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2008-339
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2008-339
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Entry Properties
Last modified
4/14/2016 9:30:00 AM
Creation date
10/1/2015 12:44:06 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
10/21/2008
Control Number
2008-339
Agenda Item Number
8.G.
Entity Name
Timothy Rose Contracting
Subject
Modifications Pump Station
Lift Station No. 2058
Area
37th Street
Project Number
2784
Bid Number
2008063
Supplemental fields
SmeadsoftID
7651
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AC 0o_ _ CERTIFIcI� e E <br /> PRODUCER OF LIABILITY ppw� <br /> INSURA ' E OP ID TJ DATE (MI„DD,Y, ,,,� <br /> THIS CERTIFICATE IS ISSUED AS A TIDE-1 11 03 08 <br /> Stuart Insurance , Inc . MATTER OF INFORMATION <br /> 3070 3 W Ma ONLY AND CONFERS NO RK3HTS UPON THE CERTIFICATE <br /> Palm Cit L 34990 ���- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Phone : 7 2 -86 - 4334 Fax ; 772 _286 - 9389 ALTER TME COVERAGE AFFORDED By TME POUCIES BELOW <br /> INSURED INSURERS AFFORDING COVERAGE <br /> IIaUIRERA: NAIL # <br /> Connttrac Rose �Y.eslia 1n.�a pae Q"mp <br /> i Ha1L7 l AMTNSURER B <br /> 1360 Old Dixie Inc ,�y Inc . gw °o ' <br /> Vero Beach PL 32912 INSURER c: <br /> INSURER D: <br /> COVERAGES INSURER E <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE gel ISSUED 17�E INSURED ANY REQUIREMENT. TERM OR CONDMON OF ANY URED NAMEO ABOVE FpR THE POLICY PERIOD WDICATED. <br /> N <br /> MAY PERTAIN, THE INSURANCE AFFORDED 13Y THE POLICIES DESCRIBEDHER WMiECT ORW ITHSTANDING <br /> POLICIES. AGGREGATE LIMITS OR �� HERE#UMH TO BCH THIS CERTIFICATE MAY BE ISSUED OR <br /> SfIOWNMAYHgVEBEENREDUCEDBYA41DCWM& BECTTOALLTFLETERMS, EXCLUSIONSANDCON <br /> LTR NSR OPTIONS DF SUCH <br /> TYPE LI INSURANCE POLICY NUMBER <br /> GENERAL LIABILITY DATE DATE <br /> A X X COMMERCIAL GENERAL LIABILITYLMfTs <br /> GL000000l9l65111 06/06/08 06/06/09 EACH OCCURRENCE : 1 . 000 , 000 <br /> CLAIMS MADE OCCPREMISES 00aserce) s 10049 <br /> 00 , 000 <br /> MED EXP qnT One Pew) $ 5 , 00 <br /> a0 Dan INMCZ >.�-ray PERSONAL & ADV INJURY s 1 , 0 . . , - <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POucY ��a LOC $ 2 , 000 , 000 <br /> P�OPAGG <br /> AUTOMOBILE LIABILITY LOC s 2 F 000 , 000 <br /> A X ANYAUTO <br /> ALL OWNED AUTOS <br /> BA00000049464A 06/06/08 06/06/09 (EaCO ems)INGLELIMIT $ 1 , 000 , 000 <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS �Lervon) Y s <br /> X NON-OWNED AUTOS <br /> •lo nays aarsa soi-Pay BODILY INJURYs <br /> aed" <br /> GARAGE LLABILITYKDAMAGE(Paracms <br /> ANY AUTO AUT ) ONLY - EA ACCIDENT <br /> s <br /> OTHER THAN EA ACC i <br /> EXCESSA/MBRELLA LIABILITY AUTO ONLY: <br /> A AGG S <br /> X OCCUR ❑ CLAIMS MADE CbJB00000049462A EACH OCCURRENCE $ 3 , 000 , 000 <br /> 06/06/08 06/06/09 AGGREGATE s 3 , 000 , 000 <br /> DEDUCTIBLE *10 DAYS <br /> RETENTION s s <br /> s <br /> WORKERS COMPENSATION AND NOTICE NOW PAY <br /> B EMPLOYERS• LIABILITY s <br /> ANY PROPRIETORMARTNER/EXECUTIVE 0830 28562 X TORY LIMITS ER <br /> OFFICERIMEMBER EXCLUDED? 02/ 01/08 02/ 01/09 E.L. EACH ACCIDENT <br /> =1 , dWrbe under •10 Alai NAs1CN �_� <br /> OTHER $ 1000000 <br /> IAL PROVISIONS be1mv EL DISEASE _ EA EM $ 1000000 <br /> A <br /> E.L. OISEASE _ POLICY UMIT s 1000000 <br /> C12M]' 676 06/06/08 06/06/09 <br /> DESCRIPTION OF OPERATIONS I LOCATpNg I •10 Days 0mcs N =r Mr Rented 501000 <br /> Grading of d I EXCLUSIONS ADDEp BY ENOORSE#BTT I SPECIAL pRpylEpN3 $ nt 5 $ DED <br /> 1•anclo pump <br /> PSI a _ Staff of Plorida Ra ; J08 2008063/ <br /> Modifications to P1mIP Station Upgrades and <br /> additional i (no . 2058/37th Street) Indian River County is <br /> insured for general liability <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> INDIR-2 MOULD ANY OF THE ABOVE DESCRIBED POLICES BE <br /> CANCELLED BEFORE THE EXPIRATION <br /> DATE MBMOF, TNS N*u8 ` "SURER wLL ENDEAVOR TO INR, 30* DAYS WRfT1EN <br /> Indian River NOTICE TO THE CERTiTCATE HOLDER NAME) TO THE LEFT, BUT FAILURE TO DO It <br /> BMAM <br /> 1800 27th Street County <br /> NVO/S ND OBLIGATION OR LjAwLny OFANY KND UPON TNSMs11REf; ITB AtiENTa OR <br /> Vero Beach PL 32960 A <br /> AurNDR <br /> CORD 25 (2pp1/bg) <br /> 0ACORDCORPORATION 1988 <br />
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