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2013-079A
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2013-079A
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Last modified
11/2/2015 10:43:47 AM
Creation date
10/1/2015 5:16:19 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
04/23/2013
Control Number
2013-079A
Agenda Item Number
8.E
Entity Name
EMC Divers, Inc.
Subject
Master Agreement Sediment Removal
Area
PC Main Pollution Control Facility
Bid Number
201320
Supplemental fields
SmeadsoftID
11886
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ACORD,� CERTIFICATE OF LIABILITY INSURANCE °04/ 25,""2°0"' <br /> PRODUCER Phone# 727-360-0092 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Coast to Coast Insurance Services, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 630 Corey Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> St. Pete Beach, FL 33706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC 0 <br /> INSURED INSURERA: RLI Insurance Company <br /> EMC Divers, Inc. = <br /> INSURERS: Lloyds of London <br /> 1190 Turnbull Bay Road <br /> New Smyrna Beach, FL 32168 INsuRERc: Travelers Insurance Company <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMMONVI DATE (NINIMIDIM LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 1 1000vow <br /> COMMERCIAL GENERAL LIABILITYM S s 50,000 <br /> A X CLAIMS MADE OCCUR MRP0200088 10/22/ 2012 10/ 22 /2013 MEDEXP (Anyone <br /> Person) f 5 000 <br /> PERSONAL AADV INJURY s 12000,000 <br /> GENERAL AGGREGATE s Z000,000 <br /> 000 <br /> GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS - COMPIOPAGG S 180000000 <br /> 71 POLICY F7 PRO LOC <br /> AUTOMOBILE LIAMUN COMBINED SINGLE LIMIT <br /> ANYAUTD $ 1 ' <br /> ( eBI000,000 <br /> ALL ONMEDAUTOS BODILY <br /> C SCHEDULED AUTOS BA- 1092903 - 12-SEL 08/10/2012 08/10/2013 s <br /> HIRED AUTOS aODILY INJURY <br /> NON-OINNEOAUTOS (Peraaident) f <br /> PROPERTYDAMAGE s <br /> (Peraeaaet,t) <br /> OARAOELUUMLITY AUTO ONLY - EAACCIDENT f <br /> ANY AUTO OTHERTHAN EAACC $ <br /> AUTOONLY: AGG S <br /> EXCE88IUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ED CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE s <br /> RETENTION S f <br /> WC STATU- 0 <br /> WORIMS COMPENSATION AN° <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT f <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICERIMEMSER EXCLUDED? E.L. DISEASE - EA EMPLOYEE f <br /> 1M1M <br /> deaabeunder <br /> IAL PROVISIONS below E.L. DISEASE - POLICY LIMIT f <br /> I <br /> OTHER <br /> B Maritime Employers 121. 1209C2013 10/22/2012 10/ 22/ 2013 Maritime Employers $ 1 .000 ,000 <br /> Liabili <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCAT"M I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Note: The Certificate Holder is named as Additional Insured , with a 30 day Notice of Cancellation . j <br /> Reference : Indian River County Bid #2013023 . <br /> I <br /> i <br /> I <br /> CERTIFICATE HOLDER CANCELLATION <br /> 814OULD ANY OF TME ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Indian River County Purchasing Division DATE THEREOF, THE ISBUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN j <br /> 1800 27th Street HOME TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL <br /> Vero Beach , FL 32960 IMPOSE NO OBLIGATION OR LIAB4m OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATGVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Ago : 1 <br /> ACORD 25 (2001 /OS) _' a Ac D CORPORATION 1988 <br />
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