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CERTIFICATE OF INSURANCE <br /> .,... ,... This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY , Bloomington , Illinois <br /> ❑ STATE FARM GENERAL INSURANCE COMPANY , Bloomington , Illinois <br /> IM . YlANCI ❑ STATE FARM FIRE AND CASUALTY COMPANY , Scarborough , Ontario <br /> i ® STATE FARM FLORIDA INSURANCE COMPANY , Winter Haven , Florida <br /> ❑ STATE FARM LLOYDS , Dallas , Texas <br /> insures the following policyholder for the coverages indicated below: <br /> Policyholder MASTELLER , MOLER , REED , TAYLOR , INC . <br /> Address of policyholder 1655 27TH STREET , SUITE 2 <br /> Location of operations VERO BEACH , FLORIDA 32960 - 3397 <br /> Description of operations LAND SURVEYING <br /> The policies listed below have been issued to the policyholder for the policy periods shown . The insurance described <br /> in these policies is <br /> subject to all the terms , exclusions , and conditions of those policies . The limits of liability shown may have been reduced by <br /> any paid claims . <br /> POLICY PERIOD LIMITS OF LIABILITY <br /> POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period ) <br /> 98 - BB - D125 - 5 Comprehensive 03 / 20 / 2009 03 / 20 / 2010 BODILY INJURY AND <br /> Business Liability PROPERTY DAMAGE <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - - - <br /> This insurance includes : ❑ Products - Completed Operations <br /> ® Contractual Liability Each Occurrence $ 110001000 <br /> ® Personal Injury <br /> ® Advertising Injury General Aggregate $ 21 000 , 000 <br /> ❑ Products — Completed $ EXCLUDED <br /> ❑ Operations Aggregate <br /> POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br /> EXCESS LIABILITY Effective Date ; Expiration Date (Combined Single Limit) <br /> ❑ Umbrella Each Occurrence $ <br /> ❑_Other Aggregate $ <br /> POLICY PERIOD Part I - Workers Compensation - Statutory <br /> Effective Date Expiration Date <br /> Workers' Compensation Part II - Employers Liability <br /> and Employers Liability Each Accident $ <br /> Disease - Each Employee $ <br /> Disease - Policy Limit $ <br /> POLICY PERIOD LIMITS OF LIABILITY <br /> POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date ( at beginning of policy period ) <br /> THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY <br /> AMENDS , EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN . <br /> Name and Address of Certificate Holder If any of the described policies are canceled before <br /> their expiration date , State Farm will try to mail a <br /> INDIAN RIVER COUNTY written notice to the certificate holder to <br /> ATTN : MICHAEL O ' BRIEN , COUNTY SURVEYOR days before cancellation . If however, we fail to mail <br /> 1800 27 ST such notice , no obligation or liability will be imposed <br /> VERO BEACH , FL 32960 on State Farm or its agents or representatives , <br /> PROJECT NAME : INDIAN RIVER COUNTY PUBLIC 34 & <br /> WORKS DEPT Signature ol Authorized R presentative <br /> CONTRACT / PROJECT 40725 AGENT 09 / 1 / 2009 <br /> I C Fc <br /> � �7F © Title Date <br /> I[R U V Helen Buckley <br /> Agent Name <br /> Telephone Number 772 - 770 - 0000 <br /> SEP - 3 2009 Agent's Code Stamp <br /> Agent Code 6873 <br /> INDIAN RIVER COUNTY AFOCode F607 <br /> ENGINEERING DIVISION <br /> 558-994a . 5 Rev . 11 -08-2004 Printed in U . S .A. <br /> RECD BY : � <br />