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2015-025.1
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2015-025.1
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Entry Properties
Last modified
4/27/2018 1:13:50 PM
Creation date
3/23/2016 9:11:48 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
02/17/2015
Control Number
2015-025.1
Agenda Item Number
8.F.
Entity Name
Timothy Rose Contracting
Subject
Sidewalk Improvements
Area
Old Dixie Highway Sidewalk Improvements 38th to 45th Street
Project Number
0845B
Bid Number
2014043
Alternate Name
Federal Aid Project - FM No. 423186-2-58-01
Supplemental fields
FilePath
H:\Indian River\Network Files\SL00000I\S0005E9.tif
Meeting Body
Board of County Commissioners
Meeting Type
BCC Regular Meeting
SmeadsoftID
14585
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At ® DATE / Y) <br /> v CERTIFICATE OF LIABILITY INSURANCE 2/17/17/20152015 <br /> THIS CERTIFICATE 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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER <br /> SUNZ Insurance Solutions, LLC ID(Essential) NAME: Jennifer Hau er <br /> c/o Essential HR, Inc. dba First Star HR P IC, o 214-492-1986 AAIC No: <br /> 251 O'Connor Ridge Blvd Suite 370 E-MAIL <br /> Irving,TX 75038 s: ennifer.hau er firststarhr.com <br /> INSURER(S) AFFORDING COVERAGE NAIC# <br /> INSURERA: SUNZ Insurance Company 34762 <br /> INSURED INSURER B: Aspen Re-London-Best Rating"A" <br /> Essential HR Inc dba Employee Professionals INSURERC: Catlin Syndicate-Lloyds-Best Rating"A" <br /> 251 O'Connor Ridge Blvd <br /> Suite 370 INSURER D: Brit Syndicate-Lloyds-Best Rating"A" <br /> Irving TX 75038 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 23463564 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> .ADDL SUER POLICY EFF POLICY EXP LIMITS <br /> M <br /> E OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DD <br /> AL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMA ET RENTED $ <br /> S-MADE �OCCUR RE I E Ea occurrenMED EXP An one rson $ <br /> PERSONAL&ADV INJURY $ <br /> TE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> PRO-JECT FI LOC PRODUCTS-COMP/OPAGG $ <br /> COMBINED SINGLE LIMIT $ <br /> ABILITY Ea accident <br /> BODILY INJURY(Per person) $ <br /> ANY AUTO <br /> ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS PROPERTY DAMAGE <br /> NON-OWNED eraccident) <br /> $ <br /> HIRED AUTOS AUTOS <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> $ <br /> DED RETENTION$ <br /> A WORKERS COMPENSATION WCPE0000018402 10/1/2014 10/1/2015 V STATUTE ER ' <br /> AND EMPLOYERS'LIABILITY YIN WCPE0000018401 10/1/2013 10/1/2014 1,000,000 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> If es,describe under EL.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> B Workers Compensation This is for informational purposes <br /> C Excess Coverage and nothing shall create any right <br /> under such reinsurance. <br /> D <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Coverage provided for all leased employees but not subcontractors of.Timothy Rose Contracting,Inc. <br /> Effective date:10/1/2013 <br /> CERTIFICATE HOLDER CANCELLATION <br /> 62200099 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Indian River County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1801 27th Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Vero Beach FL 32960 <br /> AUTHORIZED REPRESENTATIVE <br /> Glen J Distefano <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> CERT NO.: 23463564 Natalie Matthews 2/17/2015 11:58:05 AM (CST) Page 1 of 1 <br />
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