Laserfiche WebLink
Mov 28 12 12 : 54p Employee Pro 5042780558 p . l <br /> CERTIFICATE OF LIABILITY INSURANCE IL/2611012 I <br /> a <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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE <br /> OR PRODUCERa PRODUCERAND THE g=FICATI & <br /> IMPORTANT: If the cerfieate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed H SUBROGATION IS WAIVED, <br /> subject to the terms and conditions of the policy, certain policies may require an endorsement a statement on this certificate <br /> does not conter rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER eoraer Niwa: <br /> H19hpoint Risk SerViCA9 ILC pmommimmao (800) 7280823 rax0imi h (972) 4044380 <br /> 5501 LHJ Vl*eMa3rr Suite 1200 aaia �oeeaa <br /> Dallas , TX 75240 I wacll <br /> INSURERA: OeevanLM Fcopecty cul eeaue&ty insucanca eeupany 12157 <br /> INSURED: PPS 1 /c/ f ; INSURERS: <br /> TIMOTHY ROSE CONTRA.^TIVC-, INC . INSURER C: <br /> 1360 SW OLD DIXIE HWY SUITE 106 INSURER D: <br /> VERO BEACH , ?L 32962 INSURER E <br /> Phone ; ( 772 ) 286- 4334 tax : 1 ) <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: AC12 - 28900165- 1138360 REVISION NUMBER, <br /> IMAI IRL P0i 13P IMIDJUNUt U411i 11i "AVE Mi 11515111 1 V Flit INSURED 11i AWNe li I Mt POUtrCif PMIW INDICATIM <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN <br /> MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> SR TYPE OF INSUNANCE POLICY NUMBER I .MTPOLICY LIMITS <br /> GENERAL LL%B UTY EACH OCCURRENCE S <br /> 00161 GENERAL LIABILITY <br /> w{BMafe eatens,s S � <br /> CLAM MADE 0 OCCIJS! ❑ ❑ MED EXP (Amr one peraai0 r S <br /> PERSONAL 6 ADV INJURY S <br /> GENERALAGGREGATE S <br /> A0131KIi PRODUCTS - COMPiOP AGG <br /> POucy LOO <br /> AUTOMOBILE LIABILITY COMBINED SINGLE <br /> ANY AUTO (Ed seddi S <br /> ALLONMIEDAUT08 ❑ ❑ Tr--- <br /> SCHEDULED AUTOS BODILY INURY (Par mWenq S <br /> Igo AUTOS PRP GE is <br /> NON*OWNED AUTOS <br /> fRE <br /> MIFUAUM LAIMB 61ADEEACH OCCURRENCE S <br /> CESS UAB R TE DUCTIBLE D 11 <br /> ❑ S <br /> TENTION S S <br /> EMPLOYERS' LIA121 Y X <br /> ANY PROPERIETpppp� ME E.L. EACH ACCIDENT S 1000000 <br /> oFFlCER.MEMBEp6=JJDEDED9 WA ❑ DPE00120990160 01 /01 / 2012 01 / 01 / 2013 E,LDISEASE- EAEMPLOYEE S 1000000 <br /> A (11111m ory In Ni <br /> . Nye% deeaibeunder E.LDIBEASE - POUCYUMIT S 1000000' <br /> SPECIAL PROVIBON I Me <br /> 110NS1 T 01, A&Mi ftmarks Si 9 1 apnea 12 nquYad <br /> 6V ra This te�ertif cater ids in eEPec r0 idedhtih I oiien " s ccountotis in Od standingg I# IiPPS <br /> . <br /> Ocg� epolWor$kkBs �ove�ns�ato'Jonm Iyefli SIP P6 eers a �lth `Has ac � lyunex6rpo1yOs =emgioyees <br /> ease d from PP . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br /> INDIAN RIVER COUNTY " • " THE POLICYPROVISfONB. <br /> PURCEASING DEPARTMENT <br /> 1800 27th STREET <br /> VERO BEACH , FL 32960 <br /> AUTHORIZED REPRESENTATTNS r^:r"' • ,i":t �;,•� :� <br /> ACORD 25 (2010/05) ® 1988.2010 ACORD CORPORATION. All right reserved <br />