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2012-021B
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2012-021B
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Entry Properties
Last modified
12/15/2015 1:23:01 PM
Creation date
10/1/2015 4:09:52 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
02/14/2012
Control Number
2012-021B
Agenda Item Number
8.E.
Entity Name
Mancil Tractor Services
Subject
Contract Documents and Specifications Overflow and Vehicular Staging
Fairgrounds Events
Area
Indian River Fairgrounds Phase 2
Project Number
1047-2
Bid Number
2012028
Archived Roll/Disk#
112-R-0001
Supplemental fields
SmeadsoftID
10979
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MANCT- 1 OP ID : SB <br /> CERTIFICATE OF LIABILITY INSURANCE F <br /> DATE ( MMIDDIVYYY) <br /> oz/ 1 s/12 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER <br /> , 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, <br />subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br /> not confer rights to the <br /> certificate holder in lieu of such endorsement ( s ). <br /> PRODUCER <br /> 772 -286 -4334 NADMEACT Cabot Lord <br /> Stuart Insurance , Inc . 772 -286 -9389 A"� NE <br /> , . Ext : 772 -286 4334 <br /> 3070 S W Mapp AIc . No : 772-286 -9389 <br /> Palm City, FL 34990 n oRE <br /> Cabot W. Lord , CIC . ss : clord stuartinsurance . net <br /> INSURER( S) AFFORDING COVERAGE NAIC <br /> INSURER A : Westfield Insurance 24112 <br /> INSURED Mancils Tractor Service , Inc . INSURER B : <br /> 4551 SE Hampton Ct . <br /> Stuart , FL 34997 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 <br /> POLICY 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 <br /> TO ALL THE TERMS , <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> 1LTR TYPE OF INSURANCE IINSR WVQ POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 <br /> A X COMMERCIAL GENERAL LABILITY X TRA7416829 02/04 /12 02/04/13 PPEM '' SES Ea occurrence $ 150, 00 <br /> CLAIMSMADE I OCCUR MED EXP ( Ary one person ) $ 10000 <br /> PEP. SONAL 8 ADV INJURY $ 11000 , 00 <br /> GENERAL AGGREGATE $ 21000 , 00 <br /> GEN' L AGGREGATE LIMT APPLIES PER PRODUCTS - COMPIOP AGG $ 210001, 00 <br /> PP. O - <br /> POLICY X T LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident) $ 11000900 <br /> A X ANY AUTO TRA7416829 02/04/12 02/04/ 13 BODILY INJURY ( Per person ) $ <br /> ALL OWNED SCHEDULED BODILY INJURY ( Per accident ) $ <br /> AUTOS AUTOS <br /> NON- OWNED PROPERTY DAMAGE <br /> HIR EDAUTCS AUTOS <br /> Peraccident $ <br /> $ <br /> X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 19000, 00 <br /> A EXCESS LIAB CLAIMS- MADE TRA7416829 02/04 /12 02 /04/13 AGGREGATE $ 11000, 000 <br /> DEC, X PETENTION $ 0 Prod /CO A $ 11000 , 000 <br /> WORKERS COMPENSATION LYC STATL OTH - <br /> AND EMPLOYERS ' LIABILITY YIN <br /> FP <br /> ANY FROPRIETOPIPARTtJE11EXECUT, VE E L EACH ACCIDENT $ <br /> OFF10ERIMEMBER EXCLUDED ? N I A <br /> ( Mandatory in NH ) E L DISEASE - EA EMPLOYEE $ <br /> ' yes describe under <br /> DESCRPTICN OP OPERATIONS below E L DISEASE - POLICv LIMIT $ <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHCLES (Attach ACORD 101 , Additional Remarks Schedule, it more space Is required) <br /> Certificate holder is Additional Insured with respect to General Liability <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDRC -4 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN <br /> Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1801 27th St AUTHORIZED REPRESENTATIVE <br /> Vero Beach , FL 32960 <br /> O 1988-2010 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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