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CERTIFICATE OF LIABILITY INSURANCE OP ID J5 7DAT0E !(MM1DDfYYYY) 13 10 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 . 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 NAME: Brown & Brown of Florida , Inc . PHONE 5900 N . Andrews Ave . # 300 ac No Ext : (AJC, No): P . O . Box 5727 ADDRESS: Ft . Lauderdale FL 33310 - 5727 PRODUCER CUSTOMER ID it: MELVINl Phone : 954 - 776 -2222 Fax : 954 - 776 - 4446 INSURER(S) AFFORDING COVERAGE NAICK INSURED INSURER A : Amerisure Mutual Ins . Co . 23396 Melvin Bush Construction , Inc . INSURER B : Federal Insurance Co 20281 2748 SW Casella Street Port St . Lucie FL 34953 INSURER C : Bridgefield Employers Ins . Co . 10701 INSURER D : 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 WITH 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. SH AWUL bUtSt' POLICY LIFF POLICY EXP FAX TYPE OF INSURANCE INSR WV POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 COMMERCIAL GENERAL LIABILITY GL2029043 04 / 17 / 10 04 / 17 / 11 PREMISES (Ea occurrence) $ 300 , 000 CLAIMS-MADE F7x OCCUR MED EXP (Any one person) $ 10 , 000 X $ 1000 Deductible X X PERSONAL BADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE s2 , 000 , 000 GEN'LAGGREGATE LIMIT APPLIES PER : PRODUCTS - COMP/OPAGG $ 2 , 000 , 000 POLICYX71 PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 11 000 , 000 A X ANY AUTO CA1386638 04 / 17 / 10 04 / 17 / 11 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ i EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ TATUC WORKERS COMPENSATION 7 01 / 01 / 10 01 / 01 / 11 X TORY LIMITS TF AND EMPLOYERS' LIABILITY ANY OFFICEER OPRIIMBOR EXCLUDED?ECUTIV� / A X E.L. EACH ACCIDENT $ 1 , 000 , 000 (Mandatory In NH) I E.L. DISEASE - EA EMPLOYEEI $ 1 , 00 , 000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 B Contractors Equip 6637063 04 / 17 / 10 04 / 17 / 11 Sched $ 2 , 003 , 864 1 , 000 D&D/ 1B T1V WIND DED I Lsd/ rntd $ 500 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, If more space Is required) JOB : IRC - Bid No . 2010052 . Certificate Holder is Additional Insured with respects to General Liability if required by written contract . Waiver of Subrogation applies to General Liability . andd Workers Compensation if required b written contract . 30 days written notice of cancellation except 10 days notice of cancellation for non -payment of premium . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE INDIAN1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County BOCC Purchasing Department AUTHORIZED REPRESENTATIVE 1800 - 27th Street Vero Beach FL 32960 PORATION . All rights reserved . ACORD 25 (2009/09 ) The ACORD name and logo are registered marks of ACORD