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AE D® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />TE(MM/DOI )
<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 />SURETY AGENCY, LLC
<br />552-B NEW HAW CREEK ROAD
<br />ASHEVILLE, NC 28805
<br />828-236-1000 FAX 828-236-1001
<br />CONTACT
<br />KAREN BEARD
<br />PA/CNN0Ext): 828-236-1000
<br />FA, No): 828-236-1001
<br />ADDRESS. KAREN110na,BELLSOUTH.NET
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: ZURICH AMERICAN INSURANCE COMPANY
<br />INSURED
<br />DICKERSON FLORIDA, INC
<br />P. 0. BOX 910
<br />FT PIERCE, FL 34954-0910
<br />INSURER B: AMERICAN GUARANTEE AND LIABILITY INS CO
<br />INSURER C:
<br />$ 1,000,000
<br />INSURER D:
<br />$ 300,000
<br />INSURER E.
<br />$ EXCLUDED
<br />INSURER F.
<br />COVERAGES
<br />CERTIFICATE NUMBER:
<br />100284
<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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />VVVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />(MMI sy EFF
<br />POLICY EXP L
<br />(MM/DD
<br />LIMITS
<br />A
<br />GENERAL
<br />X
<br />LIABILITY
<br />COMMERCIAL GENERAL LIABILITY
<br />X
<br />GL05761374
<br />07/01/201407/01/2015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />PREMISES (EaERence)
<br />$ 300,000
<br />MED EXP (Any one person)
<br />$ EXCLUDED
<br />CLAIMS -MADE 1 X
<br />OCCUR
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS -COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />GEN'L
<br />AGGREGATE
<br />POLICY
<br />X
<br />LIMIT APPLIES
<br />JE&
<br />PER:
<br />LOC
<br />A
<br />IrAUTOMOBILE
<br />X
<br />X
<br />LIABILITY
<br />ANYAUTO
<br />AUTOS�ED
<br />HIRED AUTOS
<br />X
<br />_
<br />p
<br />AUTOSULED
<br />AUTO�WNED
<br />BAP5761373
<br />07/01/201407/01/2015 (E acc.IciNdleDtSINGLELINr
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />(Derr a cid tpAMAGE
<br />i
<br />$
<br />$
<br />B
<br />UMBRELLA UAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />X
<br />AUC9266387
<br />07/01/201407/01/2015 EACH OCCURRENCE
<br />$ 3,000,000
<br />AGGREGATE
<br />$ 3,000,000
<br />$
<br />DED
<br />RETENTION $
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIV�
<br />(Mandatory In N ER EXCLUDED?
<br />(Mandatory In NH) -
<br />If Yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N / A
<br />WC5761375
<br />VVC STATU- OTH-
<br />07/01/2014 07/01/2015 X I TORY LIMITS ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />1
<br />1
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
<br />PROJECT 13TH STREET S.W AT 58TH AVENUE BRIDGE, INDIAN RIVER COUNTY, FL, PROJECT NO. 0530B
<br />CERTIFICATE HOLDER IS ADDITIONAL INSURED ONLY FOR THE WORK PERFORMED BY THE NAMED INSURED
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATION DATE THEREOF, THE ISSUING
<br />INSURER WILL MAIL THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />INDIAN RIVER COUNTY AND
<br />INDIAN RIVER FARMS WATER CONTROL DISTRICT
<br />1800 27TH STREET
<br />VERO BEACH, FL 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 />J
<br />ACORD 25 (2010105)
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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