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MANCT-1 OP ID: KR <br /> ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYM <br /> 3120 <br /> 10/23/20 4 <br /> `-� 14 <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 /> ONACPRODUCER Phone:772-286-4334 NAAMME: Cabot Lord <br /> Stuart Insurance,Inc. Fax:772-286-9389 PHONE 772-286-4334 FAX 772-286-9389 <br /> 3070 S W Mapp AIC No Ell: AIC No <br /> Palm City FL 34990 E-MAIL <br /> Cabot W.Lord ,CIC. aoDREss:clord@stuartinsurance.net <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:Westfield Insurance 24112 <br /> INSURED Mancils Tractor Service,Inc. INSURER B: <br /> 4551 SE Hampton Ct. <br /> Stuart, FL 34997 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> ILICY EXP <br /> TR TYPE OF INSURANCE POLICY NUMBER MM/DD� MM DDNM LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY X CMM7416829 02/04/2014 02/04/2015 PREMISESEa occurrence $ 150,00 <br /> CLAIMS-MADE FX1 OCCUR MED EXP(Any one person) $ 10,000 <br /> X XCU LIAB INCLUDED PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM P/OPAGG $ 2,000,00 <br /> POLICY X PRO LOC $ <br /> AUTOMOBILE LIABILITY EOMaBBIINdED entlSINGLE LIMIT $ 1,000,00 <br /> A X ANY AUTO CMM7416829 02/04/2014 02/04/2015 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS Per accident $ <br /> COLL 8,COMP $ DED/1,00 <br /> X UMBRELLA LU\B X OCCUR EACH OCCURRENCE $ 1,000,00 <br /> A EXCESSLIA6 I CLAIMS-MADE CMM7416829 02/04/2014 02/04/2015 AGGREGATE $ 1,000,00 <br /> DED I X I RETENTION$ 0 Prod/CO A $ 1,000,00 <br /> WORKERS COMPENSATION WC STATLI TH- <br /> AND EMPLOYERS'LIABILITY Y/N TORY LIMITSI IER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Inland Marine CMM7416829 02/04/2014 02/04/2015 Rented 225,00 <br /> equip. <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> Indian River County, Sindy L. Smith Parcel #30362100010000000001.0 nad <br /> Robert R. & Erenstine C. Musante Parcel #30382100009000000006.0 are named as <br /> additional insured. <br /> Bid No. 2014051 Roseland Lake Clearing and Dredging. <br /> CERTIFICATE HOLDER CANCELLATION <br /> IRCBD-1 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Board of County Commissioners <br /> 1801 27th St AUTHORIZED REPRESENTATNE _ <br /> Vero Beach,FL 32960 61 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />