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2005-033
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2005-033
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Entry Properties
Last modified
7/6/2016 2:00:33 PM
Creation date
9/30/2015 7:40:41 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Change Order
Approved Date
01/18/2005
Control Number
2005-033
Agenda Item Number
11.J.1
Entity Name
Summit Construction
Subject
Utilities Operations Complex Change Order No. 1
Area
Operations Complex
Project Number
6037
Bid Number
7026
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
3869
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Page : 001 - 002 <br /> ACORDm CERTIFICATE OF LIABILITY INSURANCE D1131/2"OOS <br /> 01/ 31/2005 <br /> PRODUCER ( 772 ) 567 - 1188 FAX ( 772 ) 778 - 1416 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SCHLITT INSURANCE SERVICES INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1717 INDIAN RIVER BLVD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ITE 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> INFI <br /> RO BEACH , FL 32960 INSURERS AFFORDING COVERAGE I NAIC q <br /> 'URED Summit Construction Management , Inc . � I�,SLFERA Western World Insurance <br /> 3200 43rd Ave , # 11 11 4S PE°3" <br /> Vero Beach , FL 32960 Mercury Ins Co of Florida 11908 <br /> ! .' ;:xFER _Essex Insurance Co <br /> -r FOCI Insurance Co . <br /> OVERAQES <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 ''XTH 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 /> rMSR ADD TYPE OF INSURANCE PCLICYNUTA3ER —TPCLICYEFFECTIVE I PDATE AIMIODA^AOLTYEXPIRATION LIMITS <br /> GENERAL LIABILITY INPP083531I 02 /24/2004 i 02/24/2005 EACH OCCURREPCE E 1 ,. 0001000 <br /> j X COIIMEP. CIAL �ENE?AL L!ABLiTY I _�� � Jam_ SO , OO <br /> CLAInrLS MACE r �( l OCCUR i I ' .F1/dFrS iFa � -herr E _ <br /> L—I RIED EJP : A.^.y one pernrj $ _- - - — 5 , OO <br /> i A X <br /> ! F'EP.SONAL & ADb I %URv E 1 , OOO , OOO <br /> — GENERA_ AGGREGATE £ 29000 , 000 <br /> GEN'_ PGvPE TATE LIMIT AP <br /> i <br /> ALES P3? FP.ODUCTS - ::OMrIOP AGG £ 11000 , 000 <br /> ' POLi,lY I JEr--- LO�� I <br /> I ' <br /> auroMDelLEunearr FLC7001843 12 / 14/2004 06/14/2005 <br /> CGra3riED SINGLEUMI' <br /> Arl`. 4JrD iIALL <br /> I (Ea eC?ItlFnq £ <br /> 19000100� A! L O'A`NED At1?Og i <br /> EOCIL'Y INJUP'• <br /> B X CHEpJLED' ;,.TOS I (R;r peropi £ <br /> HIRED AUFO <br /> I' EODL � IN.JUP" <br /> X NCyv <br /> 'N-pJEC' AUTIS F <br /> (P9r ACndertl £ <br /> I <br /> i FPOPEPTrDAMAGE <br /> fP?r aCi fun) <br /> ! GARAGE LIABILITY <br /> ` <br /> ANI) AJT�) AUTO ONLY - EA ACCIDEiNri £ <br /> I <br /> I GTHER TiA , EA ACC E <br /> AUTO DIAL: ACG £ <br /> EXCESSIUMBRELLA LIABILITY XMR12410 02 /24/2004 02/24/2005 EACH GCG <br /> QC CLAMS vADE <br /> UR4Er.CE s 1 , 000 , 00 <br /> —i <br /> J ❑ <br /> I C I PGGREGQTE £ <br /> DED1TISLE E <br /> ' FE TcI':ION £ ' <br /> i <br /> ! WORKERS COMPENSATION AND 001WC04AS1371 05 /27 /2004 i 05 /27/2005 X a"C STATL- 0TH- S <br /> EMPLOYERS' UABLI'Y T0P•Y L!h1iT'= EF <br /> D A.N , PR":FRIE—nR•FnRTr1ERIEx.ECUT!•/E <br /> E L . EACH ACCENT £ <br /> OFFlCE�UdEIvEEPEXCLLDEDa ! 500100 <br /> ![ k>s , yes': 'Ibe Ana,' I <br /> ! E L OJ'`ASE - EA EMPLOYE = E 500 ; 000 <br /> SNES!AL PFvYI$? ;Nj C?InY. <br /> OTHER E . DISEASE - P ='L CY Lt'dt' £ 100POO <br /> I <br /> I I i <br /> I <br /> rd <br /> TION OF OPERAP.ONS f LOCATIONS IVEHICLESIEXCLUSIONSADDEDBYENDORSEMENTI SPEGAL PROVISIONSi # 706 UtilityServices Operations Complex <br /> n River County is Additional Insured for Liability . <br /> i <br /> CANCELLATIONCERTIFICATE HOLDER <br /> SHOULD ANY 09 THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Indian River County EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> ! Purchasing Division _ 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br /> Attn : Karen BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 2 5th Street , Room 118 OF ANY KIND UPOY THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> ' Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE <br /> Robert Schlitt ) r . LAR <br /> ORD 25 (2001/08) FAX : 770- 5140 OACORD CORPORATION 1988 <br />
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