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2007-315
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2007-315
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Last modified
6/24/2016 12:20:08 PM
Creation date
9/30/2015 11:18:07 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/18/2007
Control Number
2007-315
Agenda Item Number
7.Y.
Entity Name
Wells & Water Systems, Inc.
Subject
Public Supply Wells Construction and Testing
Area
North County Wellfield
Bid Number
2007044
Supplemental fields
SmeadsoftID
6606
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ACORQ„ CERTIFICATE OF LIABILITY INSURANCE DATE IMM•DDiYYYY, <br /> . 0 ' ii 2nn , <br /> PRODUCER Lronz : 23u-279 -3273 FE_ y : 230-.79 -53G5 THIS CERTIFICATE IS ISSUED AS A MATTER OF WORMATION <br /> - -. wn , T_ n:. . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 3 : 21- COltLLol Bivd . , Sti _ te 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> roti N.]' ?Ys cL 1. 3912 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> I <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED 1 ,83IaYI '_it dli ._c_ _CiCVd : - <br /> h_ r _ S re'Gs , LCC . �NSURERH r ^ '_ i : OPT' - - 131 lL S 'J ; d JS 1 <br /> T - . C1t ti . . FL P. 9 '15 <br /> IIJ$'JPEG E - <br /> COVERAGES <br /> "'HF. PGL C^ IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE T_NSGP.ED NAMED APOVT_ [OF. ]EE PCLi CY PEKTi.DJ TNDrrq_ rn <br /> _ O7WIP33TA5BING ANY EEQCIPEYENT, TERN OR CONDTT = OCT OF ANY CGNTPAC'T OP. 'YTiER DOCUMECIT 4CITF. PE3FErT TO NHICH rHT_ S <br /> _ EF? BLC.ATE TlAv BE ! SSCED GP A1AY PERrA7N , THE _ USURA2CE PFFOP.EE:D BY T-E POLICIES CESCP. IBED BERFRI IS TO ALL THE <br /> 7k PMS E: T�US _ ONS AND COSDLCICIIS OF = J'7:i POLIC - ES . AGGPEGP.TE LU ITS SHOWN r. <br /> M 't HAVE BEEN FECUCEC BY PAIDTR <br /> Ci..A LMS . <br /> SRjiL2� Cr�_-- —_T-------- POLICY EFF ECTYE POIJCY EXPIRATIONT— - --- - - <br /> POUCY NUMBER rATU OMITS <br /> A I GENERALLIASIUT'( CPF , cC24525 S ! I ! 20 ,' ' P ; 1 ; 2009 EACHOCCURRENCE $ � <br /> COMMERCIAL GENERAL LA&LRY I`3AMAOFT6AENTE6—�" <br /> oRENlses� M� 31 ' 0 inn <br /> CLAMSMAEE }' OCCUR. MEDEXP i4i om col_ <br /> I k�i1 I �RsoNALA w: INJURY <br /> LXIcrnI e ;CTLAL LSAT — ! s 2 00 � _ <br /> GENERAL AGGREGATE r <br /> I6EHi AGGREGATE LIIAIiJFOT 4FFLIESPER: IRRODP'IS CONPrOPAGG ; 2 L J /' � 1C,_–__ <br /> POLICY PRO. L(A: <br /> i5 aui0M06lLE LIABILITY 'I_AG Qp ? 113rj � ,-' 1 % G J . 7 S ; i / 2ppa COMBINEDSINGLE UNIT <br /> � X .� ANYA.UTD jEaowHcn) $ Qi1- 1- , Gop <br /> _ i ALLON'NEJAUTGS ---- <br /> ,,- 1 BODILY INJURY <br /> _ SCHEDJLEDALTOS Wi PMsm) S <br /> HIRED AUTOS r -- - - -- --- <br /> f BODILYINJURY <br /> NCNiOWNEDAUTCS :Fb ecc�rll <br /> PROPERTY DMI4GF. $ <br /> �Pwa.4biA1 <br /> GAfldGE U4BIUTV AUTOCNLY FAACCIDFNT $ <br /> r ANYAUTO �-_ --�_---_ <br /> _ OTHERTHAN EAACC <br /> .AUTOONLY AGO $ <br /> .'y IXC ESSNMSRELLALIABRUTYC[jM ; L tl15 ? IG ;' G � / CVJ ' S / 1 / COva EACHOCCURRENCE 5 � <br /> rtQ <br /> }; OCCUR ' C'L.AIIAS MPDS F — <br /> III!�� l -- 5 <br /> i� DEDUCTIBif. <br /> k PB TENTION S l r (1 'J O _ S <br /> $ <br /> WORKERS COMPENSATION ANC i2424 6i ' i 2hi �` 7 � i L ; 200R Y. VVUSL'nU oH- <br /> EMPLOYERS' U6&DIY i <br /> AN PPAPPIETORIPARTHAR@XECUTIVE E.L. FACHACCILIENT I $ 1 , o0c Dnp <br /> O1PICERIIAEN6EREXCLUDEDi IE.L. DISEASE - EAEMPLOYEEI S _1 , <br /> PTgVISg <br /> Ayyes, aesRC SIO F _ ) G <br /> SPECIAINS bebv rFL. DISEASE - POUCYLIMIT I $ C ` C r. i'1 <br /> B _ OTHER CPFJOC24 'o2 ` 5 ' 7- n <br /> . tL^e:TEe/LTASED - / 2007 5 ; I % 2003 ICTAL LTMIr EIC . , Go _ <br /> EOUIPME y. iTCTAL LIMZr SIC , CCO <br /> j L, ?talldti _n F1estal <br /> DESCRIPTIONOFOPER4TION CLOCFLLA ; VEHICLES , IES ,' EXCLUSIONS ADDED BY ENGORSEMENP SPECI4L PROVISIONS <br /> ` 3J DAYS LOTICE OF CANCELLATIOY APPLES , EXCEPT LC DAYS :RETIC'_ FDA NON- rAYBEal OF PPEPIVM <br /> CERTIFICATE HOLDER CANCELLATION - in r, - <br /> SHOULD ANY OF THE ABOVE DESCRBED POLICIE2 BE CANCELLED <br /> Indian River Ccuntj BEFORE 'TBE EXPIRATION JA'TE THEREOF, THE 2EEL7NG INSURER <br /> ITT' F. SLFP'YCR TO MAIL 30 ` ^_AYE WRITTEN FOTTCT R <br /> F TE <br /> 18GC 27th street r.CEPTT_ FICATE HOLDER NAME] TO THE LEFT , BUT FAILURE TO DO SO <br /> Ver - Beach, FL 32960 SHELL TMFCSE CIG OBLIGAr TON OR LTABILI TY OF pPIY KICK ]PON <br /> THE INSCPEP , ITS A3E`IES OR REPPESEI+TATP:ES . <br /> AUTHOROEDREPRESENTATNE <br /> :&VL , z� c.... <br /> ACORD 25 (2001 iOEI) Q ACC RD CORPORATION 1966 <br />
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