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2014-097A
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2014-097A
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Last modified
3/13/2017 12:39:44 PM
Creation date
12/2/2016 3:17:24 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Lease
Approved Date
07/15/2014
Control Number
2014-097A
Agenda Item Number
8.I.
Entity Name
Brian R. Hood
Subject
County Lease to Brian Hood
Area
7715 66th Avenue
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ACORD� <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDJYYYY) <br />09/08/2014 <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 />The Chaisteli Group <br />5400 S. University Drive Ste. 405 <br />Davie FL 33328 <br />INSURED <br />Hood Landscaping LLC <br />6001 N A1A PMB <br />8121 <br />Vero Beach <br />FL 32963 <br />CONTACT <br />NAME: Rick DeTagle <br />PHONE <br />No, Ext): (954) 583-3838 <br />Aly, <br />E-MAIL k <br />ADDRESS: Rick@thecgins.com <br />INSURER(S) AFFORDING COVERAGE <br />INSURERA: UNITED NATIONAL INSURANCE CO <br />—FFAX <br />' (NC No): (954) 583-3898 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />NAIC # <br />COVERAGES <br />CERTIFICATE NUMBER: <br />REVISION NUMBER: <br />CERTIFICATE HOLDER <br />CANCEL <br />TION <br />INDIAN RIVER COUNTY <br />1801 27th Street <br />Vero Beach <br />THIS IS TO CERTIFY THAT THE POLICIES <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, <br />CERTIFICATE MAY BE ISSUED OR MAY <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />OF <br />PERTAIN, <br />POLICIES. <br />WD <br />INSR <br />INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />SUBA I POLICY EFF POLICY EXP <br />WVD I POLICY NUMBER (MMIDD/YYYY) IMM/DD/YYYY) <br />NAMED ABOVE FOR THE <br />DOCUMENT WITH RESPECT <br />HEREIN IS SUBJECT TO <br />LIMITS <br />POLICY PERIOD <br />TO WHICH THIS <br />ALL THE TERMS, <br />INSR'AL <br />LTR I TYPE OF INSURANCE <br />A <br />GENERAL LIABILITY <br />' /� COMMERCIAL GENER_AL_LIABILITY�� <br />USA4041182 02/08/2014 <br />1 02/08/2015 <br />1 <br />EACH OCCURRENCE <br />$ 1,000,000.00 <br />PRMTO RENTED <br />GE PREMISES (Ea occurrences 4 <br />$ 100,000 00 <br />CLAIMS -MADE X1 OCCUR <br />MED EXP (Any one person) <br />$ 5,000.00 <br />GEN'L <br />XPOLICYII <br />PERSONAL & ADV INJURY " <br />GENERAL AGGREGATE <br />$ 1,000,000.00 <br />$ 2,000,000.00 <br />$ Included <br />$ <br />AGGREGATE LIMIT APPLIES PER <br />JECT -1 LOC <br />PRODUCTS - COMP/OP AGG I <br />. AUTOMOBILE <br />-_� <br />LIABILITY <br />ANY AUTO <br />ALL OWNED r I SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS , NON -OWNED,, <br />1 <br />COMBINED SINGLE LIMIT , <br />(Ea accident) <br />$_. -_ <br />$ <br />$ <br />$ - — <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) I <br />PROPERTY DAMAGE <br />1{Peracadentl_ <br />I <br />UMBRELLA LIAB -{ OCCUR <br />I EXCESS LIAB I CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />$ <br />$ <br />AGGREGATE ` <br />DED RETENTION $ <br />WORKERS <br />AND <br />'ANY <br />OFFICER/MEMBER <br />(Mandatory <br />yes,describe <br />DESRIPTION <br />COMPENSATION <br />EMPLOYERS" LIABILITY YIN <br />N J A <br />I <br />1If <br />f <br />: WC STATU- 10TH -1 <br />ER <br />_ <br />$ <br />, <br />E L EACH ACCIDENT , <br />PROPRIETOR/PARTNER/EXECUTIVE <br />EXCLUDED? <br />- -- — — - - - <br />E L DISEASE - EA EMPLOYEE <br />--- <br />$ <br />- -- _ - __--- <br />$ <br />in NH) <br />under <br />OF OPERATIONS below <br />-- ' " — <br />E L DISEASE - POLICY LIMIT I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />LOCATION: 7715 66th Ave <br />VERO BEACH, FL 32967 <br />*PLEASE NOTE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. <br />CERTIFICATE HOLDER <br />CANCEL <br />TION <br />INDIAN RIVER COUNTY <br />1801 27th Street <br />Vero Beach <br />FL <br />32960 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2010/05) <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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