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2010-025B
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2010-025B
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Last modified
11/24/2015 2:43:17 PM
Creation date
10/1/2015 1:58:36 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
01/19/2010
Control Number
2010-025B
Agenda Item Number
8.G.
Entity Name
Hurricane Debris Removal Contract
Subject
Ceres Environmental Services
Third Extension to Agreement
Supplemental fields
SmeadsoftID
9552
Document Relationships
2010-025A
(Attachment)
Path:
\Official Documents\2010's\2010
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DATE (MMIDUIYYYY ) <br /> QC ,jWT , CERTIFICATE OF LIABILITY INSURANCE 12/28 /2009 <br /> PRODUCER (852) 653 - 1000 FAX (952) 653 - 1101 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Christensen Group HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> Insurance Resources Int ' 1 . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> 11100 Oren Road West INSURERS AFFORDING COVERAGE NAIC # <br /> Minnetonka , MN 55343 <br /> INSURED CERES ENVIRONMENTAL SERVTCE5 , INC . INSURER A: ACE American Insurance III Company <br /> 3825 85th Ave INSURER B: Westfield Insurance Companies <br /> Minneapolis , MN 55443 INSURER 0: Commerce & Industry Insurance <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> POLICIES.MAY AGGTHE REGATEULMITS SHOWN MAY HAVE BEEN POLICIES DESCRIBED <br /> BY PAID CLAIMS.HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> INSR 00' TYPE OF INSURANCE POLICY NUMBER I <br /> GENERAL LIABILITY 624074754001 06/03 /2009 06 /03 /2010 EACH OCCURRENCE 5 ]. , 000 , 00 <br /> DAMAGE TO RENTED S 50 1 000 <br /> X COMMERCIAL GENERAL LIABILITY 5 , 00 <br /> CLAIMS MADE � OCCUR MED EXP (Any one person) 5 <br /> PERSONAL 6 ADV INJURY S 1 000 , 000 <br /> A X Equipment Flaoter LIMIT : $ 1 , 000 , 000 GENERAL AGGREGATE S 2 , 000 , 00 <br /> X Contractual Liabi LIMIT : $ 1 , 000 , 000 pRODUCTS - COMP/DPAGG S 2 , 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> POLICY X JECT LOC <br /> AUTOMOBILE LIABILITY CMM 4 0823 232 06/03 / 2009 06/03 / 2010 COMBINED SINGLE LIMIT S <br /> (Ea accident) 21000 , 000 <br /> XMANY AUTO <br /> ALLOWNED AUTOS BODILY INJURY 5 <br /> (Per person) <br /> SCHEDULED AUTOS <br /> B HIRED AUTOS BODILY INJURY S <br /> (Per acctdonq <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT S <br /> GARAGE LIABILITY EA ACC S <br /> OTHER THAN .....ANY AUTO AUTO ONLY: AGG S <br /> EACH OCCURRENCE S <br /> EXCESSIUMBRELLA LIABILITY <br /> ❑ CLAIMS MADE AGGREGATE 5 <br /> OCCUR 5 <br /> 5 <br /> DEDUCTIBLE S <br /> RETENTION 5 W C STATU- OTH- <br /> WORKERS COMPENSATION AND WC3429987 12/08/2009 12 /08/ 2010 X _ <br /> EMPLOYERS' UABILITY E.L. EACH ACCIDENT S 23000 , 000 <br /> C ANY PROPRIETORIPARTNERIEXECUTIVE E.L DISEASE - EA EMPLOYEE S 21000 , 00 <br /> OFFICERIMEMBER EXCLUDED? <br /> It yes, describo under EL DISEASE - POLICY LIMIT S 21000100 <br /> SPECIAL PROVIS10N5 6olrnv <br /> OTHER 624074754001 06/03 / 2009 06/03/ 2010 $ 12000 , 000 Each Condition <br /> ontractors Pollution G24074754001 06/03/2009 06/03 / 2010 $ 1 , 000 , 000 - Each Claim <br /> A rofessianal Liability <br /> DESCRIPTIONOF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS etc . ATIMA <br /> ndian River County Board of County Commissioners , which covers all Departments , <br /> is listed as Additional Insured under the General Liability policy with regards to : Indian River <br /> County Public Works Renewal , Hurricane Debris Removal and Disposal Contract <br /> - 10 days cancel notice for nonpayment of premium , 30 days for all other valid reasons = <br /> ob# 3082 <br /> _ N ELLA I N <br /> 51901 <br /> ATE H LDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE <br /> EXPIRATION GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> n River County Board of County = 10 DAYS WRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHELEFT, <br /> ssioners BUT FAILURETO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION On LIABILITY <br /> Attn : Luanne Marino OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> 27th St AUTHORIZED REPRESENTATIVE <br /> ��` <br /> Vero Beach , FL 32960 Kell Preston/ KP 1 <br /> ©ACORD CORPORATION 1988 <br /> ACORD 25 (2001108) <br />
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