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AG'�O® DAT(MMM/DD/YYYY) �- CERTIFICATE OF LIABILITY INSURANCE12111/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 confer rights to the certificate holder in lieu of such endorserrlent(s). PRODUCER CONTACT Aon Risk Services , Inc of Florida NAME` 1001 erickell Bay Drive (IUc, No, t); (866) 283 -7122 1 FM (847) 953- 5390 9 Suite 1100 E MAR Miami FL 33131 USA ADDRESS: S INSURER(S) AFFORDING COVERAGE NAIC S INSURED INSURER A. Illinois National insurance Co 23817 Community Asphalt Corp . INSURER 8: insurance Company of the state of PA 19429 9725 Nw 117 Ave suite 110 INSURER C: Miami FL 33178 USA INSURER D: INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: 570048363452 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. Limits shown are as requested INSR T TYPE OF INSURANCE POLICY NUMBER POLICY Ur FOUCYEXP LIMITS GENERAL LIABILITY GLUz 1213IM12 EACHOCCURRENCE 51 , 7501000 X COMMERCIAL GENERAL LIABILITY SIR applies per policy ter s & conditions $3009000 PREMISES Me occurrence CLAIMS-MADE XJ OCCUR MED EXP (AM one person) $10 , 000 PERSONAL & ADV INJURY $1 , 750 , 000 GENERAL AGGREGATE 53 , 750 . 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMPIOP AGG $ 397509000 POLICY X PRO• X LOC IFCT n A AIIromosKE LL48AM 746S 12/31/2011 1 COMBINED SINGLE LIMB $ 1 , 7509000 m SIR applies per policy terms & conditions (En accident) X ANY AUTO BODILY INJURY ( Per person) _ ALL OWNED SCHEDULED BODLY INJURY (Per aeddent) AUTOS AUTOS HIRED AUTOS NON-0WNED PROPERTY DAMAGE AUTOS (Per accident) UMBRELLA LIABFCLfA1::4AADE EACH OCCURRENCE t,1 EXCESS LIAR AGGREGATE DED I RETENTION B WORKERS COMPENSATION AND wc021417621 1220111 1 O WC STATU- OTH• Y EMPLOYERS' LIABILITY X TORY LIMITSER ANY PROPRIETOR / PARTNER / EXECUTIVE / N E.L. EACH ACCIDENT 51 , OOO , 000 OFFICERMEMBER EXCLUDED? N I A (Mandeb" In NH) E.L. DISEASEwEA EMPLOYEE Sl , 000 , 000 describe DESCRIPTION OF OPERATIONS below E.L. DISEASE•POLICY LIMIT $210001000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Aaach ACORD 101, Additional Remarks Schedule, It more space Is required) Re : Indian River County Bid No . 2013007 , Indian River Boulevard Resurfacing '�- (41st street to 53rd Street) ; Indian River County is included as an Additional insured with respect to the General Liability and Automobile Liablility policies . O CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MTN THE POLICY PROVISIONS. Indian River County AUTHORIZED REPRESENTATIVE 1801 27th street vero Beach FL 32960- 3388 USA 01888.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD - - _.