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Wr ACORD� CERTIFICATE OF LIABILITY INSURANCE 7"ii4/2oo8 ' PRODUCER (561) 746-4546 FAX: (561) 746-9599 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tequesta Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 218 S, US Highway One ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 300 Teguesta FL 33469 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:National Fire Insurance 20893C INSURERB:Valley Forge Insurance 205080 Ocean Gate General Contractors, Inc. INSURERc:Continental Casualty 20443C 2854 SE Federal Highway INSURER D: Stuart FL 34994 INSURER E: OVERAGES 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER PDATEYMM DDIYYE POLICYEXPIRATION LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR C2095108161 7/3/2008 7/1/2009 EACH OCCURRENCE $ 11000,000 PREMISES Ea occurrence $ 50 , 000 MED EXP (Any oneperson) $ 51000 PERSONAL 8 ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 21000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X PREf LOC PRODUCTS - COMP/OP A $ 2 r 000 r 000 B AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS C2095198931 7/3/2008 7/1/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1,0001000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: A $ $ C EXCESS/UMBRELLA LIABILITY X OCCUR F1 CLAIMS MADE DEDUCTIBLE X RETENTION $10,000 C2095108144 7/3/2008 7/1/2009 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51 000 , 000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC2095108158 7/1/2008 7/1/2009 X I WC STATUCRY LIM - 107H E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT I $ 50 0 , 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: WABASSO BEACH PARR RESTORATION PROJECT, BID NO. 2008032 The Certificate Holder is an additional insured per form G140331 -A attached to the General Liability Policy. Form G140331 -A is attached for reference. *IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY 10 DAYS NOTICE OF CANCELLATION SHALL BE GIVEN. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001/08) 141en9R,n4nc, no.. C ACORD CORPORATION 1988 Dnn< 1 of I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE INDIAN RIVER COUNTY EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL BOARD OF COUNTY COMMISSIONERS 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1800 27th STREET VERO BEACH, FL 32960 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Mark Kasten/DEBBIE a --CtD, ACORD 25 (2001/08) 141en9R,n4nc, no.. C ACORD CORPORATION 1988 Dnn< 1 of I