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OP ID TJ DATE ( MMIDD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE TIMOR- 1 1 01 / 21 / 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Stuart Insurance , Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3070 S W Mapp ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Palm City FL 34990 Phone : 772 - 286 - 4334 Fax : 772 - 286 - 9389 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Harleysville Insurance Group Timothy Rose INSURER B Bridgefield Employers Ins . Co . Contracting , Inc . — - — - --- - - — -- -- ---- -� 6 Haulin Trash Inc . INSURER C: 1360 Old Dixie Hwy SW INSURER D Vero Beach FL 329E2 -- ----------- - -- --+ - — INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRVIDD Cl ------ --- - POLICY NUMBER POLICY E OCICY _-- LIMITS LTR NSRD TYPE OF INSURANCE DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY I EACH OCCURRENCE $ 110001000 A X 1 COMMERCIAL GENERAL LIABILITY GL00000049465A 06 / 06 / 08 06 / 06 / 09 PRrAMSES(aoccccuE Ereence) $ 100 , 000 CLAIMS MADE OCCUR ( MED EXP (Any one person) $ 5 , 000 PERSONAL B ADV INJURY $ 1 000 000 -------- - ---- ---- --- - ----------- * 10 DAYS NOTICE NON-PAY GENERAL AGGREGATE s2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER : PRODUCTS - COMP/OP AGG s2 , 000 , 000 - -- -! POLICY j PRO T- r� LOC -- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 OOO 000 A I X � ANY AUTO BA00000049464A 06 / 06 / 08 06 / 06 / 09 Ea accident) _ — r j ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS ( Per person) XF HIRED AUTOS [BODILY INJURYXNON-OWNED AUTOS * 10 DAYS NOTICE NON-PAY ccident) PROPERTY DAMAGE $ ( Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT �$ - - —; t ANY AUTO OTHER THAN EA ACC $ I AUTO ONLY : --- AGGG$ --- i EXCESS/UMBRELLA LIABILITY —IABILITY EACH OCCURRENCE S 3 , OOO , OOO h - CLAIMS 06 / 06 / 08 06 / 06 / 09 CAGGREGATE $ 3 , 000 , 000A ! X — OCCUR I r - -1- — * 10 DAYS $ DEDUCTIBLE NOTICE $ RETENTION $ NON PAY $ WORKERS COMPENSATION AND X J TORY LIMITS_ ER — EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE 0830 28562 02 / 01 / 08 02 / 01 / 09 E EACH ACCIDENT $ 1000000 OFFICEP.IMEMBER EXCLUDED? * 10 DAYS NOTICE NON-PAY __- -- E L. DISEASE - EA EMPLOYEE $ 1000000 If yes, describe under E . L. DISEASE - POLICY LIMIT $ 1000000 SPECIAL PROVISIONS below i OTHER A � Cl2M1676 06 / 06 / 08 06 / 06 / 09 Rented 50 , 000 * 10 DAYS NOTICE NON-PAY I Equipment $ 1000 ded DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Grading of Land/ Site Prep - State of Florida RE : BID# 2009022 / 129th Place Subdivision water Assessment Project Indian River County is additional insured for general liability CERTIFICATE HOLDER CANCELLATION INDIR- 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGAT10N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Indian River County 1800 27th Street REPRESENTA ES. t Vero Beach et AUTHORIZEMTE 21 ACORD 25 (2001 /08) © ACORD CORPORATION 1988