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Last modified
5/2/2024 11:40:54 AM
Creation date
10/1/2015 2:37:04 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
12/21/2010
Control Number
2010-319
Agenda Item Number
8.M.
Entity Name
Susstainable Engineering and Design LLC
Subject
Engineering Services Egret Marsh Stormwater Management
Area
Egret Marsh
Project Number
SED-10-062
Supplemental fields
SmeadsoftID
9904
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� r <br />A� ® CERTIFICATE OF LIABILITY INSURANCE DATE 8/30/2010 Y) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Ann Watters <br />NAME: <br />Brown and Brown Insurance of Brevard _ n ONE tet). (321) 757-8686 FAX <br />A •Not: (szl) 797-8687 <br />7341 Office Park Place ADDR1ESS:awatters@bbbrevard.com <br />Suite 202A PRODUCER 90020646 <br />TAMER ID #. <br />Melbourne FL 32940 INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED INSURER A :Hartford <br />Sustainable Engineering & Design, LLC <br />PO Box 2247 <br />Vero Beach FL 32961 INSI <br />COVERAGES CERTIFICATE NUMBER:CL1083008615 <br />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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F OCCUR <br />1SBMUG7031 <br />6/18/2010 <br />6/18/2011 <br />EACH OCCURRENCE <br />$ 2 , 000 , 000 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$ 50,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GENERAL AGGREGATE <br />$ 4 , 000 , 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PROECT LOC <br />J <br />PRODUCTS - COMP/OP AGG <br />$ 4 , 000 , 000 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />1SBMUG7031 <br />6/18/2010 <br />6/18/2011 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 21000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />X <br />X <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N I A <br />WC STATU- <br />TQRYLIMI <br />OTH- <br />E <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />TE HOLDER <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />INSURED' S COPY ONLY ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Todd Piersol/ANN <br />ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />INS025 (200909) The ACORD name and logo are registered marks of ACORD <br />
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