..;aeric: .C; ;O5'_,10 7 7C. 40
<br />c1f 08-25-2C1 _ _4: 32 --050nj
<br />►�- CERTIFICATE OF LIABILITY INSURANCE DArE(wNrcorvrrvi
<br />8/23/2011
<br />HIS CF_R!iFIC4 TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ExTcND ')R ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />SF:LOW •'-m'IS CERTrFICATE OF INSURANCE DOES NOT CC14SIlTUTE A r_,
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICA7E HOLDER, CONTRACT BETWEEN THE ISSUING IN�URER(S), AUTHORIZED
<br />IA'.P=KTAN" It the certificate holder Is an ADDITIONAL. INSURED tha pollcgtles) must oe endorsed. If SUBROGATION IS WAIVED, sub;e--t to
<br />Lhe terms and coiditions of the policy, Certain Policies may require an endorsement. A stateme Jt on this certificate does not co^fer rights to tha
<br />>r IifiCIto holder Ir. Ileu of such a ndorsement(s).
<br />-KW:,LCFR !`
<br />HAL"" Carla Greer:
<br />RICK CARRGI h INS(JRANYE AGENCY rPH)NEREQ �a r 1a0 rl�kcarr8o 11 tax — .. __
<br />- 72)334 '42
<br />_ ISA/C Not
<br />2160 \'E Dixie Hi hwa IA'MRE - .crnz-- - -- -
<br />.1C ,.
<br />PO X 677Pft70LCE4' r,.. "'
<br />i t�T9AL3C.t00 ,14 515
<br />-- - - - - - - --- --'
<br />Jensen Beach FL 34958-QI3'77 - -
<br />.... IN9uRER 3) A JRD 6�J r0. ERAGE
<br />__ NAC
<br />RFD
<br />f Insur a American States Insurance 19704
<br />IIF 9URcR B
<br />�St..: d]. t. FF 0ce Company Inc. and Stlarxr.r_ Retail
<br />PO Box 2636
<br />Mi9UR_R D .
<br />St FL 34995 Gi uRERE
<br />-- NS RERF
<br />COVERAGES CERTIFICATE NUMBER.CL1181 _i03749 REVISION NUMBER;
<br />THIS 'S G R IF" T -IAT TSF PO'.ICIES Cr INSUrRANICF .JSTE] EE Gv? HAU% ?EEN +K U�li TO THF ''NSUR-ED NAMED AME -OR T FO_IC/ DER -10D,%) C ATE-, N,1 'i ITh TAND,,NG ANY REOLIRE",ENT• TER -V OR C'INDiTICN CF ANy CCNTRAL7 CR CTh ° DOCUMENT W!T^ RESPECT TO AHICH THIS
<br />i': I .,ATE 4 i EE : OR f?ty P_RTI!N TH. 11,t'U;ANCS 4 ;CRJED T, E a0 IC cS OESCRISED 4E.YEIN 6S S98JEZ` TG A!_-_ THS 'rERP:{o
<br />�U°IGNS aldD CONuIT O.V; O aUC� F0.1CItE SMI' S ShC/WN "+Al' HA'✓F 6E -N +�:.cuG_0 3'r PA D
<br />S. - _ _
<br />et TYPF OfIN3JRANCe_
<br />- b0-D�;sU6R _--- -. PC) �tY EFF -T �U :CSE?P '----
<br />_. -._ --- _ NSR _'h�'yk_---- �L'Lr Y NOXI RER.. DC'Yv4?� �NN DO;Y�ov� LIMITS
<br />GENEFviI LIA8L171 -
<br />X J.,,=i: --: _• EACF �JsuSRFr,r,. 3 1 (Oc .DOG
<br />r, Lr. -L- al r lT-- -- - -----
<br />T, 20C.^0GI
<br />_ ._._, d_ _ j( '�. }( i?iC.r__$f,3935 3,/18/2011 d/:9/20.1.2
<br />- --- - _..---.._--- 'SEN!. -AI A3GRE AAE S 2, OOC.000
<br />I Pt IL; FFR �' FSC{t ;c i11Fi•`10 -----'—'-- ---------
<br />I a._.�._ ACC S 2 000,Coo.
<br />AJItY ~--.---- -__.-- -
<br />I
<br />X .rJ' H:I
<br />a`uEvF:=C 1 C00 OOC
<br />�12l2Jl2010'12;201201:'-urG!°'t!J,UR�rf�^r reccr:i g
<br />I cPGL 't A;Rrit a ...e-rr ` S ---`
<br />1CC . OOO
<br />_.�1 — J= Fa:,L 1C 000
<br />X ' UMERELLA LIAE X
<br />.'
<br />,
<br />0 CESS_LIAS _._
<br />`,^IAM' -MACE
<br />A � ! --F-74-N
<br />-
<br />10,000 f1St;;1046630 ,6!1Fi2011
<br />iWJRKERS COMPENSAMON
<br />"'-""'-"'—""'-'------ --^ ---�
<br />AM;FM- L'(ER3 �ARILITv
<br />a N
<br />. ,'), f1 F ?.1.. -AIL
<br />I'✓ •ceta� In hH?
<br />�A,.;t Oi,wRR.fiCF S 1 DOC -6 —on
<br />1 00C . DCO
<br />:312012 I----------'�--- -g -- - ----
<br />L .. FA -,H A. C.',,Ff,. 7
<br />+ -< JN C_,F eF'ER1TJNd'_UJn TIO.J:r VEtiIClE3 Much �f_L., ... �,+ A+Jinuner Aernuka 3eheduk. emnesmcrirega.:redj __�_.—_ ---__—.-_—^—_—____, —.—
<br />:':3': C.LriJTIF'CA'.X IS FLR PROOF
<br />OF IASUAP_N;:F.. :'N LY.
<br />7INZ-AA! LIASTIITY CONTT_1,INS BLANKET AD071'1014.A , IN XREL ON A 7IF.IMAY_Yl17CN CONTRIBUTORY BASIS 3NDORSEUTNT. BLAN'rMET WA:11ER
<br />5ickOGAIIOY APPLIES TC GENERAL LIAB21,1TY GN1Y, 1?r.c•;ac-c Exrs. Fencing IsFrove;eents, Indian Rivex Cour:y Landfill
<br />Recy ,.i::y Facility.
<br />CERT1FiCATE HOLDER CANCELLATION
<br />;772)_/70-3140
<br />Indian River Couiaty
<br />1800 27th Street
<br />Vero Beach, i7 32960
<br />ACO FRO 25 (20
<br />SHOULD ANY O° THE ABOVE DM.-RIBEC POLICIES BE CANCELLED BEFORE
<br />TkE EXPIRATION GATE THEREOF, NOME WIL.- BE DELIVERED. IN
<br />ALCOR:ANCE WM THE POLICY PROVISIONS.
<br />A'J rORi.;EU REPRESENTATI':E
<br />:-h Caxroll/DCH_--
<br />,�) 1988-20C9 ACORD CORPORATION. All rights teseive
<br />The ACORD name and i000 a1S r•3gistored marks of ACORD
<br />
|