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ACORO® DATE (MMIDD/YYYI� CERTIFICATE OF LIABILITY INSURANCE 6 / 5 / 2013 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 WANED, 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). CONTACT PRODUCER Holly Martino Ellsworth Corporation PNONE ( 504 ) 455 - 4545 jAnsFAX . ( 504) 888- 6645 -MAIL HollyNgelieMorthcorporation . com 3636 S . I - 10 Service Rd PRODUCER P . o . Box 8210 00001158 Metairie LA 70011 - 8210 INSURERS AFFORDING COVERAGE NAICN INSURED INSURER A : Scottsdale Insurance Coo 1297 INSURER B :HOuston Specialty Insurance 2936 Omni Pinnacle , LLC INSURER C :La Workers COM COKPO Men 90 Glen Court INSURER D Westchenter Surplus Lines Ins . INSURER E Pearl River LA 70452 COVERAGES CERTIFICATE NUMBER:13 - 14 UPDATED Maxtor 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 E PY PAID CY EXIMS, BRIuMITs MEN INSR LTR TYPE OF INSURANCE POLICY NUMBER OENERALLIABIUTY EACH OCCURRENCE $ 11000100 ( X COMMERCIAL GENERAL LIABILITY PREMISES (EaoccrxreII i 50 , 001 A CLAIMS-MADE � OCCUR X X PS1771449 / 1 / 2013 / 1 /2014 MED EXP An one arson $ 5 , 0eeeeee 01 IIIIIIIIIAMIPERSONAL & ADV INJURY $ 11000 , 001 GENERAL AGGREGATE $ 2 , 000 , 00 PRODUCTS - COMPIOP AGG $ 2 , 000 , 00 , [GEN'L AGGREGATE LIMIT APPLIES PER: S X POLICY F71 PRO- LOC COMBINED SINGLE LIMIT $ 11000 , 00 AUTOMOBILE LIABILITY (Ea accident) X ANY AUTOBODILY INJURY (Per person) S SLR180041902 /1 /2013 /1 /2014 B ALL OWNED AUTOS X X BODILY INJURY (Per aocideM) S SCHEDULED AUTOS PROPERTY DAMAGE S (Per accident) Hift AUTOS S NON-OWNED AUTOS S EACH OCCURRENCE S 5 , o00 , 00 X UMBRELLA LIAR X OCCUR 5 QQQ QQ EXCESS LIAR C •M LAIMSADE AGGREGATE $ $ DEDUCTIBLE X X 50029892 / 1 /2013 / 1 /2014 S A RETENTION S MWEENII WC STATU- OTH- C WORKERS COMPENSATION X Includes Bkt Alternate X AND EMPLOYERS' LIABILITYYIN loyer 6 INDS E.L. EACH ACCIDENT $ 1 000 0 ( ANY PROPRIETORIPARTNERIEXECUTIVE � 9 / 21 / 2012 / 21 / 2013 OFFICERIMEMBER EXCLUDED' N / A 42759 E.L. DISEASE - EA EMPLOYE $ 1 000 O ( (Mandatory In NH) H yes, describe under E.L. DISEASE - POLICY LIMIT $ 0 DESCRIPTION OF OPERATIONS below 21000 , 04 D Contractors Pollution 24393343001 / 1 /2013 / 1 / 2011 LIMIT: per occ+ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, H more space Is required) RE : BID NO . : 2011040 INDIAN RIVER COUNTY DISASTER DEBRIS REHIOVAL AND DISPOSAL CONTRACT . The above policies have been endorsed to provide the Certificate Holder with 30 Days Written Notice of Cancellation < material change in coverage . GL and Auto Liability policies provides Blanket Additional Insured and Blanket Waiver of Subrogation only as requires CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Ih ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County 11 11 Me Me WIN Purchasing Division AUTHORIZED REPRESENTATIVE 1800 27th Street Vero Beach , FL 32960 - Holly Martino /HM ACORD 25 ,(2009109) © 1988-2009 ACORD CORPORATION. All rights reserw , s1eA,a ,,,,,,,o,,,, The ACORD name and logo are registered marks of ACORD