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2008-354A
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2008-354A
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Last modified
2/6/2026 1:40:31 PM
Creation date
10/1/2015 12:50:19 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
11/04/2008
Control Number
2008-354A
Agenda Item Number
8.V.
Entity Name
Sheltra & Son Construction
Subject
12th. St. sidewalk
Area
43rd Ave. to 27th Ave.
Project Number
0604
Bid Number
2008080
Supplemental fields
SmeadsoftID
7696
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ACCRA CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />11/14/2008 <br />PRODUCER (407)843-1120 FAX (407)843-5772 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Johnson & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />801 N Orange Avenue HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite 510 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Orlando, FL 32801 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: CONTINENTAL CAUALTY COMPANY 20443 <br />SHELTRA & SON CONSTRUCTION CO. INC. INSURER B: GREAT AMERICAN INSURANCE CO. 16691 <br />P 0 Box 336 INSURERc: BRIDGEFIELD CASUALTY INSURANCE CO. 10701 <br />Indiantown, FL. 34956 INSURER D: <br />INSURER E: <br />loft\V 7[J4yll MN <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADD1 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE 1MM/DD/YYj <br />POLICY EXPIRATION <br />DATE IMM/DDIYYI <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />X CONTRACTUAL <br />U283452599 <br />08/01/2008 <br />08/01/2009 <br />EACH OCCURRENCE <br />$ 190009000 <br />DAMAGE TO RENTED <br />MED EXP (Any one person) <br />$ 1009000 <br />$ 59000 <br />PERSONAL & ADV INJURY <br />$ 1 , 000 , 000 <br />GENERAL AGGREGATE <br />$ 2 , 000 , 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICYX PROECT LOC <br />J <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />BOA 1015877916 <br />08/01/2008 <br />08/01/2009 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />X <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />X OCCUR F1 CLAIMS MADE <br />TUU 0330054 00 <br />UMBRELLA FORM <br />08/01/2008 <br />08/01/2009 <br />EACH OCCURRENCE <br />$ 5 , 000, op <br />AGGREGATE <br />$ 5 , 000 , 000 <br />$ 590009000 <br />B <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 109000 <br />$ <br />WORKERS COMPENSATION AND <br />196-06150 <br />08/01/2008 <br />08/01/2009 <br />we STATU- <br />TORY <br />ER <br />C <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ 500,000 <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />F <br />F <br />E.L. DISEASE - EA EMPLOYE <br />$ 5009000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 500 , 00 <br />A <br />OTHER <br />ONTRACTORS EQUIPMENT PECIAL FORM <br />TCP 1015877902 <br />08/01/2008 <br />08/01/2009 <br />DEDUCTIBLE 2% <br />INCLUDING RENTAL EQUIPMENT <br />$200,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />E: 12th STREET SIDEWALK (43rd AVE TO 27th ST) <br />NDIAN RIVER COUNTY BID NO. 2008080 <br />INDIAN RIVER COUNTY, FLORIDA SHALL BE AN ADDITIONAL INSURED. <br />INDIAN RIVER COUNTY, FLORIDA <br />1801 27TH STREET <br />VERO BEACH, FL 32960 <br />ACORD 26 (2001/08) FAX: (772)226-1221 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE _ <br />Francis T. O'Reardon/BPOTTS.��-- � <br />©ACORD CORPORATION 1988 <br />
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