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PO BOX 16 11470 N. 53RD S TEMPLE TERRACE FL 33687 TE OF LIABILITY INSURANCE -I_ 'II/>>/zoos THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR INSURERS AFFORDING COVERAGE NAIC # INSURED ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR INSURERA: FCCI INSURANCE CO. 03499 MASCI CONSTRUCTION, INC & ADD N:SR INSURER B: POLICY NUMBER CIO MASCI CORPORATION POLICY Expmn0N DATE INSURER C: AUTHORIZED REPRESENTATIVE 5752 S. RIDGEWOOD AVE. GENERAL LIABILITY GL 0004503 09/09/09 HARBOR OAKS FL 32127 EACH OCCURRENCE E 1,000,000 INSURER D: X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR INSURER E: 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 CONTRACT OR OTHER DOCUMENT VNTH 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. AGGREGATE LIMITS SHOWY MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD N:SR TYPE OF INSURANCE POLICY NUMBER POLICY DATE POLICY Expmn0N DATE LIMITS AUTHORIZED REPRESENTATIVE Attention: GENERAL LIABILITY GL 0004503 09/09/09 09/09/10 EACH OCCURRENCE E 1,000,000 E—W GE TO RENTED E 100,000 PREMISES (Es oocuronoa i X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED. EXP (Any one person) E 5,000 PERSONAL & ADV INJURY E 1,000,000 A GENERAL AGGREGATE E 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. E 2,000,000 —1F1POLICY P LOC AUTOMOBILE X LIABILITY ANY AUTO CA 0007714 09109/09 09/09/10 COMBINED SINGLE LIMIT E 1,000,000 (Ea accident) BODILY INJURY ALL OWNED AUTOS (Per person) E SCHEDULED AUTOS A X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY E (Per accident) X PROPERTY DAMAGE E (Per accident GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC E ANY AUTO F� AUTO ONLY: AGG E EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE E AGGREGATE E OCCUR F] CLAIMS MADE E DEDUCTIBLE E E RETENTION E WORKERS COMPENSATION AND 001 -WC -09A-106932 08108109 08/08/10 X OT RrTUM Ts OTHER E.L EACH ACCIDENT E 1,000,000 EMPLOYERV LIABILITY A ANY PROPFIETORIPARTWERIEXECUIIVE OFFICERIMEM0ER EXCLUDEDT E.L. DISEASE -EA EMPLOYEE E 1,000,000 E.L. DISEASE -POLICY LIMIT E 1,000,000 N y.:, cimcrll» under SPECIAL PROVISIONS Wow OTHER: Rented/Leased Equipment GL 0004503 09109/09 09/09/10 5250,000 limit A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Project Brine Line Conversion to a Portable Water Main-T7th Street Bid No: 2009064 Indian River County is an additional insured. ACORD 25 (2001/08) Certificate # 186953 © ACORD CORPORATION Tana - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Indian River County DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 1800 27th Street AGENTS OR REPRESENTATIVES. Vero Beach, FI 32960 AUTHORIZED REPRESENTATIVE Attention: Jason Farquhar ACORD 25 (2001/08) Certificate # 186953 © ACORD CORPORATION Tana