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2004-271
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2004-271
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Entry Properties
Last modified
9/30/2016 12:13:10 PM
Creation date
9/30/2015 8:21:02 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
11/02/2004
Control Number
2004-271
Agenda Item Number
11.I.2
Entity Name
Watauga Company
Subject
West Wabasso Park Pavilions
Area
West Wabasso Park
Bid Number
6085
Archived Roll/Disk#
3224
Supplemental fields
SmeadsoftID
4610
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11 / 11 ! 09 THU 15 : 22 FAX 32138 .34523 J W Edens Agency Ij004 <br /> This certfficatO is provfded as evidence of insurance under policy # BR60492628 of the coripany named herein. <br /> Mortgagee Information : <br /> Name: The Watauga Company <br /> Address 1 : 4275 Capron Road <br /> Address 2 : <br /> City: 71tusville State: FL Zip: 32780 <br /> Insured Information : <br /> Name : The Watauga Company <br /> Address 1 : 4275 Capron Road <br /> Address 2 , <br /> City : Titusville State: FL Zip : 32780 <br /> Amount of Coverage Per Building <br /> (Completed Value) : $ 100 ,000 Premium : $350. 00 <br /> Effective Date : '11 /11/2004 Term : 12 Months <br /> Description and Location of Property to be Insured : <br /> Paviilion at 89M 64th Avenue, Sebastian , FL 32958 <br /> Bid # 6085 West Wabasso Park Pavillions <br /> Owned by: Indian River County Board of County Commissioners <br /> 1840 25th Street, Vero Beach , FL 32960-3365 <br /> This is to certify that the above Is an Insured under a builders risk policy issued by a company of The Maryland Insurance <br /> Group, covering property Identified above from the Inception date shown , subject to 4111 terms and conditions contained in the <br /> policy. Insurance as provided under the aforementioned policy Is subject to all terms, conditions and limitations thereof and <br /> shall in no event extend beyond date of termination of the insured 's interest in the articles described herein . <br /> 0 <br /> Date Authorized Agent <br /> Agency Producer Number: 12782900 <br /> Agency Name: J. W. Edens & Company, Inc. <br /> Mailing Address: 758 Country Club Drive <br /> City : Titusville State : FL Zip Code: 32780 <br /> WARNING <br /> This Certificate Is Issued to protect the mortgagee only. Under the terms of the insured's policy , in; ured agrees to report all starts and <br /> pay the appropriate premium to Builders Risk Plan, P. O . Box 631795 , Atlanta , GA 31193- 1705. Insured must report all starts shown on <br /> this certificate prior to the end of the next month . If insured doers not report within this time pe r1od, the insured will not be covered <br />. <br /> Insureds should check with their Zurich Insurance Services agent to make sure they understand the reporting requirements. <br />
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