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2014-028C
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2014-028C
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Entry Properties
Last modified
3/7/2017 3:03:30 PM
Creation date
10/1/2015 6:00:33 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/11/2014
Control Number
2014-028C
Agenda Item Number
11.A
Entity Name
Ag Scape Services
Subject
Skeet and Trap Facility Improvements Phase 1
Indian River County Public Shooting Range
Project Number
1213
Bid Number
2014026
Supplemental fields
SmeadsoftID
13087
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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />03/17/2014 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER William H Winchester <br />Winchester Insurance, Inc. <br />1425 W. Broadway (S.R. 426) <br />P.O. Box 620969 <br />Oviedo FL 32762-0969 <br />CONTACT Peggy g9Y Peterson <br />PHONE <br />INC. No ExO: (407) 365-5656 <br />FAX <br />IA/C, No): ({07) 366-0031 <br />E-MAILSS: peggy@winchesterinsurance. com <br />INSURER(S) AFFORDING COVERAGE <br />NAIL # <br />INSURED AG-SCAPE Services, Inc. <br />1344 33rd Avenue SW <br />Indian River <br />Vero Beach <br />FL 32968 - <br />INSURER A:Maxum Indemnity Insurance Co <br />INSURER B : <br />26743 <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES <br />CERTIFICATE NUMBER' <br />• <br />CERTIFICATE HOLDER <br />CANCELLATION <br />(772) 226-1575 <br />Jennifer Hyde <br />(772) 770-5140 <br />Indian River County Purchasing Division <br />1800 27th Street <br />Vero Beach <br />FL 32960 - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POUCY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />"94 # <br />ACORD 25 (2010/05) <br />INS025 (201005).01 <br />1988-2010 ACORD CORPORATION. All nghts reserved. <br />The ACORD name and logo are registered marks of ACORD <br />THIS <br />INDICATED. <br />CERTIFICATE <br />EXCLUSIONS <br />IS TO CERTIFY THAT THE POLICIES <br />NOTWITHSTANDING ANY REQUIREMENT, <br />MAY BE ISSUED OR MAY <br />AND CONDITIONS OF SUCH <br />OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBERLIMITS <br />I <br />POLICY <br />M Mlpp/YYYY1 <br />EFF <br />POLICY EXP <br />I M M /Dp/Yl'YYl <br />A <br />. <br />GENERAL <br />COMMERCIAL <br />LIABILITY <br />GENERAL <br />CLAIMS -MADE <br />LIABILITY <br />Y <br />Y <br />BDG 3004560-01 <br />01/15/2014 <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />01/15/2015 <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />EACH OCCURRENCE <br />$ '1,000,000 <br />X <br />DAMAGETO RENTED <br />PREMISES (Ea occurrence) <br />$ 100, 000 <br />X <br />OCCUR <br />MED EXP (Any one person) <br />$ 1, 000 <br />PERSONAL & ADV INJURY <br />$ 1, 000, 000 <br />X <br />1,000 BI&PD Deductible <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />O- <br />POLICY n JE T n LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />X <br />l <br />$ <br />AUTOMOBILE <br />UABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />SCHEDULED <br />AUTOS <br />NON <br />AUTOS <br />-OWNED <br />/ / <br />/ / <br />/ / <br />/ / <br />/ 1 <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />{EO aaBIINdEDtSINGLE LIMIT ) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY <br />(Per <br />accident) <br />DAMAGE <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED <br />RETENTION <br />$ <br />Completed Operations Agg <br />$ <br />WORKERS <br />ANO EMPLOYERS' <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER <br />(Mandatory <br />11 yes, describe <br />DESCRIPTION <br />COMPENSATION <br />UABILITY <br />EXCLUDED? <br />In NH) <br />under <br />OF OPERATIONS <br />below <br />Y / N <br />N / A <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />/ / <br />WC STATU- <br />TORY I IMITS <br />I 10TH <br />l ER <br />- <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Contractors Equipment <br />Rented and Leased Equip <br />Y <br />SDG 3004560-01 <br />as per Reported <br />01/15/2014 <br />/ / <br />01/15/2015 <br />/ / <br />1000 Deductible <br />1000 Deductible <br />981450 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, <br />PROJECT:Indian River County Shooting Range <br />The Board of Trustees of the Internal Improvement Fund for <br />Department of Environmental Protection and The Florida Fish <br />additional insureds. Please see attached endorsement <br />If more space is <br />the State <br />and Wildlife <br />required) <br />of Florida, <br />Conservation <br />The State of Florida <br />Commision are <br />CERTIFICATE HOLDER <br />CANCELLATION <br />(772) 226-1575 <br />Jennifer Hyde <br />(772) 770-5140 <br />Indian River County Purchasing Division <br />1800 27th Street <br />Vero Beach <br />FL 32960 - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POUCY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />"94 # <br />ACORD 25 (2010/05) <br />INS025 (201005).01 <br />1988-2010 ACORD CORPORATION. All nghts reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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