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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID: MK DATE (MM/DDIYYYY) 12/08/2016 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 endorsoment(s). PRODUCER Stuart Insurance, Inc. 3070 S W Mapp Palm Clty, FL 34990 Joseph E. Coons, CPCU. CIC. INSURED Guettler Brothers Construction LLC Ben G. Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 NAME: Joseph E Coons PHONE 772-286-4334 (AIC, No, Extl: E-MAIL coons©stuartinsurance.net ADDRESS:] V PRODUCER GUETB-1 CUSTOMER ID N. FAX No 772-286-9389 JA/C, INSURER(5) AFFORDING COVERAGE INSURER A : Westfield Insurance NAIC N 24112 INSURER 8 : INSURER C INSURER D : INSURER E : INSURER F : VERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE POLICIES. INSR WVD THE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INLTR TYPE TYPE OF INSURANCE POLICY NUMBER /YPOLICY EFF (MMIDDYYY) POLICY EXP IMM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE 10 NEWEL) PREMISES (Eaaoccurrence) $ 500,000 CLAIMS -MADE MED EXP (Any one person) $ 10,000 X X GEN'L 7 Contractual PERSONAL & ADV INJURY $ 1,000,000 INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER POLICY X PROT LOC JEC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X X TRA7630158 06/30/2016 06/30/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ PIP $ 10,000 $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A WC STATU- OTH- TORY LIMITS ER E L EACH ACCIDENT $ below E.L. DISEASE - EA EMPLOYEE $ E L DISEASE • POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) GRADING OF LAND " Blanket Additional Insured in regards to General Liabilityd Automobile LiabilityliBlanket Waiver of S brogation for Gpepnerra] Liability. 30 day notice Of cancellation (10 day for non-payment) a IRCBD-1 Indian River County 1800 27th Street Vero Beach, FL 32960 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C� ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD