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Last modified
12/8/2015 5:03:54 PM
Creation date
10/1/2015 1:17:41 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Bid
Approved Date
02/16/2010
Control Number
2010-051
Agenda Item Number
12.J.1.
Entity Name
Synagro South, Biosolids Dewatering Facility
Subject
Facility Operation
Bid Number
Indian River County Bid No. 2010029
Supplemental fields
SmeadsoftID
8332
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DATE ( MMIDDIYYYY) <br /> A4C R ®® CERTIFICATE OF LIABILITY iNSURANC <br /> 2010 2/25/2010 <br /> PRODUCER LOCKTON COMPANIES, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 5847 SAN FELIPE, SUITE 320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOUSTON TX 77057 HOLDER, THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 866-260-3538 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED SYNAGRO SOUTH, LLC INSURER A: American International Specialty Lines Insurance CO. 26883 <br /> 1305901 1002 VILLAGE SQUARE INSURER B: Libcrty Mutual Firc Insurance Company 23035 <br /> SUITE C INSURER C : Liberty Insurance Corporation 42404 <br /> TOMBALL TX 77375 <br /> INSURER D: Illinois National Insurance Company 23817 <br /> INSURER E_ <br /> COVERAGES SYNS001 AR THIS CERTIFICATE OF INSURANCE GOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING <br /> INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> INSR DD' POLICY EFFECTNE POLICY EXPIRATION <br /> LTR !NSRC TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MMIOD/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1 ,000,000 <br /> A X CODAMAGE TO RENTED' <br /> MMERCIAL GENERAL LIABILITY EG 18305986 5/ 1 /2009 11 / 1 /2010 PREMISES Ea occurrence $ 1 ,000,000 <br /> CLAIMS MADEXa OCCUR MED EXP (Any one person) S 10,000 <br /> X XCU NOT EXCLUDED PERSONAL 8 ADV INJURY S 110001000 <br /> GENERAL AGGREGATE S 2 ,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 21000,000 <br /> POLICY X PRO <br /> JECj LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> S 2 ,000,000 <br /> B X ANY AUTO AS2 -691 -437721 -019 5/ 1 /2009 5/ 1 /2010 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY S XXXXXXX <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY S XXXXXXX <br /> X NON-OWNED AUTOS (Per accident) <br /> X $ 1 ,000 DED: PROPERTY DAMAGE <br /> X COMP & COLL (Per accident) S XXXXXXX <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX <br /> ANY AUTO NOT APPLICABLE OTHER THAN EA ACC S X}(XX.XX}( <br /> AUTO ONLY: AGG S XXXXXXX <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S 5 000 000 <br /> D X OCCUR CLAIMS MADE BE 268 21 25 5/ 1 /2009 11 / 1 /2010 AGGREGATE $ 000 000 <br /> UMBRELLA $ XXXXXXX <br /> DEDUCTIBLE X FORM S XXXXXXX <br /> X RETENTION S 10 ,000 S XXXXXXX <br /> WORKERS COMPENSATION X TORY TATUS OER <br /> C AND EMPLOYERS' LIABILITY YIN WA7-69D-437721 -029(AOS) 5/ 1 /2009 5/ 1 /2010 <br /> C ANY PROPRIETOR/PARTNERIEXECUTIVE WC7-691437721 -039(Wl ) 5/ 1 ,02009 5/ 1 /2010 E.L. EACH ACCIDENT S 1 ,000,000 <br /> OFFICER/MEMBER EXCLUDED? ❑N <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEEI S 1 ,000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I S 1 ,000,000 <br /> A OTHER COPS 18294567 5/ 1 /2009 5Jl /2011 EACH CLAIM 510,000,000 <br /> PROFlPOLLUTION AGGREGATE S20,000.000 <br /> LEGAL-GENERAL RETENTION 5100,000 <br /> CONTRACTOR'S FORM <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> CANCELLATION: 30 DAYS EXCEPT 10 DAYS FOR NON-PAYMENT. BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE <br /> HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS <br /> AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPEL) WHERE REQUIRED BY WRITTEN CONTRACT. SEE ATTACHED. RE: CONTRACT <br /> #2010029 - OPERATIONS OF THE INDIAN RIVER COUNTY BIOSOLIDS DEWATERING FACILITY, SLUDGE DEWATERING AND HAULING; <br /> LOCATION : VERO BEACH , FL. <br /> CERTIFICATE HOLDER CANCELLATION EM "99941 <br /> 10492389 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> INDIAN RIVER COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> PURCHASING DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 180027TH STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> VERO BEACH FL 32960 REPRESENTATIVES. <br /> l AUTHORIZED REPR SENTATIVE <br /> ACORD 25 (2009/01 ) © 1988-2009 ACORD CORPORATI N . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br /> For questions regarding this certificate, contact the number listed In the 'Producer' sectlon above and specify the client code 'SYNSODI '. <br />
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