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j ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE o' PRODUCER Serial # B1202 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SURETY AGENCY , LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 552-B NEW HAW CREEK ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW . ASHEVILLE , NC 28805 I INSURERS AFFORDING COVERAGE 828-236-1000 FAX 828 -236- 1001 INSURED DICKERSON FLORIDA, INC . INSURERA: CHARTER OAK FIRE INS CO . P . 0 . BOX 910 INSURER B: TRAVELERS INDEMNITY COMPANY FT . PIERCE , FL 34954-0910 INSURER C : TRAVELERS PROPERTY CASUALTY CO OF AMERICA INSURER D: _ INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS , INSR ' POLICY EFFECTIVE ATIO POLICY EXPIRN ILTR TYPE OF INSURANCE I POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 B X COMMERCIAL GENERAL LIABILITY 82BOB629 07/01 /2010 07/01 /2011 FIRE DAMAGE (Any one fire) $ _ 300 , 000 LAIMS MADE L'- CX OCCUR MED EXP (Any one person) $ 1 0 , 000 j -- PERSONAL & ADV INJURY $ 110009000 - - - '- ----- -- - - - --- -- --..— _. __- ---- - -- --- _._.. '---- GENERAL AGGREGATE $ 21000 , 000 . . - _ _ ._ . . . ..._ .... ... . .. ...._.. .-- - - - -- — . . . —. __ ..-...._ _ _. .._ . ... GEN ' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X jE� LOC _AUTOMOBILE LIABILITY 82 $06630 07/01 /2010 07/0112011 COMBINED SINGLE LIMIT $ 1 , 000 , 000 C X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 3 , 000 , 000 C X , OCCUR I_ I CLAIMS MADE 82806654 07/01 /2010 07/01 /2011 AGGREGATE $ 3 , 0009000 $ DEDUCTIBLE $ RETENTION $ $ WC ATU- OTH- j WORKERS COMPENSATION AND 8280B549 07/01 /2010 07/01 /201 1 . X ' TORY LIMITS , ER A EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 5009000 E L. DISEASE EA EMPLOYEEI $ 500 , 000 E. L. DISEASE - POLICY LIMIT $ 500 , 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS 53RD STREET ROADWAY IMPROVEMENTS ( LATERAL H CANAL TO INDIAN RIVER BOULEVARD ) , INDIAN RIVER COUNTY BID NO . : 2011011 IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER IS ADDITIONAL INSURED FOR THE WORK PERFORMED BY THE INSURED CERTIFICATE HOLDER X ' ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION INDIAN RIVER COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 1800 27TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL VERO BEACH , FL 32960 IMPOSE NO OBLIGATION OR LIABILITY OF KIND UPON THE INSURER, ITS AGENTS OR REPRE TATIVES. AUT IZED REPRESEN 1 KAREN BEARD ACORD 25 -S (7/97) © ACORD CORPORATION 1988