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ACORD,-M CERTIFICATE OF LIABILITY INSURANCE 12/22/20 s' <br /> PRODUCER (407) 843 - 1120 FAX (407 ) 843 - S772 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Johnson & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 801 N Orange Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 510 <br /> Orlando , FL 32801 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURERX- 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 0110 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 DD'NqRr TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDIYYI DATE IMMIDDIM LIMITS <br /> GENERAL LIABILITY U2834S2S99 08/01/2008 08/01/2009 EACH OCCURRENCE $ 11000900 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 , 00 <br /> CLAIMS MADE FqOCCUR MED EXP (Any one person) $ S , OO <br /> A X X CONTRACTUAL PERSONAL & ADV INJURY $ 190009000 <br /> GENERAL AGGREGATE $ 29000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 200009000 <br /> POLICY FXj JEC LOC <br /> AUTOMOBILE LIABILITY BUA 1015877916 08/01/2008 08/01/2009 COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> X ANY AUTO 100009000 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> A X SCHEDULED AUTOS <br /> X HIRED AUTOS 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 $ S , 000 , OO <br /> X OCCUR 7 CLAIMS MADE UMBRELLA FORM AGGREGATE $ S , 000 , 00 <br /> B $ S9000900 <br /> RXDEDUCTIBLE $ <br /> RETENTION $ 109000 $ <br /> WORKERS COMPENSATION AND 196 - 061 SO 08/01/2008 08/01/2009 1 we sTATU- oTH- <br /> EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $ 5009000 <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E. L. DISEASE - EA EMPLOYE $ 5009000 <br /> N yea, describe under E. L. DISEASE - POLICY LIMIT $ 500 , OO <br /> SPECIAL PROVISIONS below <br /> OTHER EQUIPMENT TCP 1015877902 08/01/2008 08/01/2009 DEDUCTIBLE 2% <br /> A PECIAL FORM INCLUDING RENTAL EQUIPMENT <br /> $ 200 , 000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> E : THE ENCLAVE SUBDIVISION , 5910 65TH STREET <br /> NDIAN RIVER COUNTY BID NO . 0816 <br /> NDIAN RIVER COUNTY , FLORIDA SHALL BE AN ADDITIONAL INSURED . <br /> CERTIFICATE HOLDER 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 25 (2001 /08) FAX : ( 772) 226 - 1221 ©ACORD CORPORATION 1988 <br />