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IF I IF I _ F '4,. . ' �.. .. . 4 IF 1v -z a w"T..t=i- "' ' sY„ ; 'L `;. F141 I IF I FIV [ I I . 1 dull Jd UVu �lI rail V. J1 I rdyt7 L UI L Valu VV. ii c If 705 / 12 / 10 E ( MMIDDIYYYY) .ICOR CERTIFICATE OF LIABILITY INSURANCE OP ID TJ 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 IF 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 certcats holder Is an ADDITIONAL INSURED, the po cy es must be endorsed. , su act 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 certiflcate holder In lieu of such endorsement( s), PRODUCER NAME: PHONE Stuart Insurance , Inc . (AIC , No, Ext ) : (A C, No): 3070 S W Mapp ADDRESS: Palm City FL 34990 CUSTOMERIDt TIMOR- 1 Phone : 772 - 286 - 4334 Fax : 772 - 286 - 9389 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : 14168 Nuleysvill• Iru urmu Croup Timothy Rose INSURER B : Contracting , Inc . 1360 Old Dixie HWy SW INSURER C Vero Beach FL 329b2 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 CONTRACTOR 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 . FA TYPE OF INSURANCE INSR POLICY NUMBER (MM/DDNYYY) (MWlDDlYWY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 X COMMERCIAL GENERAL LIABILITY GL00000049465A 06 /06 /09 06 /06 / 10 PREMISES ( Ea occcccurrence ) $ 100 , 000 CLAIMS-MADE ❑X OCCUR MED EXP (Any one person ) $ 51000 X PERSONAL & ADV INJURY $ 11000 , 000 ' 10 DAYS NOTICE YOM -PAY GENERAL AGGREGATE $ 21000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER . PRODUCTS - COMP/OP AGS $ 21000 , 000 POLICY PEa LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ( Ea accident ) $ 11000 , 000 A X ANY AUTO BA00000049464A 06 / 06 /09 06 /06 /10 BODILY INJURY ( Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS • 10 DAYS NOTICE YOB -PAY $ $ A UMBRELLA LIAR }{ OCCUR CMB00000049462A 06 /06 /09 06 /06 /10 EACH OCCURRENCE $ 3 , 000 , 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 31000 , 000 DEDUCTIBLE * 10 DAYS $ RETENTION $ NOTICE $ RIKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ / A E L . EACH ACCIDENT $ OFFICERJMEMBER EXCLUDED? (Mandatory In NH) E L DISEASE - EA EMPLOYEE $ It yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ A Contractors Equip Cl2M1676 06 /06 /09 06 /06 /10 Rented 50 , 000 610 DAYS NOTICE NON -PAY Equipment $ 1000 ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule , it more space Is required) Grading of Land/ Site Prep - State of Florida RE : BID # 2010024 , North WTP Raw Water Transmission System , Vero Beach , FL . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE INDRC - 4 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County Purchasing Division AUTHORIZED REPRESENTATIVE 772 - 770 - 5333 1800 27th Street Vero Beach FL 32960 @"088,,,2009 NATION . All rights reserved. ACORD 25 ( 2009109) The ACORD name and logo are registered marks of ACORD MAY - 12 - 2010 09 : 26 From : STUINS - FAX01 ID : TIM ROSE Page : 002 R =90 % 1 IFI - FIF fi 5