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From: Tani At: Stuart Insurance, Inc. FazID: 772-286-9389 To: Indian River BOCC Date: 81 1O:23 AM Page: 2 of 3 <br /> scow. CERTIFICATE OF LIABILITY INSURANCECSR TT DATE (MWDDNYYYI <br /> TIMOR-1 08 /08 /06 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Stuart Insurance , Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 3070 S W Mapp ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Palm City FL 34990 <br /> Phone : 772 -286 -4334 Fax : 772 -286 -9389 INSURERS AFFORDING COVERAGE NAIC it <br /> INSURED INSURER A: Worth Pointe IIIc CO <br /> Timothy Rose NsuRER e: The Hartford 22357 <br /> Contracting , Inc . INSURER C'. <br /> & Haulin Trash Inc . B=Lay.:L.La cePLAs.:s xne . c> . <br /> 1360 Old Dixie Hwy SW INSURER D: <br /> Vero Beach FL 32962 <br /> INSURER E'. <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BEOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> PNY 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 /> LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE (POLIC MMIODM') DATE IMMIPOLICY DD;W) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 81 , 000 , 000 <br /> A X COMdERC1ALGENERALLIMI-ITY 2094099607 06 /06 /06 06 /06 / 07 EEMISES (Ee occuu nce) $ 100 , 000 <br /> CLAIMS MADE Fx� OCCUR MED EXP (Any one oerson) $ 5 , 000 <br /> PERSONAL B ADV INJURY $ 1 , 000 , 000 <br /> GENERALAGGREGATE $ 2 , 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 <br /> POLICY 7PRO- <br /> ECT <br /> E0. LOC <br /> 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> JIII B XIANYAUTO 21UENW4328 06 / 06 /06 06 /06/07 (Ed 81 51 , 000 , 000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIREDAUTOS BODILY INJURY <br /> X <br /> NONOWNEDAU (Per eccie6M) $ <br /> AUTOS (Per <br /> PROPERTY DAMAGE $ <br /> (Per aGodent) <br /> G)%RAGELIABILITY AUTO ONLY - EA ACCIDENT $ <br /> My AUTO OTHER TiAN EAACC $ <br /> AUTO ONLY: ASG <br /> 3 <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ 2 , 000 , 000 <br /> A X7 OCCUR ElCIAIMS MADE 2094107913 -02 06 /06/06 06 /06 /07 AGGREGATE $ 2 , 000 , 000 <br /> 8 <br /> DEDUCTIBLE $ <br /> J RETENTION $ $ <br /> WORKERS COMPENSATION AND X TORYLIMITS I IOE'R <br /> C EMPLOYERS' LIABILMY 0830 28562 02 /01/06 02 /01/07 E.L. EACH AGODENT $ 100000 <br /> ANY PROPPIETORIPARINERlEY.ECUTIVE <br /> OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 100000 <br /> IT vves, Cesonbe under <br /> S. ECIAL PROVISIONS below SEL. DISEASE - POLICY LIMIT $ 500000 <br /> OTHER <br /> A 2094099607 06 /06 /06 06 / 06 /07 Renied 50 , 000 <br /> Equmeat 58 DED <br /> DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT I SPECWL PROV1910NS <br /> Grading of Land/Site Prep - State of Florida RE : Indian River County Project <br /> lI <br /> 49701 , Roadway Improvements to SR ASA & CR 510 . <br /> 7 <br /> CERTIFICATE HOLDER CANCELLATION <br /> 1 IRBLDEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> J DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MNL 10 DAYS WRTr1EN <br /> Indian River Board NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Burr FNLURE TO 0060 SHALL <br /> of County Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER TS AGENTS OR <br /> l FAX : 772 - 978 - 1812 <br /> J 1840 25th Street REPRESENTATIVES. <br /> Vero Beach FL 32960 AUTHORISED 5 ESE TA JE <br /> 1 ACORD 25 (2001108) (d ACORD CORPORATION 1988 <br /> J <br />