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1 '4 CERTIFICATE OF LIABILITY INSURANCE DATE09 / 19 / 21 /Y013 9 / 23 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1 - 314 - 965 - 4346 CONTACT Sandy Grose Arthur J . Gallagher Risk Management Services , Inc . PHONE 314 - 800 - 2269 n/c No : 866 - 201 - 3567 12444 Poweracourt Drive ADDRESS: sandy ..gross@ajg . com St . Louis , MO 63131 INSURERS AFFORDING COVERAGE NAICX Craig R . Parres INSURER A : SENTRY CAS CO 28460 INSURED INSURER B : SENTRY INS A MUT CO 24988 Flanders Electric Motor Service , Inc . INSURER C : COMMERCE & INDUSTRY INS CO 19410 2701 S . Combee Road INSURER D : Lakeland , FL 33803 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER : 35776883 REVISION NUMBER : THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS , INSR I ADDL SUEREFF POLICY LTR TYPE OF INSURANCEXP PLICNUMBER MM/DDY/YYYY MM/DD/YYYY LIMITS A I GENERAL LIABILITY 90 - 17275 - 02 08 / 01 / 1 08 / 01 / 14 EACH OCCURRENCE S 110000000 XA O RENT COMMERCIAL GENERAL LIABILITY AMLU PREMISES Ea occurrence $ 100 , 000 CLAIMS-MADE a OCCUR MED EXP (Any one person) S 5 , 000 X $ 250 , 000 deductible PERSONAL & ADV INJURY $ 110000000 GENERAL AGGREGATE $ 5 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 X POLICY PRO- LOC $ B AUTOMOBILE LIABILITY 90 - 17275 - 03 COMBINED SINGLE LIMIT Ea accident 21 000 , 000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ Ix 250X Dad . $ C ' X UMBRELLALIAB X OCCUR BE3298636 08 / 01 / 1 08 / 01 / 14 EACH OCCURRENCE $ 10 , 000 , 000 EXCESSLIAB CLAIMS-MADE AGGREGATE $ 10 , 000 , 000 i DED RETENTION $ $ WORKERS COMPENSATIONWC STATU - OTH- A ! AND EMPLOYERS• LIABILITY 90 - 17275 - 01 ( AOS ) 08 / 01 / 1 08 / 01 / 14 X A ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 90 - 17275 - 04 ( WI ) 08 / 01 / 1 08 / 01 / 14 E.L. DRYEACH ACCIDENT $ 1 , 000 , 000 OFFICER/MEMBER EXCLUDED? ❑ N / A I (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE S 11 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT 1 $ 1 , 000 , 000 B ; Auto Physical Damage 90 - 17275 - 03 08 / 01 / 1 08 / 01 / 14 $ 50 , 000 . Ded . i i I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 701 , Additional Remarks SchaduleGd-lC`[FjtoGell �(`#7s�utred) The limit shown for the Excess Liability coverage is at least � 0 arft' b8• policy . Indian River County is shown as an Additional Insured solely ;. r ectLral Liability coverage as evidenced herein as requried by written contract with respect to work INPerfo by t 'a Insured . General Liability - Additional Insured - CG 80181204 : .\L CP Bid No . 2013046 - North CountRO• F TATE OF FL RIGA ✓ INDIAN RIVER COUNTY r" „•! CERTIFICATE HOLDER THIS IS TO CERTIFY THAT THIS IS 60 CE>kti' THE ORDINAL ON FILE IN THIS S `� � i F�' o° OFFICE . T� ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Indian River County FFpEY R . g , CLERK T FV61 �k►1'b DATE THEREOF, NOTICE WILL BE DELIVERED IN Office of Management and Bu get A CORDANCE WITH THE POLICY PROVISIONS , BY .C. 1800 27th Street DATE 10 JIFJ 13 AUT RIZED REPRESENTATIVE Vero Beach , FL 32960 R WA BSA © 1988-2010 ACORD CORPORATION . All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Sgross 35776883