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2012-063A
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2012-063A
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Entry Properties
Last modified
12/18/2015 11:13:16 AM
Creation date
10/1/2015 4:21:39 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
04/10/2012
Control Number
2012-063A
Agenda Item Number
15.B.1
Entity Name
Comanco Environmental Corporation
Subject
Phase 2 Cell 1 Segment 3 Landfill Expansion Project
EJCDC Standard Form of Agreement Stipulated Price
Archived Roll/Disk#
112-R-0001
Supplemental fields
SmeadsoftID
11115
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A�o® CERTIFICATE OF LIABILITY INSURANCE REVISED DATE (MM7THIS <br /> 4/ 12/ 12 04/ 11 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDECERTIFICATE <br /> DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESTHIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE <br /> A CONTRACT BETWEEN THE ISSUING INSURER(S ), AUT <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 the <br /> terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer <br /> rights to the <br /> certificate holder in lieu of such endorsements . <br /> =Roc ceR ' ACT <br /> ._ N° ME , KAREN O 'CONNELL <br /> - — - <br /> BONDING & INSURANCE SPECIALISTS AGENCY, INC . <br /> PHONE Ext) 708-598 5355 FNc_ hol 708 -598 -6686 <br /> 9340 S . HARLEM AVENUE <br /> E - MAIL <br /> ADDRESS KOCONNELL BISA- INC . COM <br /> BRIDGEVIEW, IL 604 $$ INSURERS ) AFFORDING COVERAGEMAIC it <br /> IN CALIFORNIA, DBA BONDS AND INSURANCE SERVICES, LICENSE 907954119 1 —_ - _ . - - - - — - <br /> INSURER A AXIS SURPLUS INSURANCE COMPANY _ _ _ _2.6. 6_20 <br /> ' ''. SURED THE COMANCO GROUP ; COMANCO ENVIRONMENTAL CORP , INSURER B <br /> COMANCO CONSTRUCTION CORP ; FUSION EQUIPMENT INSURER C <br /> CORP ; GYPSTACK PROPERTY DEVELOPMENT LLC INSURER D <br /> 4301 STERLING COMMERCE DRIVE , INSURER E _ <br /> PLANT CITY , FL 33566 INSURER F <br /> COVERAGES CERTIFICATE NUMBER : 114162 REVISION NUMBER : <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br /> POLICY PERIOD <br /> INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br /> THE TERMS , <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR -- -- ,ADDL SUER r <br /> LIR TYPE OF INSURANCE ( INSR ' WVD POLICY NUMBER _ (INMlDDKEFF MMlOD/YYYW LIMITS <br /> - — — - — -- - -- - -- X t - ------1 ----GENERAL LIABILITY i } - ... _. <br />-- ----- -- 1 <br /> A -- 'I I X EACH OCCURRENCE $ <br /> 11000 , 000 <br /> X _ COMMERCIAL GENERAL LIABILITY ! �6A MAGA f0 -RENTED -- <br /> ❑ EBZ765277/01 /2012 1 /31 /2012 1 /31 /2013 PREMISES (Eaoccunonco) s 500 , 000 <br /> -- -- 50 , - <br /> CLAIMS-MADE X OCCUR MED EXP (Any one person) S 25 000 <br /> - -_ _--- --- - . . _ . . --- <br /> X INCL . CONTRACTORS PERSONAL & AOV INJURY <br /> $ 1 000000 <br /> — — — — <br /> POLLUTION LIABILITY GENERAL AGGREGATE $ 2 , 000 , 000 <br /> - --- - - <br /> GEN LAGGREGATE OMIT APPLIES PER PRODUCTS - COMP/OP AGG & S 2 0. 0__0 000 <br /> POLICY X PRO - — -- _ _ --- - <br /> /ECT LOC <br /> AUTOMOBILE LIABILITY <br /> ' (Ea accident) <br /> ccide ' - ---- <br /> ANY AUTO _ BODILY INJURY ( Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUUTOSTOS <br /> NNED �BODILY INJURY (Per accident) S <br /> _ . _ � <br /> HIRED AUTOS - -_ � FROPERTVMAGE� <br /> AUTOS <br /> --- (Per accident) S <br /> 1 S <br /> A X UMBRELLA LIAR X OCCUR X X EBZ765278/01 /2012 EACH OCCURRENCE 5 10 , 000 , 000 <br /> EXCESS LIAR CLAIMS-MADE ' INCLUDES AUTO CA-20773570102 1 /31 /2012 1 /31 /2013AGGREGATE S 10 , 000 , 000 <br /> . - _ - - - _ . _ EL 'NC 2062945-02 , AND <br /> OED RETENTIONS ' G!L EBZ765277/012012 $ <br /> - - WC STaTU. H - <br /> - rpT <br /> WORKERSCOMPENSATION - <br /> AND EMPLOYERS' LIABILITY YIN _____TQgV LLMITS__ . - ER_ _- - - <br /> ANi PROPRIETOR/PARTNER/EXECUTIVE -- <br /> CFFICERIMEMBER EXCLUDED N / A E L_ EACH ACCIDENT <br /> ( Mandatory in NH ) E L DISEASE - EA EMPLOYEE • S <br /> , f qes Cescn .7e ender _. . _ _ __ _ - . <br /> . DESCRIPT [ 0N OF CPERATtONS below E L DISEASE - POLICY LIMIT S <br /> A CONTRACTORSPROFESSIONAL $ 1 , 000 , 000 - PER CLAIM <br /> LIABILITY - CLAIMS MADE FORMEBZ765277/01 /2012 1 /31 /2012 1 /31 /2013 $2000 , 000 - AGGREGATE <br /> (At - - — - 0 - P q - - -- - - - . ._ ._ _ . - --- -- <br /> DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLESES (Attach ACORD 107 , Additional Remarks Schedule, IT more space Is re wired ) _ <br /> PROJECT 1325 74TH AVENUE SOUTHWEST , VERO EACH , FL 32968 <br /> INDIAN RIVER COUNTY (AS OWNER) IS NAMED AS ADDITIONAL INSUREDS . THE GENERAL LIABILITY POLICY IS ON A PRIMARY AND <br /> NON -CONTRIBUTORY BASIS . THE GENERAL LIABILITY AND UMBRELLA LIABILITY POLICIES INCLUDE A WAIVER OF SUBROGATION IN FAVOR OF INDIAN <br /> RIVER COUNTY (AS OWNER) . <br /> THIRTY ( 30) DAYS WRITTEN NOTICE OF CANCELLATION . <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIAN RIVER COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1800 27TH STREET ACCORDANCE WITH THE POLICY PROVISIONS. <br /> VERO BEACH , FL 32960 <br /> AUTHORIZED REPRESENTATIVE <br /> KAO .1 ^ <br /> /,�, / / 1 <br /> �l - <br /> © 1988-2010 ACORD CORPORATION - All rights reserved . <br /> ACORD 26 ( 2010105 ) The ACORD name and logo are registered marks of ACORD <br />
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