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2012-051B
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2012-051B
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Entry Properties
Last modified
12/17/2015 1:39:25 PM
Creation date
10/1/2015 4:19:17 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/20/2012
Control Number
2012-051B
Agenda Item Number
8.F.
Entity Name
Technical Electric Systems,Inc.
Subject
South County RO facility generator removal and installation
Area
South County RO Facility
Archived Roll/Disk#
112-R-0001
Supplemental fields
SmeadsoftID
11101
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TECHELE-01 CLEWIS <br /> � frn CERTIFICATE OF LIABILITY INSURANCE DATE (M ""DWYYYY) <br /> — - — - -- - - -- - 3/26/2012 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER , <br /> 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 ( ies ) must be endorsed . If SUBROGATIO11 N IS <br /> WAIVED , subject to <br /> the terms and conditions of the policy , certain policies may require an endorsement . A statement on this certificate does <br /> not confer rights to the <br /> certificate holder in lieu of such endorsement ( s ) . <br /> — — — <br /> PRODUCER License # L069586 - -- CONTACT <br /> NAME : ___ <br /> Morse Insurance Agency, Inc PHONE FAX — <br /> 1000 Wekiva Springs Road Tac No Ext) (407) 8694200 278 <br /> ( AJC. Nal (407 ) 862=7656 <br /> : Longwood, FL 32779 a L - - <br /> INSURER(S ) AFFORDING COVERAGE NAIC i <br /> INSURER A : Auto Owners Insurance 18988 <br /> INSURED <br /> INSURERS : Business First <br /> Technical Electric Systems Inc INSURER <br /> - - -- -- - _ - _-.- . . .... --- - <br /> 87-B South Hwy 17 - 92 INSURER D : <br /> Debary 32713 -- ---- -- <br /> . INSURER E <br /> INSURER F <br /> -- ------- ------- - ._.----- --- --- -- -- - - . ......................... ...----- --- - ..-.------ <br /> - ------ -- --.__._ -- -' <br /> COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : <br /> -- - .... -- - - -- ----- - <br /> --- -- -- - --- --- ----- <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br /> POLICY PERIOD <br /> INDICATED . NOTWITHSTANDING ANY REQUIREMENT , TERM OR CONDITION OF ANY CONTRACTOR 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 <br /> TO ALL THE TERMS , <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> ---- - - --- "'A66L 'SUBR-------- ----..... ---- --- - - - - pb LICY r:-rr- PO LICY AXP - ---- - - ----- ...--_. <br /> - ------ ------- <br /> TYPE OF INSURANCE LIMITS <br /> LT, — - _ INSR WVD - - POLICY NUMBER SMMIDD/YYYY� MMIDDNYIYi _ <br /> GENERAL LIABILITY ---- <br /> - - <br /> 1 , 000, 0001 <br /> A X X <br /> 72045102 1 /1 / 2012 1 /112013 300, 000: <br /> - - - --- <br /> � il <br /> "I _ _ X % 000 <br /> � 2, 000, 000 <br /> -- - - - - F 1 , 000 000; <br /> UEt L F _ F , - - 2, 000 000'1 <br /> — —+ <br /> F1 Li _ 'y7 JF <br /> ,q <br /> AUTOMOBILE LIABILITY w 'lftw : 500000 <br /> A „ra AL , 149 -045382-00 1 /1 / 2012 1 /1 /2013 r ° or <br /> ALL Aftv ED X y _ . <br /> C �=I : <br /> X UMBRELLA LIAB X C - 110009000 . <br /> A - EXCESS UAB = 4905898300 1 /1 / 2012 1 /112013 - - <br /> - — - - <br /> oE = F COMPENSATION X X <br /> Aggregate 1 , 000, 000 <br /> AND EMPLOYER -- -- _ _. . <br /> --- T-__.....- 110 <br /> LIABILITYY—N <br /> B - y N r A 52101596 111 ! 2012 1 !1 /2013 _ 500 000 <br /> `r - — <br /> (MandatoryinNH ) = 500 , 000 <br /> 5001000 <br /> - <br /> DESCRIPTION OF OPERATIONS f LOCATIONS i VEHICLES (Attach ACORD 101 , Additional Remarks Schedule , if more space is required) <br /> Indian River County is included as an additional insured with respects to the general liability policy subject to the provisions of 55372 <br /> . '30 days notice of <br /> cancellation except 10 days for non payment . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Indian River County THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN <br /> 1800 27th Street ACCORDANCE WITH THE POLICY PROVISIONS . <br /> Vero Beach , FL 32960 _ <br /> AUTHORIZED REPRESENTATIVEE <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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