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t <br /> ....` " tK i iric: ATE OF LIABILITY INSURANCE o�IJ WDOIII <br /> 05 <br /> /06 /2003 <br /> ou : � . a ( 863 ) 688 - 5495 FAX (863 ) 688 - 4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Frl & Associates Insurance , LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 91 sake Morton Dr . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 0 Box 3608 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> ake i and , FL 33802 INSURERS AFFORDING COVERAGE <br /> UREO Tri - Sure Corporation NAIC # <br /> INSURERA: Southern Owners Insurance Co <br /> P 0 Box 653 INSURER B: Auto Owners Ins Co <br /> ! � Auburndale , FL 33823 <br /> INSURER C: Ohio Casualty <br /> INSURER o: Bridgefield Employers Ins Co <br /> INsuRER E: Great American Inland Marine <br /> VERA <br /> HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDINI <br /> NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAl PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> OL I: IES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> I <br /> . . . , TIPS OF INSURANCE _ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> 111T£t!'JdIDQ,�C1L DATELb&AAMQYY� _ LIMITS <br /> GENERALIA <br /> LBILITY 2060713 S 46 10/01/2002 10/01/2003 EACH OCCURRENCE i <br /> X COMMERCIAL GENERAL LIABILITY 19OOO , OOI <br /> DAMAGE TO RENTED i <br /> # CLAIMS MADEFX] S0100( <br /> OCCUR MED EXP (Any one person) j <br /> `R 5200( <br /> e I PERSONAL 6 ADV INJURY $ 11OOO 00( <br /> GENERAL AGGREGATE $ 2OOO , OO( <br /> l AGGREGATE LIMIT APPLIES PER: <br /> POLICY JE LOC PRODUCTS - COMP/OP AGG $ 2 000 00 ( <br /> AUTOMOBILE LIABILITY 43042761 00 10/01/2002 10/01/2003 <br /> X ANY AUTO COMBINED SINGLE LIMIT <br /> ALL OWNED AUTOS (Ea accident) 11OOO , 00(S <br /> SCHEDULED AUTOS BODILY INJURY S <br /> B (Per person) <br /> X HIRED AUTOS <br /> X NON-OWNED AUTOS BODILY INJURY <br /> (Per accident) j <br /> PROPERTY DAMAGE _ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG S <br /> EXCESSIUMBRELLA LIABILITY BX052883554 10/01/2002 10/01/2003 EACH OCCURRENCE s 2 , 000 , 00 ( <br /> X OCCUR CLAIMS MADE AGGREGATE $ 2 , OOO 00 ( <br /> S <br /> DEDUCTIBLE S <br /> RETENTION § <br /> $ <br /> wORKERS COMPENSATION AND 83027986 10/25 /2002 10/25/2003 WCSTATU• DTH- <br /> ci.iPLvYERS• LIABILITYDRY <br /> =.I1 ? PROPRIETOR/PARTNER(EXECUTIVE E.L. EACH ACCIDENT $ S00900( <br /> :q7 FICER/MEMBER EXCLUDED? <br /> i+ . vs, describe under E.L. DISEASE - EA EMPLOYE $ 500 , 00 ( <br /> 'SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ S00100 <br /> zrted/ Leased IMP1764624 10/01/2002 10/01/2003 $ 200 , 000 <br /> Ec . Apment $ 2500 Deductible <br /> aC rl ? JN OF OPERATIONS /U LOCATIONS I VEHICI S / EXCLUSIONS ADDED B'i ENDORSEMENT : SPECIAL PROVISIONS <br /> [ ndIcAll River County is named as additional insured with regards to the General Liability and <br /> i omobile Liability . <br /> 7 IRC Bid # S050/ 16 Inch Brine Pipeline on S8th Avenue from 77th Street to 57th Street and <br /> East on <br /> i h :street to Bent Pines R . I . B . Site . <br /> TIF <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Indian River County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 2621 19th Avenue OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 AUTHORIZED REPRESENTAT �2 A <br /> ACORD 25 (2001 /08 ) ©ACORD CORPORATION 8E <br />