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IIIIIIIN i CERTIFIC,� TE OF LIABILITY INst IRA.., _= no In rum DATE(MMIDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 4/10 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(lei) must be 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). PRODUCER Huckleberry, Sibley & Harvey NAME: Insurance & Bonds, Inc. 1020 N Orlando Ave, Suite 200 Maitland FL 32751 Phone:407-647-1616 Fax:407-628-1635 INSURED SPS Contracting, Inc. Deborah &Dennis Smith 9015 Americana Rd. S# 1 Vero Beach FL 3296t; PHONE A/c No Ext): (AIC, No): ADDRESS: CUSTOMERIDIP SPSC002 INSURER(S) AFFORDING COVERAGE NAICk INSURERA: Amerisure Insurance Company 19488 INSURERS: Amerisure Mutual Insurance Co 23396 INSURER C: INSURER 0: I LIMITS INSURER E: INSURER F: j THIS IS TO CERTIFY THAT 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 WITH 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR , TYPE OF INSURANCE INSR WVD' POLICY NUMBER MMIDD/YYYYMMIDD/YYYY) I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL2054579 06/06/10 06/06/11 PREMISES (Ea occurrence) s 300,000 MED EXP (Any one person) S 10,000 I CLAIMS -MADE I OCCUR }[ PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG $2f000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY X JECT � LOC $ LIABILITY COMBINED SINGLE LIMIT �AAUTOMOBILE 1 (Ea accident) S1,000,000 A ANY ALTO I CA2054576 06/06/10 06/06/11 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ S B X UMBRELLA LIAB hX OCCUR I CU2054580 06/06/10 06/06/11 EACH OCCURRENCE s5,000,000 i EXCESS LIAR CLAIMS -MADE AGGREGATE S 5 , 000 , 000 DEDUCTIBLE ! 1 $ j X! RETENTION S 0 ! S A WORKERS COMPENSATION WC2054581 06/06/10 106/06/11 X � TORY ER AND EMPLOYERS' LIABILITY YINN LIMITS ANY PROPRIETORIPARTNER/EXECUTIV I ! E.L. EACH ACCIDENT $ 1 , 000 , 000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) I E.L. DISEASE - EA EMPLOYEEI $1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1 , 000 , 000 A Rented/Leased Equi CPP2054578 106/06/10 106/06/11 Coverage 500 , 000 A 1 Installation Float CPP2054578 106/06/10 106/06/11 Coverage 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Re: 8th Street Sidewalk Improvements from 18th Court to Old Dixie Hwy, Indian River County Certificate holder is listed as additional insured with regards to general liability. see next page for revised cancellation clause. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE INDRIVC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County AUTHORIZED REPRESENTATIVE 1801 27th Street Vero Beach FL 32960-3388 \ ' ©1988-2009 ACORD CORPORATION. All riohts reserved. ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD