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AN To : 9 770 - 5140 Page : 001 <br /> AC R ® CERTIFICATE OF LIABILITY INSURANCE 12 /23/2013`'e"'° ' <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI3 <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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject <br /> to <br /> the terms and conditions of the policy, certain policies may require an endomemenL A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement (s). <br /> CONTACT <br /> PRODUCM Lois Robertson <br /> Schlitt Insurance Services PHONE . ( 772 ) 567 -1188 FA1tNet <br /> (772) »9-leis <br /> 14UC- HL1717 Indian River Boulevard , loi s@ schlittservices a com <br /> Suite 300 INSURER(S) AFFORONG COVERAGE NMS <br /> Vero Beach IL 32960 INSURERA '.rirst Mrcury Insurance Co . <br /> INSURED INlURERs :FOR1IMST IZTSUI(iRmcm CO Liles <br /> Sosmmit Construction of Vero Beach , LLC INsuRERc : <br /> 2837 rlight Safety Dr . INSURER 0 : <br /> INSURER E : <br /> Vero Beach LFL 32960 INS IRERF : <br /> COVERAGES CERTIFICATE NUMBER:CL13122300390 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 /> LTR TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LYIBILFTY EACH OCCURRENCE i 11000 , 000 <br /> DAMAGE 10 Krim I rLs <br /> X COMMERCIAL GENERAL LIABILITY PREMISES IEy oo unence i 50 , 000 <br /> CLNMSMAOE ❑X OCCUR X MkCr.LO00000628902 /24 /2013 /24 /2014 NED EXP ons $ Exclude <br /> PERSONAL�& ADV N L1RY = 10000 , 000 <br /> GENERAL AGGREGATE = 2 , 000 , 000 <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/DP AGG = 2 , 000 , 000 <br /> X POLICY PECTRO r I LOC <br /> AUiOMOBAE LIABILITY s 1 000 000 <br /> BODILY N"Y Per person) S <br /> B X ANY AUTO BODILY INJURY Per accident) f <br /> ALL SCHEDULED CP005416526 1 /21/2 <br /> O013 1 /21/2014 <br /> NON-OWED P�PERTY DAMA 'E _ <br /> HIREDAUTOS AUTOS <br /> Undedrnwed motorml f 1 000 000 <br /> ]( UMBRELLA LIAS }( OCCl1R EACH OCCURRENCE $ 2 , 000 , 00 0 <br /> EXCESS LIAS CLAIMS-MADE AGGREGATE i 21000 , 000 <br /> OED x " DID" L000000631902 /24/2013 /24/2014 f <br /> WORKERS COMPENSATION WC STATUS OTH- <br /> AND EMPLOYERS' LABILITY <br /> ANY PROPRIETORFARTNERIE7ECUTIVE YIN E.L. EACH ACCIDENT t <br /> OFFICEWMEMBEI1 E) CLUDED9 NIA <br /> (M andtery in NH) E.L. DISEASE - EA EMPLOYE i <br /> hyes, desaibe under E.L. DISEASE - POLICY LIMIT $ <br /> OESCRO= OF OPERATIONSbebw <br /> DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES (Aaech ACORD 101 , Addltlent Remarks Schedule, H mon speea Is required) <br /> Certificate Holder is Additional Insured for General liability re : Gifford Ballfields . <br /> CERTIFICATE HOLDER CANCELLATION <br /> 770 -5140 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN <br /> ACCORDANCE MRN THE POLICY PROVISIONS. <br /> Indian River County <br /> Purchasing Dept . AUTHORIZED REPRESENTATIVE <br /> Attn : Jennifer Hyde <br /> 1900 27th Street _ ,r <br /> Vero Beach , LFL 32960 Schlitt Jr . /LAR Y <br /> ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. f' <br /> i <br /> INS025 (2dioms of The ACORD name and logo are registered marks of ACORD <br /> 4 <br />