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TM.. -%% <br />PRODUCER Phone: (813) 988-1 <br />ASSOCIATES AGENCY, INC. <br />PO BOX 16190 <br />11470 N. 53RD ST. <br />TEMPLE TERRACE FL 33687 <br />INSURED <br />MASCI CONSTRUCTION, INC & <br />C/O MASCI CORPORATION <br />5752 S. RIDGEWOOD AVE. <br />HARBOR OAKS FL 32127 <br />BILITY INSURANCE „/zoos <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURER A FCCI INSURANCE CO. 03499 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />1\ICI IDCD C. <br />vvvGrV-�vV� <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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR INSR <br />ADD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />.TE <br />POLICY EXPIRATIOtI <br />DATE <br />LIMITS <br />Indian River County <br />ADO <br />AGENTS EPRESENTATIVES. <br />G <br />GENERAL LIABILITY <br />GL 0004503 <br />09/09/09 <br />09/09/10 <br />EACH OCCURRENCE s 1,000,000 <br />PR aIE oc� n $ 100,000 <br />Attention: <br />COMMERCIAL GENERAL LIABILITY <br />n wnnnn nnoono ATlntJ OAA <br />MED. EXP (Any one person) $ 5,000 <br />CLAIMS MADE OCCUR <br />PERSONAL 8 ADV INJURY $ 1,000,000 <br />A <br />rGE1 <br />GENERAL AGGREGATE $ 2,000,000 <br />'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGG. $ 2,000,000 <br />POLICY PEa LOC <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />CA 0007714 <br />09/09/09 <br />09109/10 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />(Ea accident) <br />BODILY INJURY <br />(Per person) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />A <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT s <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />ANY AUTO <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURRENCE 1 $ <br />AGGREGATE s <br />OCCUR D CLAIMS MADE <br />s <br />s <br />DEDUCTIBLE <br />s <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />001 -WC -09A-106932 <br />08/08/09 <br />08108110 <br />TU <br />X TORY LIMITS OTHER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />A <br />ANY PROPRIETORIPARTNERIEXECUIME <br />OFFICERIMEER EXCLUDED? <br />MS <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT S 1,000,000 <br />nyo, dncriW undwr <br />SPECIAL PROVISIONS Wow <br />OTHER: Rented/Leased Equipment <br />GL 0004503 <br />09109/09 <br />09109/10 <br />$250,000 limit <br />A <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Project: Brine Line Conversion to a Portable Water Main -77th Street Bid No: 2009064 <br />Indian River County is an additional insured. <br />w TI/1\I <br />CERTIFICATE HOLDEK <br />^'•----"'—" <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER VNLL ENDEAVOR TO MAIL 10 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />SO SHALL IMPOSE NO TION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br />Indian River County <br />ADO <br />AGENTS EPRESENTATIVES. <br />G <br />1800 27th Street <br />AUTHORIZED REPRESENTATIVE <br />Vero Beach, FI 32960 <br />�Farquhar <br />Attention: <br />n wnnnn nnoono ATlntJ OAA <br />ACORD 25 (2001108) L eruncala n 1w90 <br />