combined single Limit
Any Auto
(EA Accident)
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
- - _
- - _ - - -
- - - - - - - _ - _
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each occurrence
Occur Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability ..
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
t'ory Limits
OTH- .
ER
Any proprietor/partner/executive officer/member
E.L. Each Accident
V1,000,000
excluded.? NO " "
E,L:.Disease - Ea Employee
1,000,o00
If Yes, describe under"special `provisio6s tietovt .
E:L. Disease' -Policy Limits
Pt000,000
Other s
Lion Insurance Company is A.M. Best Company rated A -(Excellent).•. AM # 12616
Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: "' Client ID: 91=68 134 -'
Coverage only applies to active erployee(s)-of. South East -Personnel Leasing, Inc._& Subsidiaries thatareleased to -the -following _'Client=Company":_ -- -- -.= -- =
-
Liberty Roofing Group Inc
Coverage only apples 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@lioninsurancecompeny.com
-Project Name:
ISSUE 08-14-25 (TD)
i
i
i
Be in Date: 8 4 2025
CERTIFICATE HOLDER
CANCELLATION
' CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration dale 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.
1225 MAIN STREET
SEBASTIAN FL, 32958
__
CERTIFICATE OF LIABILITY
INSURANCE
12/8/2025
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
This Certificate is issued as a matter of information only and confers no
rights upon the Certificate Holder. This Certificate does not amend,
Holiday, FL 34691
extend or alter the coverage afforded by the policies below..
Insurers Affording Coverage
NAIC #'
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075'
2739 U.S. Highway 19 N.
InsurerB:
Holida , FL 34691
Insurer C:.
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits
...
..
GENERAL LIABILITY
..._. ..,..
Each Occurrence
_
Commercial General Liability
Claims Made ® Occur
. r,.
Damage to rented premises (EA
occurrence
$
Mad Exp
_-...... _ .._.
Personal AdV'Inju y "`,t.
> .,
_
_E
?:. ,.,. ;':az .,. .,..•
General applies.'per:
GenereLAggregate:-.:.
Policy ❑ Project LOC
Products - Comp/Op Agg
$
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
$
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
-
- - - - -
- -
Property Damage -
(Per Accident)
$
EXCESS/UMBRELLA
LIABILITY
Each Occurrence
Occur Claims Made
" '
Aggregate
Deductible
A
Workers Compensation and
Liability
WC 71949
01/01/2026
01/01/2027
X
LStatu-
CmitsEmployers'
i
OTH-
ER
Any proprietor/partner/executive officerdmember
excluded?_ .NO'
If Yes, describe under special provisions below:
E.L. Each Accident
J$1,000,000
E-L. Disease'- Ea Em to ee
$1,000,000
E.L: Disease -"Policy Limits
$1,e00,900
Other :Lion Insurance Company is A.M. Best
Company rated A (Excellent):"AMB # 12616
lOe3:iriptions of Operations/Locations/Vehicles/Exclusions added -by Endorsement/Special Provisions: Client ID: 90-69-191
Coverage only applies to active employee(s),of•South East Personnel Leasing,lnc.-&Subsidiaries that are,leased to the following "Client -Company": -
Garvin Metal Roofs LLC
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(sj leased to the Client Company can be obtained by emailing a request to certificates@lioninsurancecompany.com
Wroject Name:
NSSUE 07-12-22 (CF)
i
Berlin Date: 1 25 2021
'CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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
1225 MAIN STREET
SEBASTAIN, FL 32968
so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
� �„
(" CERTIFICATE OF LIABILITY
INSURANCE i 12/9/2025
' Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
j 2739 U.S. Highway 19 N.
Holiday, FL .34691
rights upon the Certificate Holder. This Certificate does not amend,
e'iktend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938=5562-
1' Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
' 2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer C:
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
3
GENERAL LIABILITY
Commercial General Liability'
Claims Made Occur
...
Each Occurrence
$
Damage to rented premises (EA
occurrence
Y
:,
_
Mea Exp i:.,
$
-
HAdv inti "
Persona] jury
$ "
Generakaggregate
limit,appl(es;pef
GeneraCAgg agate
Policy ®Project LOC
Products Co /0 A
imp p gg
t.
$ • : ''
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
All Owned Autos
(EA Accident
$
Bodily Injury.i
Scheduled Autos
( Per Person)
,
$
Bodily Injury
Hired Autos `
Non -Owned Autos
(Per Accident)
$
•
(Per Accident)
$
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ® Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
toy Limits
OTH-
ER
Any proprietor/partner/executive officer/member
E:L._Each Accident "
$1,000,000
excluded? _N0
E.L. Disease - Ea Em to ee
$.1,000,000
If Yes, describe",under speciahprovisions,below.:..
E.L: Disease --;Policy Limits
1$1,000,000
Other
Lion Insurance Company is A.M. Best Company rated_A (Excellent),,.AMB #-12616
' Descriptions; ofO'Aerations/Lddtitlons/Vdhicles/E'xclusions added "by Endorsement/Soecial Provisions: iClientID: - 43-6710.92
Coverage only appl(es.to active employee(s)- of, .South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following Client Compari"y_': _
-
l/eritas Roofers, LLC
Coverage only applies to injuries incurred 6ySouth'East Personnel Leasing, Inc.,& Subsidiaries active employee(s) , while working in: FL.
Coverage does riot 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@lioninsurancecompany,com j
Project Name:
ISSUE 10-29-25 (KD)
i
i
Begin Date: 5 13 2019
CERTIFICATE HOLDER
CANCELLATION
CITY OF SEBASTIAN
BUILDING DEPARTMENT
1225 MAIN STREET
SEB'ASTIAN, FL 32958-
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.
1
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691 , ,
rights upon the Certificate Holder. This -Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562.
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Holiday, FL 34691
InsurerC:
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
I ILTR
NSRD
Type Of Insurance
PolicyNumber
ate ( M/DDEffectNatePolicy
Date- MM/DD/Y
Expiration
Date MM/DD
Limits
GENERAL. LIABILITY.
Each occurrence
$
Commercial General Liability
Claims Made Occur
""
Damage to rented premises (EA
occurrence
Med Ezp
®
.
Personal Adv Injury ..
'
I
I
:.
Gene�af;aggregate:Ilmit:applies.per:
,
General Aggregate
I
Policy Project LOC ® ®
Products - Comp/Op Agg
II
I
UTOMOBILE LIABILITY
Combined single Limit
Any Auto
(EA Accident)
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
jNon
-Owned Autos
(Per Accident)
Property -Damage- - -- --
- -- - - - --
I - --
-- -- --
- - - - -- - - - - - - - - -
- -' - -
- -
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
i
Occur ® Claims Made
Aggregate
I
Deductible
A
I
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
toy Limits
OTH-
ER
Any proprietbf/part6er/ez6cutide'bfficer/member
E.L. Each Accident
J$1,000,000
i
excluded? NO' J.
E.L..Disease'- Ea-Em Io ee
$1,000,000
E:L Disease - Policy Limits
P1,000,000
i
If Yes, describe under special.provisions below.
I
Other - - - Lion Insurance Company is A.M. Best Company rated A. (Excellent). AMB # 12616
IDescriptions,of Operations/Locations/Vehicles/Exclusions added. by Endorsement/Special Provisions: " Client ID:` 92-69-802
II Coverage only_applles to active employees) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company":
Freedom Roofers, LLC
Coverage only applles to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employees) , while working in: FL.
Coverage does riot 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@lioninsurancecompany.com
Project Name:
ISSUE 01-25-16 (PH). REISSUE 10-19-17 (SS)
Begin Date: 10 26 2015
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILIT1f',INSURANCE 12/8/2025
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,
Holiday, FL 34691 extend or alter the coverage afforded by the policies below.
(727) 938-5562 . Insurers Affording Coverage NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer C:
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
LTR
ADDL
.' INSRo
Type of Insurance
Policy Number
Policy Effective
- Date MMMCI
Policy Expiration
Date MM/DDr
Limits
GENERAL LIABILITY.
Each occurrence
:Commercial -General: Liability _
Claims Made ® OCCUC.._
r.. ' .
:.
o currrerenlencepremises (EA Damae to d pre
$
Wed
-
PersonlAtiv'IrSjury . .
$"
General aggregate Uhilt applies per:
-
',
Peneral Aggregate
Policy Project LOC
�.
Products Corny/Op Agg '
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto - -
-
(EA Accident) -
Bodily Injury-.
All Owned Autos'
..
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
Proppoy Damage -
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ® Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers'. Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
to Limits
DTH- '
ER
Any proprietor/partner/executive officer/member•
E.L. Each Accident
F1,0001000
excluded? NO
E.L: Disease -.Ea Eni to ee
$1,000,000
If Yes, describe under special, provisions below..
... _ ,.
E.L'. Disease - Policy Limits
1,000,000
Other :' ... •F_ ;.,. .. -Lion Insurance Company is A.M. Best Company rated,A (Excellent). AMB # 12616
Descriptions"of Ope.rations/Locations/Vehicles/Exclusions added'by Endorsement/Special Provisions: - -•-Client•ID:--•98-67=754
Coverage _onl - a lies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are; leased to the following Client Company":_
',- Certified Green Energy, LLC dba Kalahari Solar
Coverage only a ., Iles to injuries incurred by South'East Personnel Leasing,Inc..& Subsidiaries active em to ee s while workrn in: FL.
Coverage does notapply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity.
A list of the.acti4e employee(s) leased to the Client Company can be obtained by emailing a request to certificates@lionirsurancecompany.com
Project Name:
ISSUE 02-14-24 (SD)
Be in�Date: 1 2 2024
CERTIFICATE. HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN ST.
SEBASTIAN,.FL 32958'
CERTIFICATE OF LIABILITY. INSURANCE
iz/aizo25
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information'only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC"#- '
' (727) 938-5562
Insured: South East Personnel Leasing, Inc. &'Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
InsurerC:
Holiday, FL 34691
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
LTR.
ADDL
- iNSRD.
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limps
GENERAL LIABILITY
Each Occurrence
$
Commercial "General' Liability
CI21n1S Made ® Occur
"
y. I ' '
o currrerentoncepremises (EA Damae to d pre
--
-
- •• -
- - —
'e-96naI'Adv'rnjiiry `
Generab�a99regate Ig71t apIles, per:
G_ eneral Q99regafe
'P`olicy . Project LOC
®...
i
Products Comp]Op Agg .,
AUTOMOBILE LIABILITY
Combined Single Limit '
(EA Accident)
Any Auto
All Owned Autos
Bodily Injury
(Per Person)
$
Scheduled Autos
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
amaga--- ----
--- -
==_-='---=--=-rpPe-y
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
toa Limits
OTH-
ER
Any proprietor/partner/executive officer/member
E.L. Each Accident
1,000,000
E.L. Disease - Ea Em to ree
1,000,000
excluded? .. -NO
E;L :Disease >.Policy Limits,
1,000,000
If Yes, describe under;special;provisjons below>;,.,
Other r - Lion Insurance Company is A.M. Best Company rated.A (Excellent). AMB #-12616
Descr'iiptions of`Operatio'ns/Lb'dgtibn-s-/Vehicles/Exclusions added by Endorsement/Special Provisions: Client,ID: 92-72=.777. -
Coverage only applies to active employee(s)-cf.South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company":
Zieglowsky Roofing LLC
Coverage only applies to Injuries Incurred by South East Personnel Leasing, Inc.'& Subsidiaries active err' loyee(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 byemailing a request to certificates@libninsurancecompany.co.m
Project Name:
ISSUE 08-29-23 (PH)
Be in Date: A 15 2023
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET
SEBASTIAN; FL 32958
���
CERTIFICATE OF LIAMLITY
INS RANCE 12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holiday, FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD
Limits
GENERAL LIABILITY
Each Occurrence
Commercial General Liability
Claims Made, Occur'-.
Q
..
Damage to rented premises (EA
occurrence
Mad Exp'
$
_
Personal Adv
-
-
-
Generai*a gre ate Ilmlt a Iles er:' '
9 9 Pp , p
-` "
-
,..,
GeneraLAggregate
,Policy 11Project [ LOC
' - ` ' i
Products Comp/Op Agg �
$
AUTOMOBILE LIABILITY
Combined single Limit
Any Auto
All Owned Autos
Scheduled Autos
(EA Accident)
$
Bodily Injury
(Per Person)
$
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Rropertv_Damage-------
--
----
-----------------
-
-------
---- - - - - --
------ - - - - --
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
I
OTH-
Employers' Liability
tory Limits
ER
E.L. Each Accident
1,000.000
Any proprietor/partner/executive officer/member
E.L.- Disease - Ea Employee
V1.000,000
excluded? NO
E.L.-Disease -,Policy Limits
P1,0.00,000
If Yes, describe under special, provisions below.,-
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; ..37702710'43 .....
Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that -are -leased to the following "Client Company": _ _ _ _ . _ _ _ _ - _ _ _ _ _ _ _ _ .
Southeastern Marketing Solutions, Inc. dba Southeastern Lighting Solutions ` n
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 emalling a request to certificates@lioninsurancecompany.com
Project Name:
ISSUE 11-01-23 (PH). REISSUE 01-04-24 (PH)
Be in Date: 12 28 2022
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration dale thereof, the issuing
BUILDING DEPARTMENT
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
*INSURANCE
12/ai202s
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
I Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries .
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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
LTR
ADDL
INSRD
I Type of Insurance
Policy Number
Policy Effective
Date MWDD
Policy Expiration
Date MM/DD
Limits
-'
GENERAL LIABILITY
Each, Occurrence
Commercial General'Liability "
Claims Made Occur
Damage to rented premises (EA
occurrence
$
Med Exp
.
__.............. _ .
Pefsonal'AdJ'Injury'
-
W .._.
^ ,•
...
General aggregate., limit applies per:
ceneral,Aggregate.
Policy Project LOG
Products -.Comp/Op Agg
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Properly Damage -
- - - - -
- -
- - - -
- - - - - - - - - - - -
- -
- - -
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
x
WC Statu-
tory Limits
OTH-
ER
Any proprietor/partner/executive officer/member
E.L. Each Accident
J$1,000,000
excluded?, NO -- -
E.L: Disease - Ea Employee
1$1,000,000
E.L: Disease _ Policy Limits
J$11000,000
If Yes, de scribe,unde(special provisions.below.::.,
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: 90-69-829
Coverage -only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are -leased to the following "Client ' Company'-'-,-,
BD Roofs and Exteriors, Inc.
Coverage only applies to Injuries Incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working In: FL.
I 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 oy,:emailing a request to certificates@lioninsurancecompany.com
lI
Project Name:
ISSUE 05-11-22 (PH). REISSUE 01-23-23 (BP). REISSUE 07-18-23 (KLT)
Begin Date: 1 17 2022
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
.1225 MAIN ST
SEBASTIAN, FL 32958
�r`��
CERTIFICATE OF LiAgILITY
1N URANCE 12/8/2025
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
This Certificate is issued as a matter of information only and confers no
rights upon the. Certificate Holder. This Certificate does not amend,
Holiday, FL 34691
eicterid or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
2739 U.S. Highway 19 N.
Insurer B:
Holida , FL 34691
Insurer C:
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/yY
Limits
GENERAL LIABILITY ..
Commercial General Liability
Claims Made Occur
Each Occurrence
$
Damage to rented premises (EA
>occurrence):
$
Mad Exp
$
Personal Adv Injury
;.:
.....:. . .:..,. ,: .....
General.a ggregatellimit applies`per:' ,
Policy ®Project ❑ LOG
_............ .
General Aggregate
$.„„.
Products -,Comp/Op Agg
$
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
$
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
$
- - - - - -
--- -�-
-
=--=--- - - - - --Property-Damage
(Per Accident)
$
EXCESS/UMBRELLA
LIABILITY
Each Occurrence
Occur Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
Any proprietor/partner/executive officer/member
excluded?, NO .,. < .
If Yes, describe und_. .er special. provisions below,,
.
WC 71949
01/01/2026
01/01/2027
X
WC Statu-
tory Limits
OTH-
ER
E.L': Each Accident
J$i,000,000
E.L. Disease - Ea Employee
I$1,000,000
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: 08-66-192
Coverage only_apilies to_actiye empl_oyee(s) of,SouthFastPersonnel.Leasingr.Inc:_&Subsldfaries-that-are leased -to -the-following-"Cllent.Company': -
Echelberger,Construction, 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@lioninsurancecompany.com
Project Name: 1809 US-1, SEBASTIAN, FL 32958
ISSUE 11-27-19 (AR)
Be in Date: 1 12 2005
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN 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.
1225 MAIN STREET
SEBASTIAN, FL 32958
_
f
m CERTIFICATE OF LIABILITY
INSURANCE i2/8/2025
Plymouth Insurance Agency Y 9 Y
This Certificate is issued as a matter of information only and confers no
jProducer:
2739 U.S. Highway 19 N.
I� Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
q (727) 938-5562
It17nsured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holida , FL 34691
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.
INSR
LTR
ADDL
INSRD
I Type of Insurance
Policy Number
Policy Effective
Date MM/DD
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY
Conimercial..Genera1iability
-
Claims Made Occur
•
Each Occurrence
Damage to rented premises (EA
occurrence
Mad Exp
$
Gi
r
PersonalAdv, Injury
General,?99regate, limit applies per:
:.
General Aggregate .
Policy' . Project LOC
❑
Products = Comp/Op Agg '•'
$,_,
AUTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
I
I
Any Auto
All Owned Autos
Scheduled Autos
Bodily Injury
(Per Person)
$
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Property Damage
- _ _ -
- - - - -
- -
- -
- - - - - - - - _
(Per Accident)
I"
I;
EXCESS/UMBRELLA LIABILITY
-
Each Occurrence
Occur ❑ Claims Made
Aggregate
j
Deductible
A
Workers Compensation and
WC 71949
01/01/2026
01/01/2027
dt
WC Statu-
OTH-
Employers' Liability
oy Limits
ER
E.L. Each Accident
isi.000.000
E
Any proprietor/partner/executive"officer/member
t
excluded? - NO
E.L. Disease -,Ea Em to ee
$1,000,00o
E.L.. Disease- Policy Limits
1$1.000,000
I"•
If Yes, describe under special provisions below:'"'
Other - Lion Insurance Company is A.M.
Best Company rated'A (Excellent). AMB # 12616
Destriptions'of Operations/Locations/Vehicles/Exclusions added' by Endorsement/Special Provisions: Client`ID: 92-71=613
I. Coverage only a; plles to'active employee(s)'of South'East Personnel Leasing, Inc. & Subsidiaries that are, leased to the following "Client Company
- = Samson Marine Construction, LLC
`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@lioninsurancecompany.com
Project Name:
INCLUDES USL & H. ISSUE 10-05-17 (PH)
Begin Date: 9 27 2017
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
BUILDING DEPARTMENT
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.
1225 MAIN STREET
SEBASTIAN, FL 32058
CERTIFICATE OF LIABILITY
INSURANCE
12/aiz025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691 ..
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage '
NAIC #
..(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holiday, FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date (MM/DDArDate
Policy Expiration
MM/DD
Limits
GENERAL. LIABILITY.' '....:
Each occurrence
17
Commerclal General Liability
Claims Made Occur
`'
Damage to rented premises (EA
occurrence
Mad Exp
Personal Adv Injury
-
General'agg�egate !irnit applies pe'r`.
cer eral:Aggregate ,>
Policy Project ® LOC
Products Comp/Op Agg'
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
Bodily Injury .
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Pro; arty 0amago - - -
- - -- —
- -
- - -- -
-
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur Claims Made
Aggregate
Deductible
A
Workers Compensation and
Employers'. Liability
WC 71949 '
01/01/2026
01/01/2027
X
WC Statu-
to Limits
OTH-
ER
Any"proprietor/partner/exedutive officef/member
E.L. Each Accident
J$1,000,000
excluded? NO ''
E.L..Disease.= Ea Employee
1$1.000,000
If Yes, describe,unde'rspecial.provisions below...
E.L.`Disease -'Policy Limits
1$1,000.000
Other - - -• - 4 Lion Insurance Company is A.M. Best Company rated 'A.(Excellent). _ AMB # 12616
Descriptions:: of•Operations/Locations/Vehicle-s/Exclusions added by Endorsement/Special Provisions:
- Covve[age onl. a - ,pes to active employee(s),ot:Sou-th East Personnel Leasing,_Inc. & Subsidiaries -that areleasedto thetollowing Cllerit Company _ Y PP ,
Eco kestore LLC
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 emailirig a request:to"certificates@lioninsurancecompany.com
Project Name:
ISSUE 10-17-23 (BP)
Be in Date: 1.10 2022
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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.
1225 MAIN STREET
( SEBASTIAN, FL 32958
CERTIFICATE OF LIABILITY
INSURANCE 12/8/2025
Producer: Plymouth Insurance Agency
This Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend,
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
11075
Insurer B:
2739 U.S. Highway 19 N.
Insurer C:
Holiday, FL 34691
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD/Y
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY.
Each Occurrence
$
Commercial General Liability
Claims Made,:,,[— ., Occur
„ , -, ,
Damd premises (EA
o curae to rencerenle mise
$
Med
Personal`Adv'Injury . ,. ..
Generalaggregate` limit applies per:
Gene�rai Aggregate.
$
I.
Policy ,._❑ Project ❑ LOC
Products -Camp/Op Agg
AUTOMOBILE LIABILITY
Combined Single Limit
•
I
"
Any Auto
(EA Accident)
$
Bodily Injury
All Owned Autos
j
Scheduled Autos
(Per Person)
Bodily Injury
I
Hired Autos
Non -Owned Autos
(Per Accident)
$
Property Damage
- -
ji- -
- - -
- - - - -
- -
- - -
-
I'
I
(Per Accident)
$
I
EXCESS/UMBRELLA LIABILITY
Each Occurrence
y
1
Occur ❑ Claims Made
Aggregate
I:
r
Deductible
y A
q
Workers Compensation and
Employers' Liability
WC 71949
01/01/2026
01/01/2027
X
I WC Statu-
tory Limits
OTH-
ER
jAny
proprietor/partner/executive officer/member
E.L. Each Accident
$1,000,000
fi
excluded? NO
E.L. Disease - Ea Employee
$1,000,000
I;
If Yes, describe under special-provisions'b6low. ' '
E.L. Disease - Policy Limits
1$1,000,000
other ,Lion Insurance Company is A.M. Best Company rated:A'(Excellent)' AMB # 12616
of Operations/Locations/Vehicles/Exclusions added_ by Endorsement/Special Provisions: Client ID: 98-66-761
t`Descriptions
Coverage -only -applies. toactive employee(s) of South East Personnel Leasing, "Ina &-Subsidiaries that are -leased to the following"Client Company": -
i Dragon Solar, LLC
�: Coverage only applies to Injuries Incurred,by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL.
I 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.com
I, Project Name:
I
t ISSUE 06-08-22 (BP)
I
1
i
i
I
i
i
1 ,
1 Begin Date: 10 5 2020
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
i
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.
1225 MAIN STREET
SEBASTIAN, FL 32958
_U'RTIFICATE OFLIA91-LITY
IN9S`WRANC'E �
12/8/2025
Producer: Plymouth Lnsurance Agency �
� I
this Certificate is issued as a matter of information only and confers no
2739 U.S. Highway 19 N.
rights upon the Certificate HIbider. This Certificate does not amend,,
Holiday, FL 34691
extend or alter the coverage! afforded by the policies below.
Insurers Affording Coverage
(727) 938-5562
NAIC#
IC i
Insured: South East Personnel Leasing, Inc. & Subsidiaries
Insurer A: Lion Insurance Company
2739 U.S. Highway 19 N.
Insurer B:
I
Holida , FL 34691
Insurer C:
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 contractor other`
document with respect to which this certificate may be issued or may pertain, the insurance afforded by the described
policies herein is subject to all the.terms, exclusions, and conditions of such
policies. Aggregate limits shown may have been reduced by paid claims.
I
INSR
- LTR
ADDL,
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DDIY
Policy Expiration
Date MM/DD/YY
Limits I
GENERAL LIABILITY,,.,'
Cornmerclal.Generil1jabllity
" -
Each Occurrence
$
Damage to rented premises (FJ\
occurrence)$
Claims. Made 'Occur
i
Mea F.xp
!
tr
,P€fsonal'Aav:Injury `",
9
._
General aggregate hmtt aplles per;
.`
Policy Project '' LOC
General Aggregate
_
Pradu"cts : ComplOp Agg ,
AUTOMOBILE LIABILITY
Combined Single limit
Any Auto
1
(EAAccident)
i
All Owned Autos
Bodily Injury
Scheduled Autos
(Per Person)
F"
Bodily ,Injury
i
Hired Autos
Non -Owned Autos
i
(Per Accident)
$
nl'opar',y
..
.. I.
(Per Accident)
_ ..
$ i I
LIABILITY
Each Occurrence
EXCESS/UMBRELLA
Occur Claims Made
Aggregate
Deductible
I
A Worker§Compensation and " WC 71949 01/01/2026 01/01/20271 x WGStatu OTH- j
Employers' Liability ;... . . - ;
to .Limits' ER.
• , Any proprietor/partner/executive officer/member .., E.L..Each Accident: $1,000,000
excluded?; N® -Disease- a Employee $l,000,000 .l
cif Yes describe under speaal provisions below. '
E.L. Disease - Policy Limits $1;000,000
Other
Lion Insurance' Company. is A.M. Best Company rated A (Excellent).• AMB #,12616,
Desrriphons of, Operaftons{LocationsN6hi6l6s/Exclusions added[by Endorsement/Special Provisions: Client ID: 93
68 726 '
Coverage only applies to active employee(s) of South,East Personnel Leasing, -Inc: & Subsidiaries thatareleased to the following - Client Company
O'Neal's Hoofing Co. of Lakeland, Inc. ,.
Coverage only applies to'injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , whileworking in FL. I
Coverage does not apply to statutory,employee(s) or independent contractor(s) of the Client Company or any other entity
A Iist,of the active.e!rnployee(s) leased to the Client Company can be obtained by emailing a request to certificatesC�lioninsurancecompany.com
Project Name:
-ISSUE 07-16-24',(TD)
i I
' '. Begin Date:. 9 26 202 i Il
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN'
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 ld'lhe left, but failure toido
so shall impose no obligation or liability of any kind upon the insurer, its agents or. representatives. j
1225 MAIN STREET
'SEBASTIAN `FL' 32958
%.CwI irm.,H,i C .VT Ll 11401L11
1r ,LIVJURNIV<.0 12/10/2U2S'
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,
Holiday, FL 34691
extend or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #. .
(727) 93875562
South East Personnel Leasing, Inc.& Subsidiaries
Insured: 9
insurer A- Lion Insurance Company
11.075
Insurer B:
2.739 U.S. Highway 19 N.
Insurer.C:
Holiday, FL 34691
Coverages 1
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 Wall the terms, exclusions, and conditions of such
policies. Aggregate limits shown may have beer( reduced by paid claims.
INSR
LTR
ADDL .
INSRD.
Type of Insurance
Policy Numbei
Policy Effective,
Date MM/DD/Y
Policy Expiration
Date.MM/DD/YY
Limits.
GENERAL LIABILITY
Each Occurrence
Commercial General Liability .
Claims Made Occur
Damage to rented premises (EA
occurrence
Med Exp
....
PersonalAdv.lnjury.
-•_,
.. . _
General aggregate limit applies per:
General Aggregate
El Policy El Project • "El .BLOC
•
-
Products - Comp/Op Agg
UTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
$
'
Any Auto
Bodily Injury
All Owned Autos
(Per Person) '.
Scheduled Autos.
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Property Damage
- -
-
- -
- - - - - -
- - - - - -
(Per Accident)- -- - - - - - -
EXCESS/UMBRELLA LIABILITY
Occur ❑.Claims Made
cel
��
Each Occurrence
Aggregate
Deductible
.0
A
Workers Compensation and.
WC 71949
01/01/2026
01/01/2027
X We statu- OTH-
Employers' Liability
Any proprietor/partner/executive officer/member
11
16/.g'02.5
tory Limits EIR
E.L. Each Accident V1,000,000
E.L. Disease- Ea Em to ee 1',000,000
excluded?. NO
Disease : Policy Limits' 1,000,000
If Yes, describeunder special provisions below.E:L.
' Other Lion Insurance Company is A.M.
Best Company rated A (Excellent). AMB # 12616
Descriptions-ofOpei•ation"s/L"ocations/Vehicles/Exclusions added by Endorsement/Special Provisions: Pient.ID: .90-69-349
Coverage only applies to active employee(s) of South East Personnel Leasing, *Inc. & Subsidiaries that are leased to the following "Client Company":
Guardian Plumbing FL LLC
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 certificates@lioninsurancecompany.com
Project Name:
ISSUE 03-24-21 (CF)
- Be in Date: 3 222021
'CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
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 io the
left, but failure to do so shall impose no obligation or liability f any kind upon the insurer, its
1225 MAIN STREET
SEBASTIAN, FL 32958���:
a ants or representatives.
i ,
CERTIFICATEOF LIABI
Producer:. Plymouth ,Insurance Agency.
2739 U.S. Highway 19 N.
Holiday, FL 34691
(727) 938-5562
Insured: South East Personnel Leasing, Inc.& Subsidiaries
2739 U.S. Highway 19 N.
Holiday. FL 34691
TY INSURANCE 12/020z5
This Certificate is.issued as a matter of information only and confers no
rights upon the Certificate Holder. This Certificate does not.amend,
extend or alter the coverage. afforded by the policies below.
Insurers Affording Coverage NAIC #
Insurer A: Lion Insurance Company 11075
Insurer B:
Insurer C:
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
LTR
ADDL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date MM/DD/YY
Policy Expiration
Date MM/DD/YY
Limits
GENERAL LIABILITY
Each Occurrence
Commercial General Liability
Claims Made Occur
Damage to rented premises (EA
occurrence
Mad Exp
Personal Adv'Inlury..
General Aggregate
General'aggregate limit applies per:
• PolicyProject
® 1 LOC
�'
- -
--Products
-
- --
'-Comp/Op Agg .:
_
AUTOMOBILE LIABILITY
Combined Single Limit
(EA Accident)
Any Auto _
Bodily Injury
All Owned Autos.
(Per Person)
Scheduled Autos
Hired Autos .,
Bodily Injury
Non -Owned Autos.
(Per Accident) .
Property Damage,
(Per Accident) - - - - - -
- —
EXCESS/UMBRELLA LIABILITY
Occur Claims Made
o
Ca
nc
I ed
Each Occurrence
Aggregate
Deductible
A
Workers Compensation and
Employers' Liability
Any proprietor/partner/executive officer/member
excluded? NO
If Yes, describe under special provisions below,
WC 71949
01/01/2025
01/01/2026
01b
X WC Statu- OTH-
to Limits ER 1
E.L. Each.Accident 1,000,000(
E.L. Disease - Ea Em to ee
E.L. Disease - policy Limits
1,o00,000
1,000,000,
Other Lion Insurance Company is A.M: Best Company rated A (Excellent). AMB # 12616
Descriptions of Opeiations7Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: .90-69-349
Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company":
Guardian Plumbing. FL LLC
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 byemailing certifcates@lioninsurancecompany.com
Project Name:
ISSUE 03-24-21 (CF) '
Begin *Date.-3 22 2021
CERTIFICATE HOLDER CANCELLATION
CITY OF SEBASTIAN
Should any of the above described policies be cancelled before the expiration dale 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
1225 MAIN STREET
SEBASTIAN, FL 32958
a ents or representatives.