Laserfiche WebLink
v <br /> _ACORD CERTIFICATE OF LIABILITY INSURANCE <br /> 01 / 2612004 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Brooke Insurance b Financial Sery ONLY AND CONFERS No RIGHTS UPON THE CERTIFICATE <br /> HOLDER THIS CERTIFICATE DOES NOT AMEND, 60END OR <br /> 6035 Morrow St . , E . , stew 101 ALTA=R THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Jacksonville , FL 32217 <br /> 9 0 4 - 7 31 - 7 9 2 2 INSURERS AFFORDING COVERAGE NAIC0 <br /> INiURED Wilkinson G Jon rnn Construction CO., In INSURER , American Home Assurance <br /> INSURER D: <br /> 4530 Chancellor Street , N . E . INSURER as <br /> St , Petersburg , FL 33703 INSURER D: <br /> ( 813 ) 527 - 9440 INSURER E' <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> POUCY FFFECTIVH POUCYWfIRA110H <br /> ITN rnpFINGURANCE POLICY NUMBER nAT1± Wars <br /> OENERAL LMaIUTYEACH OCCURRENCE 61 , 0001000 <br /> �MMAGMPERMD 5 0 0 0 0 <br /> COMMERCIAL GENERAL LIABILITY PREMISES ��+R� <br /> _ f _ ! <br /> CLAIMS MADE F�I OCCUR MEDEXP (Anyompormn) >< 5 r 000 <br /> A X Comm Marine 82498 08 / 14 / 03 08 / 14 / 04 PERSON& & ADvINmw $ 11000F000 <br /> Ll ab i 11 ty GENERAL AGOREGATE : 2 / 0 0 0 , 0 0 0 <br /> OEML AOOREOATE LIMIT APPLIES PER: PRODUCTS - COMPIOP A00 t 1 r 0 0 0 r O O O <br /> ,al POLICY PAC 0 LOC <br /> AUTOMOINLELIANUTY COMBINED SINGLELIMTT f <br /> ANYAUTO (Ee .aoeenq br <br /> ALL ONNEDALnOS BOOILYINMRY f <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BOOILYIIIIURY f <br /> NON47MEDAUTOS <br /> PROPERTY DAMAGE f <br /> (Per eoid.rll) <br /> MARA �� ALIT 0ONLY • EAACCIDENT f <br /> AWAUTO OTHERTHAN EA ACC f <br /> AUTOOKY: AGO 1 <br /> EACH OCCURRENCE f 2 r 0 0 0 r 0 0 0 <br /> Em E mummELLA W1®LITY 2 0 0 0 0 0 0 <br /> X OCCUR CWMSMADE <br /> AGGREGATE f I I <br /> 2499 08 / 14 / 03 08 / 14 / 04 f <br /> A X DEDUCTIBLE f <br /> RETENTION 5 25 000 f <br /> A <br /> WORKEM COMPENRATIONAND IMITS <br /> EAlPLOTEA.T UAIRLITY E,L EACH ACCIDENT f <br /> AW rno►RIETOR" MRrt"MM <br /> orr,CeRncreeR OECLUDWY E.L DISEASE - CA EMPLOYEE Z <br /> 11rrs, d..ofba �ider E.L, D16EASE • POLICY OMIT f <br /> sPEcIAL PROVISIONS blow <br /> OTWR <br /> DEWMP710NOP opFPAT1oPM / LOCATION!/ VEHICLIMI EXCLU610NDADOCDRY PM)ORSO ENT! SPOCIAL ►N1WIB10RS <br /> Hoard of County Commissionera , Indian River County Florida are named as <br /> additional insureds . <br /> Project : Coastal Engineering Division or the IncUan River County Public Works <br /> Dept Project # : 03102 - Bid # : 6031 <br /> CERTIFICATE HOLDER CANCELLATION <br /> eHOU? D ANY OF PM ASD1/! Dn005 o PO000 W CANCFLLeD pmra- TN8 EmPAnDN <br /> CoaLV t %1 Engineering Division of DATE J"Zm0r, THO MoumImmumm VRLL am w^voRTO MML 10 DAYS WMTMN <br /> the Indian River County PublicNonCETOTHECOMCA-MWLMRNAMWMT"SLln, KMFAILURE TOW50SK" <br /> Works Department M 049 NO OBLIOATION OR L"UTT OF ANY IQNO UPON THE INBURM rTS A1319R7 oR <br /> 1840 25th Street 3rd Floor ' <br /> ATTYEB <br /> Vero He & chr rL 32960 AUTI1O5W � [ ' ) <br /> ,fax 727 - 521 - 9163 <br />