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ACOK 7 0 <br />�� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />F9/14/2016 <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(les) 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 />Gentry Insurance Agency <br />East Main Street <br />PO Box 2046 <br />APOPKA FL 32704-2046 <br />CONTACT Amanda Bonventre <br />NAME., <br />PHONE (407) 886-3301 aC No: (407)886-9530 <br />(AfC- No175 <br />ADDRESS:amanda@gentryins.COm <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A.Phoenix Insurance Company 25623 <br />INSURED <br />Southeastern Surveying and Mapping Corporation <br />6500 All American Blvd <br />Orlando FL 32810 <br />INSURERB:The Travelers Indemnity Company 25658 <br />INSURER Admiral Insurance Company 24856 <br />INSURER D: <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER2016 Prof Update 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDrYYYY`) <br />POLICY EXP <br />(MMIDDIYYYYl <br />LIMA <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />CLAIMS -MADE ❑X OCCUR <br />DAMAGE TO RENTEff__ PREMISES Ea occurrence $ 300, 000 <br />MED EXP (Any one person) $ 5,000 <br />X <br />680745OPS40 <br />4/24/2016 <br />4/24/2017 <br />PERSONAL& ADV INJURY $ 1., 000, 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY 1K ECT F-1 LOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COaid D SINGLE LIMIT $ 1,000,000 <br />BODILY INJURY (Per person) $ <br />A <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOSX <br />X <br />BA418bI5952 <br />4/24/2016 <br />4/24/2017 <br />BODILY INJURY (Per accident) $ <br />HIRED AUTOS Ix NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />X <br />UMBRELLA LAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ 5,000,000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />CUP7B022090 <br />4/24/2016 <br />4/24/2017 <br />DED I X I RETENTION$ 10,000 <br />$ <br />A <br />WORKERS COMPENSATIONX <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. <br />OFFICER/MEMBER EXCLUDED? aN <br />(Mandatory In NH) <br />/ A <br />OB3742T340 <br />6/25/2016 <br />6/25/2017 <br />P R TH- <br />STATUTE IER <br />EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />C <br />Professional Liability <br />80000035004-01 <br />9/19/2016 <br />9/19/2017 <br />EachCiaim $2,000,000 <br />Aggregate $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space Is required) <br />RE: Master Agreement for Annual Professional Surveying and Mapping Services IRC Project No. 1605 <br />Indian River County is included as additional insured as respects General Liability and Auto Liability on <br />a primary and non-contributory basis per contract. 30 day notice of cancellation applies. <br />dschryver@ircgov.com <br />Indian River County <br />1801 27th Street <br />Vero Beach, FL 32960-3388 <br />ACORD 25 (2014/01) <br />INS02517014011 <br />L;ANL;t:LLA 1 IUN <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 />Liebknecht/AMANDA " -,, <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />140 <br />