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2008-354A
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2008-354A
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Entry Properties
Last modified
4/18/2016 11:12:19 AM
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 INSURANCE DATE (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 . INCe 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 /> COVERAGES <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 ADD1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMM/DD/YYI DATE IMM/DDlYYI LIMITS <br /> GENERAL LIABILITY U283452599 08/01/2008 08/01/2009 EACH OCCURRENCE $ 190009000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1009000 <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ 59000 <br /> A X X CONTRACTUAL PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ 250009000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 21000 , 000 <br /> POLICY X PROECT LOC <br /> J <br /> AUTOMOBILE LIABILITY BUA 1015877916 08/01/2008 08/01/2009 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ <br /> 1 , 000 , 000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> A X SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY TUU 0330054 00 08/01/2008 08/01/2009 EACH OCCURRENCE $ 5 , 000 , op <br /> X OCCUR F1 CLAIMS MADE UMBRELLA FORM AGGREGATE $ 5 , 000 , 000 <br /> B $ 590009000 <br /> DEDUCTIBLE $ <br /> X RETENTION $ 109000 $ <br /> WORKERS COMPENSATION AND 196 - 06150 08/01/2008 08/01/2009 1 we STATuIM - oTH- <br /> EMPLOYERS' LIABILITY EfL <br /> E. L. EACH ACCIDENT $ 500 00 <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? E. L. DISEASE - EA EMPLOYE $ 5009000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below F F E. L. DISEASE - POLICY LIMIT $ 500 , 00 <br /> OTHER TCP 1015877902 08/01/2008 08/01/2009 DEDUCTIBLE 2% <br /> A ONTRACTORS EQUIPMENT PECIAL FORM 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 /> CERTIFICATE CANCELLATION <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 /> INDIAN RIVER COUNTY , FLORIDA BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1801 27TH STREET OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> VERO BEACH , FL 32960 AUTHORIZED REPRESENTATIVE _ <br /> Francis T . O ' Reardon BPOTTS �/ -- <br /> ACORD 26 (2001 /08) FAX : ( 772 ) 226 - 1221 ©ACORD CORPORATION 1988 <br />
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