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2014-031A
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2014-031A
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Entry Properties
Last modified
11/13/2015 1:54:40 PM
Creation date
10/1/2015 6:02:48 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/18/2014
Control Number
2014-031A
Agenda Item Number
8.N.
Entity Name
Duininck Inc.
Subject
Dunes Golf Cource Irrigation System Project
Area
Sandridge Golf Club
Bid Number
2014024
Supplemental fields
SmeadsoftID
13090
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M <br /> DATE (MWDDNWY) <br /> ACOR.O® CERTIFICATE OF LIABILITY INSURANCE <br /> 3/2412014 <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( les) must be endorsed. if SUBROGATION IS WAIVED, subject <br /> to <br /> the 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 /> PRODUCER ACIG Insurance Agency , Inc . NAME: _ <br /> 2600 N . Central Ex Suite 800 PHONE ' — 4 ' - ' ' FA% <br /> Richardson , TX 7508 L C.No at 972 702-9004 Evc No : _{972 687-0604 <br /> E-MAIL ' " " " ' - <br /> ADDRESS: accountmanagerS act .Com. <br /> INSURER(S) AFFORDING COVERAGE NAIC 9 <br /> www. ac!g . com INSURERA : American Contractors Ins, Co. RRG 12300 <br /> INSURED - . <br /> Duininck , Inc. <br /> INSURERS :'. ACIG Insurance Company 19984 <br /> P . O . BOX 208 INSURER C : <br /> North County Road 1 INSURERD : . ~ <br /> Prinsbur MN 56281 -- <br /> 9 [INSURER E : <br /> INSURER F : _ <br /> COVERAGES CERTIFICATE NUMBER : 19570333 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> ILTR TYPE OF INSURANCE DOL SUER POLICY NUMBER MM+LDO/YYYY MMIDDfYYYY LIMITS <br /> A COMMERCIAL GENE RAL LIABILITY GL13000028 6/1 !2013 6/1 /2014 EACH OCCURRENCE s 21000 ,000 <br /> CLAIMS-MADE FV ] OCCUR primary yAA AISTO RENTED E <br /> A GL13X00028 6/1 !2013 6/1 /2014 1?8EM11SE Itaoccurrence) $ _ 100 ,000 <br /> excess follow form MED EYP (Any one person) s 5_1000 <br /> PERSONAL 8 ADV INJURY $ 2,000 ,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 410001000 <br /> POLICY a <br /> JELOC PRODUCTS - COMP/OPAGG S 410001000 <br /> OTHER; <br /> S <br /> A AUTOMOBILE LIABILITY AL13000003 6/1 /2013 6/1 /2014 COMBINED SINGLE LIMIT S(Esoac2 ,000 000 <br /> ANY AUTO BODILY INJURY (Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> NON-OAUTOS AUTOS <br /> PERTY <br /> HIRED AUTOS - AUTOS�ED .(yacciden!DAMAGE $ <br /> S <br /> UMBRELLA UAB _ OCCUR EACH OCCURRENCE S _ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ R <br /> DEC) i J RETENTIONS s <br /> B WORKERS COMPENSATION WCA000008513 6/1 /2013 6/1/2014 <br /> AND EMPLOYERS' LIABILITY STATUTE ER� <br /> B Y / N WCA000004513 6/1 /2013 6/1 /2014 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 ,000 ,000 <br /> B OFFICER/MEMBEREXCLUDED? ❑N NIA WCA000011913 6/1 /2013 6/1 /2014 <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE! 5 140000000 <br /> It yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 1 ,000 ,600 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space Is required) <br /> Dunes Golf Course Irrigation System Project <br /> Indian River County is listed as Additional Insured <br /> CERTIFICATE HOLDER - CANCELLATION <br /> 2014024 <br /> River County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Indian <br /> IndianDIVISIOy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Purchasing Division <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> treet <br /> Vero Beach FL 32960 AUTHORIZED REPRESENTATIVE <br /> Michael J . O' Neill <br /> © 1988-2014 ACORD CORPORATION. All rights reserved . <br /> ACORD 25 ( 2014/01 ) The ACORD name and logo are registered marks of ACORD <br /> C R�' NO . : 19g70j33 CLIENT CODE : DU NINCK Heidi Gerdes 3 /24 / 2614 1 55 : 42 PM Page 1 04 2 , , <br /> T�13. s certificate cancels and supersedes ALL previously issued certificates . <br />
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