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OP ID:TJ (M MIDDIYYYY) ,acoRO` CERTIFICATE OF LIABILITY INSURANCE DATE 02//17/201517/2015 ��• THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO 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 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(ies) 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 Phone:772-286-4334 CONTNAME:ACT Rick Halcomb Stuart Insurance,Inc. Fax:772-286-9389 PHONE 772_286-4334 Falc No):772-286-9389 3070 S W Mapp -C I E t Palm City,FL 34990 ADDRESS:rhalcomb@stuartinsurance.net Rick Halcomb,CIC,ARM PRODUCER TIMOR-1 CUSTOMER ID#: INSURERS AFFORDING COVERAGE NAIC# INSURED Timothy Rose INSURER A:Westfield Insurance 24112 Contracting,Inc. INSURER B: 1360 Old Dixie Hwy SW,Ste 106 Vero Beach,FL 32962 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. ILTRNDDL POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CMM6079889 06/06/2014 06/06/2015 PREMISES Ea occurrence $ 500,00 CLAIMS-MADE Fx_]OCCUR MED EXP(Any one person) $ 10,00 X Contractual Liab PERSONAL&ADV INJURY $ 1,000,000 X Incl XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 (Ea accident) A X ANY AUTO CMM6079889 06/06/2014 06/06/2015 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) $ X NON-OWNEDAUTOS UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,00 A CMM6079889 06/06/2014 06/06/2015 $ DEDUCTIBLE RETENTION $ A STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ N/A OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 50,00 A Contractors Equip GMM6079889 06/06/2014 06/06/2015 Rented Equipment $1000 ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101 Additional Remarks Schedule,if more space Is req wired) n RE: Old Dixie Hwy Sidewalk Im rovemets J8th Lane to 45th Street (IRC Project# 0845B) Indian River County is additional insured witih respect to general liability for ongoing and completed operations when required by written contract. 30 days notice of cancellation, 10 days for non-payment CERTIFICATE HOLDER CANCELLATION IRCOU-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County 1801 27th Street AUTHORIZED REPRESENTATIVE Vero Beach,FL 32960 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD