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2011-214A
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2011-214A
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Entry Properties
Last modified
2/17/2016 11:22:17 AM
Creation date
10/1/2015 2:57:52 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/11/2011
Control Number
2011-214A
Agenda Item Number
8.H.
Entity Name
Lucas Marine Acquisition Co.
Subject
Bridge Replacement and Roadway Improvements
Area
82nd. Ave. at 4th St.
Project Number
0208
Bid Number
2011057
Supplemental fields
SmeadsoftID
10302
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r� U 7HOLDER . <br /> YY ) <br /> � c- c� Fzn CERTIFICATE OF LIABILITY INSURANCE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICISCERTIFICATE DOES NOT <br /> AFFIRMATIVELY OR NEGATIVELY AMEND , EXTEND OR ALTER THE COVERAGE AFFORDEDESBELOW . THIS CERTIFICATE OF INSURANCE DOES <br /> NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREED <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 <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 <br /> rights to the <br /> certificate holder in lieu of such endorsemel a) <br /> v <br /> CONTACT D <br /> PRODUCER NAME : .. <br /> Aon Risk services Northeast , Inc . PHONE ( 866 ) 283 - 7122 F 'ix ( 8a7 ) 953 - 5390 m <br /> Boston MA office (A/C . No. E :q _ J <br /> (A1C . No . <br /> o <br /> One Federal street E -MAIL <br /> Boston MA 02110 USA ADDRESS. _ <br /> INSURER( S ) AFFORDING COVERAGE NAIC p <br /> INSURED INSURER A. united states Fire Insurance Co . 21113 <br /> Lucas Marine Acquisition Co . , LLC INSURER National union Fire Ins Co Of Pittsburgh 19445 <br /> 549 South Street19410 <br /> Quincy MA 02269 USA INSURER CCommerce & Industry Ins Co <br /> INSURER D . <br /> INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER : 570044154093 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 <br /> TERMS , <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . Limits shown are as requested <br /> INSR ADO TYPE OF INSURANCE POLICY NUMBER I P LIMITS <br /> LTR 'NSR WVD MOLIC YYY IMMIDl <br /> B GENERAL LIABILITY 1 1010112011 101UI12012 EACH OCCURRENCE $ 1 , 00O , 000 <br /> AMA N $ 3009000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence <br /> CLAIMS-MADEX❑ OCCUR MED EXP (Any one person ) $ 10 , 000 <br /> PERSONAL B ADV INJURY $ 1 , 000 , 000 m <br /> GENERAL AGGREGATE S2 , 000 , 000 <br /> G -. PRODUCTS - COMP/OP AGG 52 , OOO , OOO <br /> EML AGGREGATE LIMIT APPLIES PER <br /> 0 <br /> POLICY X PROT X LOC <br /> A AUTOMOBILE LIABILITY 133 - 731428 - 4 10/01 / 2011 10 0112012 COMBINED SINGLE LIMIT $ 19000 , 000 <br /> Ea accident . . <br /> BODILY INJURY ( Per person ) o <br /> X ANY AUTO Z <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident ) Gl <br /> AUTOS AUTOSPROPERTY DAMAGE U <br /> HIRED AUTOS NON-OWNED Per accident <br /> AUTOS <br /> d <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE U <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION <br /> C WORKERS COMPENSATION AND wC005226572 10 01 / 2011 10/ 01 / 2012LT <br /> U- OTH - <br /> S EREMPLOYERS' LIABILITY Y / NANY PROPRIETOR / PARTNER / EXECUTIVE <br /> ENT 51 O0O , O00IN <br /> OFFICER/MEMBER EXCLUDED N1A <br /> ( Mandatory in NH) EMPLOYEE $ 1 , 000 , 000f yes describe under00 <br /> DESCRIPTION OF OPERATIONS DelowLICY LIMIT $ 1 000 0 <br /> N <br /> WNW <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule , if more space is required) <br /> ~F <br /> Indian River is included as Additional insured as required by written contract , but limited to <br /> the operations of the Insured ;T" <br /> under said contract , per the applicable endorsement with respect to the General Liability policy . se <br />a <br /> ti <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS . 04. <br /> Indian River County AUTHORIZED REPRESENTATIVE <br /> 1801 27th street , <br /> vero Beach FL 32960 USA �Y/v ' / }/ Or <br /> C�YFC�-1IG �j VG�. E iCCC.7 c,� lUl``LiL!'!� c/ IYC. <br /> ©1988 -2010 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 ( 2010105 ) The ACORD name and logo are registered marks of ACORD <br />
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