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2016-103A
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2016-103A
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Last modified
2/4/2019 10:00:05 AM
Creation date
8/15/2016 3:39:04 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/12/2016
Control Number
2016-103A
Agenda Item Number
8.G.
Entity Name
All Webbs Enterprises
Subject
Water Treatment Plant South County and South Oslo Road
Area
Floridan Aquifer Wells
Project Number
2016031
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. `.i CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE (MM/DD/YYYY) <br />7/15/2016 <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 />PRODUCER <br />CBIZ Weekes & Callaway <br />3945 West Atlantic Avenue <br />Delray Beach, FL 33445-3902 <br />CONTACT Jill Sayer <br />NAME: y <br />PHONENo. (561)278-0448 A/C No: (561)278-2391 <br />E-DDRESMAIL.7 say er@cbizwc.com <br />A <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURERA:Crum & Forster Specialty 44520 <br />INSURED <br />All Webb's Enterprises, Inc. <br />309 Commerce Way <br />Jupiter, FL 33458 <br />INSURERB:Travelers Indenmity Co of Amer 25666 <br />INSURERC:Phoenix Insurance Co 25623 <br />INSURER D: <br />INSURER E: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER:CL15103007341 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 />INSRrypE <br />LTR <br />OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMIDO/YYYY <br />POLICY EXP <br />MM/DDIYYYV <br />LIMITS <br />GENERAL LIABILITY <br />Vero Beach, FL 33458 <br />Rose McEwen, CIC/JDS <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />tu <br />PREMISES Ea occurrence S 50,000 <br />A <br />CLAIMS -MADE OCCUR <br />X <br />X <br />EPK110426 <br />11/2/2015 <br />11/2/2016 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL B ADV INJURY $ 1,000,000 <br />X Pollution Liability <br />X $5,000 Per Claim Ded. <br />GENERAL AGGREGATE S 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />PRO LOC <br />X POLICYFX JECT <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />EaacCdent S 1 000,000 <br />BODILY INJURY (Per person) S <br />B <br />X <br />ANY AUTO <br />ALL OWNEDSCHEDULED <br />AUTOS AUTOS <br />X <br />X <br />T-810-1735P699-TIA-15 <br />11/2/2015 <br />11/2/2016 <br />BODILY INJURY (Per accident) $ <br />X <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />PROPERTY DAMAGE <br />Per accident) <br />ccident $ <br />single limit $ <br />UMBRELLA LIAR <br />HOCCUR <br />EACH OCCURRENCE $ 2,000,000 <br />A <br />X <br />I EXCESS LAB <br />CLAIMS -MADE <br />AGGREGATE $ 2,000,000 <br />DED I X I RETENTION$ C <br />$ <br />EFX104586 <br />11/2/2015 <br />11/2/2016 <br />WORKERS COMPENSATION <br />_TTWC STATU- OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />T <br />E L EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />E L DISEASE - EA EMPLOYEE S <br />(Mandatory in NH) <br />If describe under <br />E L DISEASE - POLICY LIMIT $ <br />as, <br />DESCRIPTION OF OPERATIONS below <br />C <br />Installation Floater <br />T-660-1984P108-PHX-15 <br />11/2/2015 <br />11/2/2016 <br />$500,000 Installation Floater <br />$1.000 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />Project Name: South County Water Treatment Plant Well No. 7, Well, Wellhead and South County Water <br />Treatment Plant Well No. 7, Well, Wellhead and Aquifer Wells Rehabilitation Project- Bid Number: 2016031; <br />Project Address: South County Park, 20th Avenue ans Oslo Road. <br />Indian River County is named as an Additional Insured with respects to General Liability when required by <br />written contract with the Named Insured per policy terms and conditions. Florida statute requires 10 day <br />notice of cancellation for non-payment of premium and 45 day notice for non -renewal. <br />CERTIFICATE HOLDER C ANC IPI I ATION <br />_Wrnu cu (cu i u/uol <br />INSD25 mmnn5i m <br />(D1988-2010 ACORD CORPORATION. All rights reserved. <br />Thn A(r)Pr) nomas onrl Innn oras rnnicfnrnrl mnr4c of Arr1Rr1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL <br />BE DELIVERED IN <br />Indian River County <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Arjuna Weragoda, P.E. <br />AUTHORIZED REPRESENTATIVE <br />1801 27th Street <br />Vero Beach, FL 33458 <br />Rose McEwen, CIC/JDS <br />_Wrnu cu (cu i u/uol <br />INSD25 mmnn5i m <br />(D1988-2010 ACORD CORPORATION. All rights reserved. <br />Thn A(r)Pr) nomas onrl Innn oras rnnicfnrnrl mnr4c of Arr1Rr1 <br />
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