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JUN -24-2010 TEU 01:17 PN CERTIFICATE OF LIABILITY INSURANCE op ID KG DATENMIDO%YYYY} _may 06/24410 THIS CERTIFICATE IS ISSU D AS A MATTER OF IN -ORMATION ONL ND CONFERS N i RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF E45URANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. FAX NO. P. 01 T: the cert tate o - is an A • ' " • `►INSURED, t a Icy ies mus endorsed, If -SUBROGATION IS WAIVED, subject 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 certificate holder in lieu of such endorsement(s). PRODLICER Williams -Hess Insurance 1617 E. Gary Road Lakeland FL 33801 Phone:063-682-5195 InTEZM Fax: 863-586-3051 Clinton Barker Land Cl ntonuBarker F89 Dixieland Drive ort Pierce FL 34982 NAME: i!c, k ,. 1J: DRE95t CIJSTOMSRIDa: CLINT-2 INSURERS) AFFORDING COVERAGE INSURER A Nuev Auto Insurar,ar Company INSURERS ; Nctu.grn censtructian laduo':ry INSURER C : NAIL N 39466 INSWeR D I INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS INSIer LTR IS TO CERTIFY THAT THE POLCIES OF INSURANCE LISTED $LOW HAVE KEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY RECLNREMENT, TERM QR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DESCR$ED HEREIN IS SUBJECT TO ALL The TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 6Y FAIP CLAMS. '—" TYPE DF INSURANCE --"-- c�ss.�r(crh'F'A nc] IGY burp' Auuy mum /NSR BIND POLICY NUMBER (MMIDOIYYYY hn,1i601YYYY► LIMITS X; GENERAL r1 X E J LIABILITY , COMMERCIAL GENERAL LIABILITY L_1 C.AIMS.MADE X OCCUR X SPP 2080033 06 106/29;'10 06/20/11 EACH OCCURRENCE ' S 1 , 000, 000 IJAMALiL IU�'NTh ISE$ tea ourranoc) $100,000 PRtFMx MED EXP (Any sea person) R 5 , 000 PERSONAL aADV INJURY $ 1 000 000 rsNaRALAmaIs oATe 52,000,000 GEINLAGGREGATELIMITAPI'L/ESPER; X POLICYr1 JET l l LOC PRODtJcT5-COMPIOPAGC 62,000,000 AUTOMOBILE — LIASILTTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OW NP1a AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Par parson) $ BODILY INJURY (Per accident) 5 PROPERTY DAMAGE I S (Par accident) $ 1,6 1 , UMBRELLA LIAR _ EXCESS I -IAB l I OCCUR CLAIMS.MADE I N/ A �� 0-001341 341 • •A es/2�/l0 05/20i1: EACH OCCURRENCE _ I AGGREGATE $ DEDJCTII RETENTION a I V f N $ T Ti.pal tI Rl- ANYPROPRIETOR/PARTNERlEXEC:ITIV $ $ ;END BM OYERea ? UABiL Y 0PFICERKVSER EXCLUDED? 1 tMarlrlatory In NH) If�a drxcAba uncal DESCRN'TI?N OF OPERATIONS E.L. EACH ACCIDENT $ 100D00 baiow 3.L, DISEASE - EA EMPLOYEE 5100000 E.L. DISEASE • POLICY LIMIT L 500000 A ! Dquipt Fltr Ololvo Rents SPP 2080053 07 IHSS PAYEE 0a/sella 05i21)/11 Equipment 30000 DESCRIPTION OF OPERATIONS !LOCATIONS Certificate holder General Liability, cancelled e ore,the mail. 30 days notice 1 Project: 47th Street I VEHICLIE is included where required ol ration, tothe Roadway (Attach ACORD 101, *Algona! Rornarka SChIIWI , It mor. lease Is requlrsd) Its Additional Insured with respect to 'ha by written contract. If the GL policy is to the Issuing Insurer will endeavor to certicate holder. fi Improvements i Bid No. 2010033 CERTIFICATE HOLDER CANCELLATION MC IRIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, ROYCE WILL BE DELIVERED IN Indian River County t X 772-770-5140 ACCORDANCE WIN THE POLICY PROVISIONS. Building Division AUTHORIZED REPRESENTATIVE 1801 27th Street .— Vero Beach FL 32960 Kyle Green -- ACORD 25 (2009109) 01988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD