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ACQ90. CERTIFICATE OF LIABILITY INSURANCE OP ID TJ DATE (MM/DD/YYYY) TIMOR- 1 1 09 / 26 / 08 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 , INSURER c: _ & Haulin Trash Inc . _ 1360 Old Dixie Hwy SW INSURER D: Vero Beach FL 329B2 — -- 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. N DD's---------- — POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE (MMIDDArr LIMITS GENERAL LIABILITY EACH OCCURRENCE, 000 , 000 --, A X X COMMERCIAL GENERAL LIABILITY GL00000049465A 06 / 06 / 08 06 / 06 / 09 PREMISES (Eaoccurence) $ 100 , 000 CLAIMS MADE L_J OCCUR MED EXP (Any one person) $ 5 , 000 — PERSONAL & ADV INJURY $ 1 , 000 , 000 * 10 DAYS NOTICE NON-PAY GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER : PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 7 POLICYPRO- LOC — JECT AUTOMOBILE LIABILITY A X ANY AUTO BA00000049464A 06 / 06 / 08 06 / 06 / 09 COMBINED SINGLE LIMIT S 1 r 000 , 000 ( Ea accident) ALL OWNED AUTOS �— �— BODILY INJURY S SCHEDULEDAUTOS ( Per person ) I j i X I HIRED AUTOS h . _ BODILY INJURY (Per accident) $ X� NON-OWNED AUTOS * 10 DAYS NOTICE NON-PAY -- __ _ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S — ANY AUTOOTHER THAN EA ACC S _—_—_ AUTO ONLY: AGG ! S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S 3 , 000 , 000 A X I OCCUR CLAIMS MADE CM800000049462A 06 / 06 / 08 06 / 06 / 09 AGGREGATE $ 3 , 000 , 000 * 10 DAYS $ � 1 DEDUCTIBLE NOTICE $ RETENTION $ I NON PAY $ I WORKERS COMPENSATION AND X TORY LIMITS _ ER _ EMPLOYERS' LIABILITY B 0830 28562 02 / 01 / 08 02 / 01 / 09 E . L. EACH ACCIDENT i $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE ---- -- OFFICER/MEMBER EXCLUDED? * 10 DAYS NOTICE NON-PAY E. L. DISEASE - EA EMPLOYEE', $ 1000000 If yes, describe under SPECIAL PROVISIONS below E .L. DISEASE - POLICY LIMIT j $ 1000000 OTHER A CI2141676 06 / 06 / 08 06 / 06 / 09 Rented 50 , 000 * 10 DAYS NOTICE NON- PAY Equipment 5 % DED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Grading of Land/ Site Prep - State of Florida RE : BID # 2008 074 Eagle Trace Sub Division - Phase II . 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 Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Contractors Licensing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FAX : 772 - 770 - 5140 1840 25th Street REPRESENTA ES. Vero Beach FL 32960 AUTHORIZE E E1 ! �1T E ACORD 26 (2001 /08) © ACORD CORPORATION 1988