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MELVINI OP ID: S9 A�ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYYY) 10/22/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Brown & Brown of Florida, Inc. 1201 W Cypress Creek Rd # 130 P.O. Box 5727 Ft. Lauderdale, FL 33310-5727 Michael Gorham CONTACT NAME: PHONE (A/c. No. Eel: 954-776-2222 sac, No): 954-776-4446 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 5 INSURERA:FCCI Commercial Ins Co 33472 INSURED Melvin BushConstruction, Inc. Attn: Johanne Bush 2748 SW Casella Street Port St. Lucie, FL 34953 INSURER B : Bridgefield Employers Ins. Co 10701 INSURER c : National Trust Insurance Co. 20141 INSURER D : COMMERCIAL GENERAL LIABILITY INSURER E : INSURER F : 04/17/2014 • REVISION NUMBER: v THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LTR ADDL INSR well MDI POUCY NUMBER POUCY EFF (MM/DD/YYYY) POUCY EXP (MM/DD/YYYY) LIMITS GENERAL UABIUTY EACH OCCURRENCE S 1,000,000 C X COMMERCIAL GENERAL LIABILITY GL0011663 04/17/2014 04/17/2015 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) S 10,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE i 2,000,000 GEN'L AGGREGATE UMIT APPLIES�PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY n Fi QI 1jLOC A AUTOMOBILE X UABIUTY COMBINED SINGLE UMIT (Ea accident) S 1,000,000 ANY AUTO CA0018245 04/17/2014 04/17/2015 BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) S AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE (PER ACCIDENT) S AUTOS S UMBRELLA UAB_ OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS -MADE AGGREGATE S DED 1 RETENTION S S WORKERS COMPENSATION X WC STATU- OTH- TORY LIMITS ER B AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PXCLUD /EXECUTIVE YIN 83026276 01/01/2014 01/01/2015 E.L. EACH ACCIDENT S 1,000,000 (MandatoryOFFICEFUMIn ER EXCLUDED? pi ' (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYEES 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Bid No -2014045 - 69th Street Bridge over IRFWCD Lateral G Canal (IRC Project 1363). Certificate holder S Indian River Farms Water Control District is listed as an Additional Insured with respect to General Liability if required by written contract. Coverage is primary and non- contributory as respects any other insurance INDIANI Indian River County Building Department 1800 27th Street, Bldg A Vero Beach, FL 32960 1 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE d ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserve. The ACORD name and logo are registered marks of ACORD