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KASTCON-01
<br />MASSEYC
<br />7
<br />,d " CERTIFICATE OF LIABILITY INSURANCE
<br />1`hien. �
<br />DATE(MM/DD/YYYY)
<br />12/16/2014
<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(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 />Insurance Office of America, Inc.
<br />1725 East Mahan Drive
<br />Tallahassee, FL 32308
<br />NAME: CONTACT
<br />Chris Massey
<br />PHONE 850 877-8379 FAX (850)877-8674
<br />(AIC, No, Ext): ( ) (ac, No):
<br />E-MAIL
<br />DRESS: Chris.Massey@ioausa.com
<br />LIMITS
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC t$
<br />INSURER A : First Mercury Insurance Company
<br />10657
<br />INSURED
<br />Kast Construction Company LLC / Kast Construction III LLC
<br />701 Northpoint Parkway, Suite 400
<br />ATTN: Roger Whitman
<br />West Palm Beach, FL 33407
<br />INSURERB:The Hanover Insurance Company
<br />22292
<br />INSURER c : Bridgefield Employers Insurance Company
<br />10701
<br />INSURER D
<br />PAMAGE TO RENTED
<br />REM SES Ea occurrence)
<br />INSURER E :
<br />INSURER F :
<br />CLAIMS -MADE
<br />REVISION NUMBER:
<br />THIS IS TOvCERTIFY 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 />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />(MMIDDIYYYY)
<br />POLICY EXP
<br />(MMIDD/YYYY)
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />X
<br />MI -CGL -0000041246-01
<br />04/01/2014
<br />04/01/2015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />PAMAGE TO RENTED
<br />REM SES Ea occurrence)
<br />$ 50,000
<br />CLAIMS -MADE
<br />X
<br />OCCUR
<br />MED EXP (Any one person)
<br />$
<br />PERSONAL BADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GE
<br />'L AGGREGATE
<br />POLICY
<br />OTHER:
<br />X
<br />LIMIT APPLIES
<br />JECOT
<br />PER:
<br />LOC
<br />PRODUCTS-COMP/OPAGG
<br />$ 2,000,000
<br />PROJECT AGG
<br />$ 5,000,000
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED
<br />AUTOS
<br />HIRED AUTOS
<br />X
<br />X
<br />SCHEDULED
<br />AUTOS
<br />NOTOSWNED
<br />AHJA10538501
<br />04/01/2014
<br />04/01/2015
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY;AMAGE
<br />(Per accident
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />GA -EX -0000041278-01
<br />04/01/2014
<br />04/01/2015
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />$
<br />DED RETENTION $
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If yes. describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N
<br />N / A
<br />830-52674
<br />10/01/2014
<br />10/01/2015
<br />X
<br />PER
<br />STATUTE
<br />OTH-
<br />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 />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Indian River County Bid No. 2014052
<br />GENERAL LIABILITY:
<br />Blanket Additional Insured coverage for both ongoing and completed operations, as required by written contract./ Forms: CG2010 (07/04) and CG2037 (07/04)
<br />Blanket Waiver of Subrogation, as required by written contract / Form: CG 2404 (05/09)
<br />Blanket Primary and Non -Contributory, as required by written contract / Form: FMIC GL 1002 (10/12)
<br />SEE ATTACHED ACORD 101
<br />Indian River County
<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 />��
<br />,), "-"�G
<br />ACORD 25 (2014/01)
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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