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'°�,,,,,,,'�,,.'c'�--R�' CERTIFICATE OF LIABILITY INSURANCE DATE (h17d,DDlYYY1') 11/4/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH15 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 CERIIFICATE HOLDER. IMPORTANT: If the certificat6 holder is an ADDITIONAL INSURED, the policy{ies) must be endorsed. If SUBROGATION IS WAIVED, sub)ectdo the terms and conditions of the policy, cettahT policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder to Ileu of such endorsement{s). PRODUCER NAMEACT Rebekah SWarin A enc LLC g y � PHONE �)� B-2211 �C No ; {407) 898-1650 P.OSsBoxx547275ce -MAIL rswann@cl _ _ ADDRESS: ossoninsurance. com PRODUCER......._,._....._..._ _.. -_ Cu57ohtER1D-�f)0007438 Orlando FL 32854-7275 .. ... _. ........... ...... .,..__ - --T— _ _ INSURER(S)AFFDRDINGCOVERAGE I lJAICt! INSURED _. __. _........ _. _..-��-- — 3NSURERA:HOT1StOri Casualty Company _ _ MBV Engineering, Inc. INSURERS: -- -_ _ - 1835 20th Street INSURER C -- - - --- INSURER D Vero Beach FL 32960 INSURER E: - - - - - -- IN5URER F COVERAGES CERTIFICATE NUMBER:2011-2012 Profess Liab REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L1STE0 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. WSR: ADDL':SUBR -.. .........._ LTR ' TYPEOF INSURANCE _. __. POLICY EFF POLICY EXP ---- It POLICY NUh16ER h4ADDlYYYY idtrVDO/YYYY LIMITS i GEtJERAL LiA BIUTY - � � r EACH OCCURRENCE { S 1 , 000 , U00 [ X ' CO'dlAERCIAL GENERAL LIABILITY __ _ DAE1A E T RENTED � � - --- �" A ; X�'CLA7M5adADE � PRElt,1SE�4 (Ea occurrenw) _ S _ 4/16/2011 � - OCCUR 71017929 /16/2D12 MEDEXP {Any on© Person) 5 '--- ro essional Liability --_ PERSONAL8ADVINJURY 5 _ _.._ �— - �-- � GENERAL AGGREGATE $ 1 , OOO , OOO GENT. AGGREGATE LIA71T APPLIES PER: i PRO- PRODUCTS • COA1P/OP AGG i S X POLICY LOC (iI _...._. ..-_.�_ _ --- ---- - I AUTOF.tO81LE LIABILITY ' j COtdBINED SINGLE LIMIT�— APJY AUiO I (Ea accident) � S i I ALLON'tJEDAUT05 I I _ _. �BODILYINJURY(Perperson) _ S, SCHEDULEOAUTOS � � BODILYINJURY(Peraccldent)) - S i HIRED AUTOS PROPERTY DA}dAGE - 5 I (Per accident) PJON-O'+INEDAUT05 �--._.. ......---- _-_ -- 5 S � UMBRELLA LIAB OCCUR I EXCESS LlAB EACH OCCURRENCE 5 --_. � - _.. CLAIMS-h1ADE f - - -- � AGGREGATE S DEDUCTIBLE i -�-- r 5 L RETENTION S ` � WORKERS COtd PENSATION S '........_. AND EtdPLOYERS' LIABILITY Y l N W�STAT U- DTH- ��- Ih11TS. ANY PROPRIETOWPARTtJER/EXECUTIVE _ - - -- -""- -- OFFlCERR,7Et.7BER EXCLUDED? NIA E.L., EACH ACCIDEtJT S (Mandatory to NH) � _ yy � E L DISEASE -_EA EAdPLOYE� S r DESCRIP ON OF OPERATIONS be!av ` r E L. DISEASE -POLICY LItt1T i S I DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (Attach ACORD i0t, Additional Remarks i ScfiedWe, if more space Is required) Named Tnsuzed Continued: Indian River Surveying, Inc, and Florida Environmental Consulting, Znc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Department 1800 27th Street, Building B AUTHDRI2EDREPRESENTATIVE Vero Beach, FL 32960 - -. _ . Lenise Zika/RLS C �.z.--ti L. c,-:��_ i 1. >'� . ,+.�<:.._. ACORD 25 (2009109) O 1988-2009 ACORD CORPORATION. All rights reserved. INS025 (2oosos) The ACORD nameand logo are registered marks of ACORD