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!!Zv CERTIFICATE OF LIABILITY INSURANCE OPID BM DATE (MM/DD/YYYY) <br /> 03 / 22 11 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 : If the certificate holder is an ADDITIONAL INSURED , the policy(ies) must be endorsed . If 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 <br />rights to the <br /> certificate holder in lieu of such endorsement(s ) . <br /> PRODUCER <br /> NAME: <br /> NFAX <br /> Cornish Zack Hill & Assoc , Inc AICNo Ext : (A/C , No): <br /> 24225 West Nine Mile Ste 204 ADDRESS : <br /> PRODUCER - <br /> Southfield MI 48033 CUSTOMERIDB: ALLPH - 4 <br /> Phone : 248 - 353 - 5850 Fax : 248 - 353 - 1432 INSURER(S) AFFORDING COVERAGE NAIC0 <br /> INSURED INSURER A : steadfast Insurance Company <br /> All Phase Solutions LLC INSURER B : Commerce s Industry Insurance <br /> 32 SW 5th Avenue <br /> Delray Beach FL 33444 INSURER C : Auto - owners Insurance Company 18988 <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 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 TO ALL THE TERMS , <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 'AD POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ l , 0 0 0 , O 0 0 <br /> A X COMMERCIAL GENERAL LIABILITY GPL - 4886122 - 02 03 / 19 / 11• 03 / 19 / 12 PREMISES (Ea occurrence) $ 100 , 000 <br /> CLAIMS-MADE F OCCUR MED EXP (Any one person) $ 5 , 0 0 0 <br /> X Pollution Liab , S PERSONAL & ADV INJURY $ 11000 , 000 <br /> GENERAL AGGREGATE $ 2 , 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG $ 2 , 000 , 000 <br /> X POLICY PRO LOC <br /> JECT $ <br /> AUTOMOBILE LIABILITY COMBINED <br /> BI <br /> DNGLE LIMIT <br /> ( Ea accident) $ 11000 , 000 <br /> C X ANY AUTO 48 - 613 - 082 - 00 10 / 29 / 10 10 / 29 / 11 BODILY INJURY (Per person ) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY (Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $ <br /> X HIRED AUTOS ( Per accident) <br /> X NON-OWNED AUTOS $ <br /> N <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> B WORKERS COMPENSATION WC 009 - 93 - 7012 04 / 12 / 11 04 / 12 / 12 X TORYLIMITS OTFF <br /> ER <br /> AND EMPLOYERS' LIABILITY <br /> Y / N <br /> ANY PROPRIETOR/PARTNER/EXECUTIV� E.L. EACH ACCIDENT $ 500 , 000 <br /> OFFICERIMEMBER EXCLUDED? ! - ' I 1A — <br /> (Mandatory In NH ) E. L. DISEASE - EA EMPLOYEE $ 5 O O , O O O <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500 , 000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space Is required) <br /> Project : Indian . River County Bid No . 2011033 . Asbestos Abatement of 6 <br /> Structures ( Gifford Gardens Apartments ) <br /> Additional Insured on General Liability as required by written agreement : <br /> Indian River County . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> INDRIVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS . <br /> Indian River County AUTHORIZED REPRESENTATIVE <br /> 1800 27th Street <br /> Vero Beach FL 32960 <br /> c 1988-2009 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />