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Page : 001 - 002 <br /> ACQRQ CERTIFICATE OF LIABILITY INSURANCE DATE (MMWDOrrr ) <br /> PRODUCER01/ 31/2005 <br /> ( 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 /> RO BEACH , FL 32960 I INSURERS AFFORDING COVERAGENAIC # <br /> QURED Summit Construction Management Inc . I� = A <br /> � ISI-,F–R Western World Insurance Co <br /> 3200 43rd Ave , # 11EJs Mercury Ins Co of Florida 11908 <br /> Vero Beach , FL 32960 ! ISLFER _ _Essex Insurance Co <br /> �-- <br /> FCCI Insurance Co , <br /> ' 'Ic,. SEP <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOnVIT};STANDING <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 /> INSRA.DDTYPE OF INSURANCE POLIC'INUMBER — rPOLICYEFFECTNE �POLICYEXPIRATION -- <br /> LIMITS <br /> GENERAL LIABILITY NPP0835311 02/24/2004102/24/2005 EACHOCCURREP•CE s 1 , 000 , 000 <br /> I X COM1ritERCIAL3ENEPALLIAB<!?Y I "M1A'4 — h— NL "D �`_ SO , 000 <br /> FMKFS iF^ o - e�� t E <br /> j I CLAIVL 1dACE O:;CiIR I I ; Ary 6na persor } "y -- ------- - <br /> {— I - 50000 <br /> i A X � I <br /> iFEP.SONALB Alb IVJURY s 100001000 <br /> r_.ENERA_ AGGRE3ATE E <br /> 2 , 000 , 00oI <br /> GEN'_ AGGPE :ATE .IWTAPDLESP=R' <br /> - FP000CTS - COA=/OPAOG E <br /> 1 , 000 , 000POL'rY j JF� <br /> L ?C <br /> AUTOMOBILE LIABILITY I FLC7001843 12 / 14/2004 06/14/2005 <br /> j ON 4 -ITJ I COM31NED SINGLE LINII– <br /> j j (Ea x :Id:no s 19000 , 00 <br /> ALL O'NNED AI. ITCS <br /> I B � SCHECwAECAUT05 EODL / IfJJUR" E <br /> [Far per;oN <br /> X I HiREDAUTOS <br /> X NON-OW AUTGS EODIiINJUR" E <br /> I (Per ACG7def4) <br /> 1 <br /> i FFOPERTr CAMAiE <br /> rPx acuderx) a <br /> � GARAGE LIABILITY ' <br /> AUTO DNLr - EA ACCIDENT E <br /> ANY .AJT;? <br /> L <br /> OTHER THA? FA ACC E <br /> AUTO XLH ACO E --------- <br /> —EXCESSJUMBRELLALIABILITY XMR12410 02 /24/2004 ! 02/24/2005 EACHGCC'JP:ETCE s 1 , 000 , 00 <br /> J OCCJR CL? hNTS v:ADE eGGRE3A'E 5 <br /> C <br /> DECIJ=TIELE — <br /> ' PETcf�UNI E � <br /> WORKERS COMPENSATION AND 001WC04A51371 05 /27 /2004105 /27/2005 X "`� =?ATL' 0TH_ <br /> ENPLOYERS' LIABILI'Y TORr' _IMiTS EF <br /> D ANI PFGFF.iE–ORoPARTNEPF_xECUTNE E c <br /> i 1 . EACH ACCIDENT S 500 00 <br /> ORFICE=rt�12n,EER ExCLI,GEG7 I , <br /> !i ?5 . 7e4 abe jn�Jer E L DISEASE - EA EMPLOYE= E 500 r 000 <br /> Sr E�IAL PPC VISy)NS C?I1i%! <br /> OTHER EL DISEASE - ?=tCYLI'JIT E 500 000 <br /> i I <br /> I i ' <br /> I <br /> 1DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ) EXCLUSIONS ADDED BY ENCORSEMENT i SPECIAL PROVISIONS <br /> E : Bid # 7026 Utility Services Operations Complex <br /> Iindian River County is Additional Insured for Liability . <br /> i <br /> CERTIFICATE HOLDER CA CELLATION <br /> I <br /> SHOULD ANY OF 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 30 DAYS WRRTENNOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT. <br /> Attn : Karen BUTFAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 25th Street , Room 118 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 AUTHCRILDRE?RESENTATNE <br /> LRobert Schl itt Jr . LAR <br /> CORD 25 (2001/08) FAX : 770- 5140 ®ACORD CORPORATION 1988 <br />