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<br /> '4 p® CERTIFICATE OF LIABILITY INSURANCE DAT4'1412D/YYYY)
<br /> 4/4!2011
<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 ( 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 not confer rights
<br /> to the
<br /> certificate holder in lieu of such endorsement(s ) .
<br /> PRODUCER CONTACT Selina Palermo
<br /> Commercial Lines - ( 813 ) 639-3000 NAME:
<br /> Wells Fargo Insurance Services USA, Inc . PHONE . (813 ) 639- 3092 FAX No) : (813 ) 639-7180
<br /> E-MAIL o . com alermo wellsfar
<br /> 2502 N . Rocky Point Drive , Suite 400 ADDRESS : Selina . P @ 9
<br /> INSURER(S) AFFORDING COVERAGE NAIC #
<br /> Tampa , FL 33607 INSURER A : Nautilus Insurance Company 17370
<br /> INSURED Cross Environmental Services , Inc. INSURER B : Great Divide Insurance Company 25224
<br /> P . 0 . Box 1299 INSURER C :
<br /> INSURER D :
<br /> INSURER E : !
<br /> Crystal Springs , FL 33524 INSURER F :
<br /> COVERAGES CERTIFICATE NUMBER : 2609907 REVISION NUMBER: See below
<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
<br /> TERMS ,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY. PAID CLAIMS .
<br /> INSR I ADDL SUBR POLPOLICY NUMBER MM/DIDY EFF/YYYY MM DDYEXP
<br /> /YYYY
<br /> LTR TYPE OF INSURANCE LIMITS
<br /> A GENERAL LIABILITY
<br /> ECP0150718012 11 / 1 /2010 11 / 1 /2011 DAMAGE TO
<br /> RENTED _ $ 1 ,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGES ( RENTED 100,000
<br /> PREMISES Ea occurrence S
<br /> CLAIMS-MADE OCCUR BI / PD Combined MED EXP (Any one person) $ 5,000
<br /> X XCU not Excluded $ 5 , 000 Ded Per Claim PERSONAL & ADV INJURY S 1 ,000,000
<br /> X Broad Form PD GENERAL AGGREGATE S 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
<br /> POLICYX PRO- LOC Max Agg Per Policy $ 10,000,000
<br /> B AUTOMOBILE LIABILITY BAP150717912 11 / 1 /2010 11 / 1 /2011 COMBINED SINGLE LIMIT 1 ,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY (Per person) S
<br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE
<br /> X HIRED AUTOS AUTOS Per accident S
<br /> x Basic PIP - $ 1X is
<br /> A uMBRELLALIAB X OCCUR FFX150718112 11 /1 /2010 11 /1 /2011 EACH OCCURRENCE - $ 1 ,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1 ,000,000
<br /> DED X I RETENTION $ 10,000 $
<br /> WORKERS COMPENSATION X WC STATU- OTH-
<br /> S AND EMPLOYERS' LIABILITY y / N WCA150903612 03/01 /2011 03/01 /2012 1 TORY Ll IT
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 ,000,000
<br /> OFFICER/MEMBER EXCLUDED? � N / A
<br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1 ,000,000
<br /> If yes, describe under 1 ,000,000
<br /> DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $
<br /> A Contractors Pollution Liab ECP0150718012 11 /1 /2010 11 /1 /2011 $ 1 ,000,000 Each Pollution Condition/$2,000,000Agg
<br /> $ 5 , 000 Ded . Each Claim Mold Limit $1 ,000, 000/$2,000,000
<br /> w/S5,000 Ded.
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space is required)
<br /> REBID #2011033 RE : INDIAN RIVER COUNTY BID NO . 2011033 , DEMOLITION OF SIX (6 ) STRUCTURES ( GIFFORD GARDENS APARTMENTS ) .
<br /> INDIAN RIVER COUNTY IS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY .
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> INDIAN RIVER COUNTY THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN
<br /> BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS .
<br /> 1840 - 25th STREET AUTHORIZED REPRESENTATIVE �( ��
<br /> VERO BEACH , FL 32960
<br /> I
<br /> The ACORD name and logo are registered marks of ACORD © 1988 -2010 ACORD CORPORATION . All rights reserved .
<br /> ACORD 25 (2010105)
<br />
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