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'A� CERTIFIGATE tJF LIABILITY INSURANCE °ATE`Mh1,D°'YYYY' 11/4/2011 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 Ai=FORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITtjTE 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(les) mustbe endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poiicies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). ', PRODUCER CONTgcT Rebekah $Wane NA ht E: ossan Insurance A enc LLC PHONE jFAX : (4o�)ess-ieso g Y, Exit: t407)898-2211 jLA1C.No) P.O. Box 547275 -MAIL __ _ -_.-_ ADOREss:rswann@clossoninsurance.com PRODUCER ��'-- '�� Dtr3>"RIDap0007438 _ ___. _ _ Orlando FL 32854-7275 INSURER{S AFFORDING COVERAGE NAICN _...... INSURED __ „ ....... .. ____ '. INSURERA,:Landmark. American 33138 INsuRER s �ridgefield Employers 10701 MBV Engineering, Inc. - - 1835 20th Street iNsuRERc: _ _ ..._ ... _ INSURER D : '. Vero Beach FL 32960 �"�� R� _- INSURER F COVERAGES CERTIFICATE NUMBER.2011-2012 GL & wC 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 1S SU63ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - _ _ _.. .__. ,_ LTR TYPEOFINSURANCE "'A UBR— POLICY NUMBER ;1fNODnYYY��tdlO.VLpCpYEXP-�. � LIMITS �� — OENERAL LFABILITY EACH OCCURRENCE S 1,000,000 }: COhit.1ERCIAL GENERAL LIABILITY -bA d� AGE -TO REND - PREMISES_ Ea occurrence 5 100 , 000 A bLAIMS-MADE �X�'OCCUR X BA120576 b/14/2011 6/14/2012 �-�� MED EXP (Any one person) S 5 , 00 0 '. "- """"- ---�--�— � PERSONALBADVINJURY 5 1 OOO 000 '.. .. ._ _.._ _.— ._-�.—r. .. - "` --�- I GENERAL AGGREGATE 5 2 000 , 000 GENL AGGREGATE LIMIT APPLIES PER: i PRODUCTS CO;UPlOP AGG S _ 2 , OOO OOO X 'POLICY PRO- (LOC � AUTOMOBILE LIABILITY 5 ----- COtdBINED SINGLE LlhtlT S ANY AUTO (Ea accident) ALLONNEDAUTOS BODILYINJURY{perperson) 5 _— _...__—_ SCHEDULED AUTOS BODILY INJURY (Per accident) S '. HIRED AUTOS PROPERTYOAfdAGE S -�--- - -.._. (Per aCC+denl) NON-0WNED AUTOS --- 5--- - S_._ _.. UMBRELLA LIAB OCCUR �� FACH OCCURRENCE S EXCESS UAB I --- .... fCLAIMS-MADE _.. _...___ - �' � �- AGGREGATE S ` DEDUCTIBLE � - - --- ---- ---- S RETENTION S ....._. _..— ..... _......— _._ '. B WORKERS COMPENSATION 5 AND Eh1PLOYERS' LIABILITY Y / N VdC STL NYU- OTH- ANY PROPRIETOR+PARTNER/EXECUTIVE � '�" -- � '. I EL -EACH ACCIDENT._ 5, 100i000 830-42309 5%14/2011 6/14/2022 _- (Mandato In NH __ _ If es, describe under _E L DISEASE -EA EMPLOYE S __ 1.� 000 +. 6lBER EXCLUDED9 N i A y ry ) DESCRIPTION OP OPERATIONS be;ov E.L. DISEASE -POLICY LIMIT S Cn n nn n DESCRIPTION OFOPERATIONS (LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarka SchedWe, if mora space Is required) Named Insured Continued: Florida Environmetal Consulting, Inc. Indian River County is listed as additional insured with respects to general liability as required by written contract. 30 days notice of cancellation, 10 days notice for non-payment of premium, ', '7727705140@myfax.com Indian River County 1800 27th Street Vero Beach, FL 32960 ACORD 25(2009/09) INS025 (zoosos) ELLA7 SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE nise Zi.ka/RLS C-z.-s-a.�cz �. � ;,tom The ACORD name and logo are registered marks of ACORD RD CORPORATION. Ail rights reserved.