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` INDIAN RIVER COUNTY - RECREATION MULTI - PURPOSE BUILDING RFP # 6(192 <br /> PROOF OF INSURANCE APPENDIX D <br /> ACORD CERTIFICATE OF LIABIL17Y INSURANCE 0f/oi200 <br /> PRODUCER (352 ) 377- 2002 FAX (352)376-93!83 IM CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION <br /> Scarborough Company Insurance , Inc _ OWY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2811 NW 41st Street MOWER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P . O . Box 147050 <br /> Gainesville , FL 32614- 7050 it SUPERS AFFORDING COVERAGE i NAIC M <br /> INSURED PPI Construction Managesent , Luc .. Northern Insurance Comp of NY <br /> 8200 NW 15th Place , Suite B u1x . Allstate Insurance Company 119232 <br /> Gainesville , FL 32606- 0000 1 c Bridgefield Employers Ins Comp 10173 <br /> i1NaURifIRD American Guarantee Insurance Co . I <br /> ItYfA9S'&m E <br /> OVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE REM =5UEIDT07 W OMM09OMPWD ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY 00KT 0R01*A gID12CWWBWVATH RESPECT TO VIMICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE M+DUC IES CE=WMM 1.1 M I SSIDJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE 8MM MNMRKMD 1WP4 MDcuAM(NG . <br /> IiSR TYPE OF INSURANCE I WIBII¢;M1'IpIIRI1�IR M+a IJIM" lmlerTIVE POLICYEXPWATWH.LML WSW LSMITS <br /> GENERAL LlAsilrry CW4U516M 090 9,/2003 09/30/2004 EACH OCCURRENCE $ 1 000 , 000 <br /> X <br /> COMMERCIAL GENERAL LIABIL ;74 I DAMAGE TO RENTED <br /> _ _ <br /> CLAIMS MODE X J O'.CUR ISES.'1Ey on peps n-_ $ 1001"-� � �� MED EXP <br /> (Prey one person) $ 10 <br /> A PERSONAL a APV INJU4 f $ 110 w 00 <br /> _ GENERAL AGGREGATE <br /> 2 ) 000 + 00 <br /> GEN'L ArXiREVY <br /> GATE LIMIT APPLIES FFR + PROD7S - COMPIOP AGG $. - ,,.__.. PRG- _ <br /> 15 000 , OO <br /> POLICY X i JECT X t CC <br /> AUTOMOBILE LABILITY O1191.941640f �r q"2003 109/30/2004 COM8I+.NED SINGLE LIMIT <br /> X HP: AU10 %Ea accldeM) $ <br /> 1 000 QO <br /> 1 ALL OWNIED AUfCS j <br /> I BODILY INJ• IRY <br /> B oCHEDULED AUTOS (Per person) <br /> XHIRED NJTOB <br /> BOD( Y <br /> �OabnWN�CA! TOS ( Per aadark) $ <br /> PROPERTY DAMAGE <br /> (Per acadent) <br /> V i GARAGE LIABN.ITI' i AUTO ONLY - EAACCIDENT $ <br /> r jAWA -17C j EN Ar-,- 3 <br /> EITHER THAN <br /> - - AUTO ONLY AGG $ <br /> EXCESSIUL6RELLALIABILITY 97131", 09,�30//2003 09/30/2004 EACH a"�URRENCE $ 10 000 0 <br /> X OC CUP ED CLAIMS MALE Vii. AGGREGATE $ 1020. 001000 <br /> D <br /> DEDUrT.SLE <br /> $ <br /> RETENTION $ 0 $ <br /> WORKERS COMPENSATION AND i 093G-26447 01V1(WI1r2004 01/01 /2005 X WC STATiJ- OTH- <br /> EMPLOYERS' LABILITY TORY I immS EP <br /> ___.._ .. -. <br /> C ANY PROFRIETOWPARTNER/EXECU ! IvE S E L EACH ACCIDENT S _ 11000 , 000 <br /> OFFICER/MEMBER 'cXCLUDED� ? E L DISEASE - EA EMPLOYE $ 19000 000 ifyes. dascnlw under <br /> __ ._.._._._ -_ .. . _t <br /> SPECIAL PP.OVISIONS below I E L. DISEASE - POLICY LIMIT S 1 . 0001000 <br /> OTHER <br /> t 1 <br /> I <br /> DESCRIPTIONOFOPERATIONSILOCATIONS1VEHICLMIEXCLUMpMADUMGf'61 ppfllSiRHOpLLPROV1g1pNS <br /> a3MDYl.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 11TION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> BiUT FANLURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY <br /> UDFIMY KIND WON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> REPRESENTATIVE <br /> Irr� Etwanwa Gar tt Qf/�. . "' I"'• <br /> ACORD 25 (2001108) MACORD CORPORATION 1988 <br /> PPI Construction Manage m e n t ♦ Pon ikvar & Associates 52 <br />