Laserfiche WebLink
EMCDI4 OP ID: MB <br /> CERTIFICATE OF LIABILITY INSURANCE 1 <br /> DAT05/06DIYYY1n <br /> 05/06/13 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF1NFORMATION 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: H the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. ff SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights <br />to the <br /> certificate holder in lieu of such endorsement(s), <br /> PRODUCER 1407-869-096 NOE cr . Michelle Benedict <br /> P� O. BHLE INSURANCE68 GROUP, INC. 407w77"936 . P"oNN . 407389-3527 FAX No ; 407-389-8427 <br /> ALTAMONTE SPRINGS, FL 32716 , VSs; mbenedict@sihie.com <br /> James Blakeley Newman <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br /> INSURER A : Commerce S Industry Insurance 19410 <br /> INSURED EMC Divers, Inc. INSURER 13 : <br /> 1190 Turnbull Bay Road <br /> New Smyrna Beach, FL 32168 INSURER C <br /> INSURER D : <br /> INSURER E : <br /> INSURER F ; <br /> COVERAGES CERTIFICATE NUMBER: 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 PERIOD <br /> INDICATED. NOTWITHSTANDING ANY- REQUIREMENT,-TERM OR CONDITION OF ANY CONTRACT OR-OTHEWDOCUMENTWITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> SR L SUOR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE, POLICY NUMBER IMMIODIYYYYI tMMMD/YYYY1LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea oewnence $ <br /> CLAIMS-MADE ❑ OCCUR MED EXP (Any one person) $ <br /> PERSONAL 8 ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ <br /> POLICY PRO-CT Ll LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea'accident <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS (Per-accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS44ADE AGGREGATE $ <br /> DED RETENTION $ <br /> WORKERS COMPENSATIONX WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY TO <br /> ER <br /> A OFFICEOPRIET ER EXCtUERRIDE? IVE XECUTY� N / A C4321709 05/03113 05103114 E.L EACH ACCIDENT $ 1 ,000100 <br /> (Mandatory In NH) E.L. DISEASE = EA EMPLOYEE $ 10000900 <br /> H yes describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,000,00 <br /> A USL&HWC4321709 05/03113 05103114 USLBH Statuto <br /> A Maritime C4321709 05/03/13 06/03/14 Marine Em 10000900 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Renado Schedule, I more space 1s required) <br /> Reference : Indian River County Bid #2013023- Annual Sid for Sediment <br /> Removal at PC Main <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE Indian River County ACCORDANCE- ON DATE THEREOF,WITFtTHE-POLICY-PROVISIONS.NOTICE WILL BE DELIVERED IN <br /> Building Division <br /> 1801 27th Street AUTHORIZED REPRESENTATIVE <br /> Vero Beach, FL 32960 <br /> ® 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />