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H 1 „g t ctI Ilk; I11177 mo. I>, 'rr `-x € s' . ,'As=?.s: Ilk . ,s �, T aIt , ;cx . oe OP ID : MK CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DOMYV) 04/18/12 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 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 CERTIFICATE HOLDER. IMPORTANT : If the certificate holder Is an ADDITIONAL INSURED, the policy( les) must be endorsed . if SUBROGATION IS WAIVED , subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement (s), PRODUCER 772 -2864334 CONTACT Stuart Insurance , Inc . 3070 S W Mapp 772 -286 -9389 PHONEFAX Palm City , FL 34990 E -MAIL — Joseph E . Coons, CPCU. CIC . ADDRESS: PRODUCER _------ CVS.TOMER(D a : GUETB-1 Il- INSURERS) AFFORDING COVERAGE NAIC M INSURED Guettler Brothers Constr. , LLC INSURER A : Owners Insurance Company - -_ 32700 _____... Ben G . Guettler INSURER B P .O. Box 12271 -- --- - ----- - - - - --- ------ Fort Pierce , FL 34979 -2271 INSURER C : INSURER 0 : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER : 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 VVITH 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 INSR ------- _ ADOL SUER'-_.__ -__ - LTR TYPE OF INSURANCE --�-- - � POLICY EF-K-�POLICY EXP �-- -- --- - - - -- " "- -- POLICY NUMBER IMMIDDrfYYYi fMM/DDIYYYYILIMITS GENERAL LIABILITY - EACH OCCURRENCE f COMMERCIAL GENERAL LIABILITY X 0AMAG>`TO-RENTED - - - _-_ -- . . _. ._.__ PREMISES .._ 1E a omkrrenceZ—T ' CLAIMS-MADE OCCUR MED EXP (Any one person) f PERSONAL 6 ADV INJURY f GENERAL AGGREGATE f GE N L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG ' f POLICY —! PER LOC ----- ---- S AUTOMOBILE LIABILITY COMBINEC SINGLE LIMIT S 1 , 000 ,00 X (Ea acadent) ANY AUTO 4883978000 06/02/11 06/02/12 - - --- -- — — - -- - --- - BODILY INJURY (Per person) f A ALL OWNED AUTOS BODILY INJURY (Par acridenp f _ SCHEDULED AUTOS - PROPERTY DAMAGE X HIRED AUTOSi I f I (Per acadenq X NON-OWNED AUTOS f � f UMBRELLA LIAR 1 OCCUR EACH OCCURRENCE S EXCESS LIAR .._ _ 'I CLAIMS-MADE . _._ _ �� AGGREGATE S DEDUCTIBLE — - - - - - f RETENTION f S WORKERS COMPENSATION WC STATL'- OTH- ANDEMPLOYERS' LIABILITY YIN ___iTORY LIM(TS. . _ __ : ER ANY PROPRIETOR/PARTNERIEXECUTIVE ; E L . EACH ACCIDENT • S OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH ) If yes. describe under ! _ E L DISEASE • EA EMPLOYEE . f I Ilk DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT S I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space Is required ) RE : IRC Bid No . 2012032 . 66th Avenue Roadway Improvements - Phase 2 (4th Street to 16th Street) ` 30 day notice of cancellation applies CERTIFICATE HOLDER CANCELLATION IRBLDEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Indian River County ACCORDANCE WITH THE POLICY PROVISIONS . 1801 27th Street Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved . ACORD 25 ( 2009109) The ACORD name and logo are registered marks of ACORD