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AC R OP ID : 9S �.. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 08!23/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED TE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed . If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not co certificate holder in lieu of such endorsement(s), nfer rights to the PRODUCER 518-244-4245 CONTACT Rose and Kiernan, Inc . NAME: 518-244-4262 PHONE FAX 99 Troy Road c e A/c Nol: E- AIL East Greenbush , NY 12061 ADMDRESS: PUOTUCER I . BIOREA INSURERS AFFORDING COVERAGE NAIC p INSURED Blorem Environmental, Inc. INSURERA : Zurich American Insurance Co 379 100 Rawson Road - Suite 230 Victor, NY 14564 INSURER B INSURER C : INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE -AbffL POLICY NUMBER MOMILDWY EFF M LI Y EXP LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 21000100 A X COMMERCIAL GENERAL LIABILITY X GLO550184401 10/15/10 10/15/11 DAMAGE TO RENTEIT�occurrence $ 13000900 CLAIMS-MADE a OCCUR MED EXP (Any one person) $ 5100 PERSONAL 8 ADV INJURY $ 29000100 GENERAL AGGREGATE $ 2,000100 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 29000100 POLICY 71 JFrT PRO- Loc Emp Ben. $ 19000900 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO (Ea accident) E 1 ,000,00 BAP6555351 10/15/10 10/15/11 ALL OWNED AUTOS BODILY INJURY (Per person) $ X SCHEDULED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNEDAUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY X A ANY PROPRIETOR/PARTNER/EXECUTNE Y / N C6555868I ER 10115/10 10/15/11 E.L. EACH ACCIDENT $ 17000,00 OFFICER/MEMBER EXCLUDED? ElN / A ( Mandatory in NH) E. L. DISEASE - EA EMPLOYEE $ 1 , 000 00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMrr $ 11000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space Is required) RE : Indian River County Bid#2011053 All operations usual and incidental to the business of the named insured . Certificate holder is listed as additional insured as required by written agreement only. CERTIFICATE HOLDER CANCELLATION INDIA25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Indian River County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1800 27th Street ACCORDANCE WITH THE POLICY PROVISIONS. Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE C 1988 -2009 ACORD CORPORATION . All rights reserved . ACORD 26 ( 2009/09 ) The ACORD name and logo are registered marks of ACORD