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2010-119
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Entry Properties
Last modified
5/10/2022 1:45:07 PM
Creation date
10/5/2015 9:01:30 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
05/11/2010
Control Number
2010-119
Agenda Item Number
8.G.
Entity Name
Dickerson Florida, Inc.
Subject
South Relief Canal Project
Bridge Replacement Old Dixie Highway
Area
South Relief Canal
Project Number
0205
Bid Number
2010038
Supplemental fields
SmeadsoftID
8562
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ACORA. CERTIFICA , OF LIABILITY INSURA-dCE05/18/2010 <br />DATE(MM/DD/YY) <br />PRODUCER Serial # B1196 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />SURETY AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />552-B NEW HAW CREEK ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />ASHEVILLE, NC 28805 <br />828-236-1000 FAX 828-236-1001 INSURERS AFFORDING COVERAGE <br />INSURED DICKERSON FLORIDA, INC. INSURER A: CHARTER OAK FIRE INS. CO. <br />P. 0. BOX 910 INSURER B: TRAVELERS INDEMNITY CO. OF AMERICA <br />FT. PIERCE, FL 34954-0910 INSURER c: TRAVELERS PROPERTY CASUALTY CO. OF AMERICA <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />I . __ — — I — �vv nmvr- Dr -C11 100ur-U I U I Nt INZ�UHLL) NAMED ABOVE FOR THE PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />TOPOLICY WH CB <br />H THIS CERTIFICATE MAY E ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />EXCLUSIONS AND CONDITIONS <br />OF SUCH <br />ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />DATE IMM/DD1YY1 <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />2,000,000 <br />B X COMMERCIAL GENERAL LIABILITY 8280B457 06/01/2009 06/01/2010 <br />FIRE DAMAGE (Any one fire) $ <br />300,000 <br />CLAIMS MADE X OCCUR <br />MED EXP (Any one person) $ <br />10,000 <br />PERSONAL & ADV INJURY $ <br />2,000,000 <br />-- <br />GENE RAL AGGREGATE $ <br />4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />4,000,000 <br />POLICY X PRO- <br />JECT LOC <br />AUTOMOBILE LIABILITY 82806469 06/01/2009 06/01/2010 <br />COMBINED SINGLE LIMIT <br />C X ANYAUTO <br />(Ea accident) $ <br />2,000,000 <br />ALL OWNED AUTOS <br />--- - - - <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) $ <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />_ <br />PROPERTYDAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY -_EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESS LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR CLAIMS MADE <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND 5143N55A 06/01/2009 06/01/2010 <br />! <br />X WC STATU- OTH- <br />A EMPLOYERS' LIABILITY <br />TORY LIMITS _ ER <br />E L EACH ACCIDENT $ <br />500,000 <br />E.L. DISEASE - EA EMPLOYEE $ <br />500,000 <br />E.L. DISEASE - POLICY LIMIT $ <br />500,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />INDIAN RIVER COUNTY IS AN ADDITIONAL INSURED <br />CERTIFICATE HOLDER X ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />!, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />INDIAN RIVER COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />1800 27TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />VERO BEACH, FL 32960 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND Uy0$iI THE INSURER, ITS AGENTS OR <br />ACORD 25-S (7/97) <br />/ KAREN BEARD <br />0 ACORD CORPORATION 1988 <br />
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