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OP ID: MK ACOR©• CERTIFICATE OF LIABILITY INSURANCE `.� DA TE{MM�D 01/3112001717 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 I5 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 Stuart Insurance, Inc. S W Mapp Palm City, FL 34990 Joseph EE Coons, CPCU. CIC. p CONTACT Joseph E Coons PHONE r"3070 (c No, E,�1.772-286-4334 (AJC, No): 772-286-9389 E-MAIL ADDRESS:!coons@stuartinsurance.net PRODUCER GUETB-1 CUSTOMER ID 0: iNSURER(S) AFFORDING COVERAGE NAIC 0 INSURED Guottler Brothers Construction LLC Ben G, Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURERA:Westfield Insurance 24112 INSURERS: INSURER C EACH OCCURRENCE INSURER 0 : 1,000,000 INSURER E : X INSURER F : LIABILITY X VERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES 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. IL RSR TYPE OF INSURANCE ADM_ /NSR &UDR WVD POLICY NUMBER POLICY -Err— IMMIDOIYYYY) POLICY EXP (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X OCCUR TRA7630158 06130/2016 0613012017 NTED-- PRE Anee) PREMISES (O Ea occurre $ 500,000 CLAIMS-MADE MED EXP (Any one person) $ 10,000 X Contractual PERSONALBALA/ INJURY S 1,000,000 X GEM. INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY X JEG LOC PRODUCTS - COMP/OP AGG $ 2,000,000 5 A AUTOMOBILE X_ X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRA7630158 06130/2016 06130/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per acddent) $ PROPERTY DAMAGE (PER ACCIDENT) PIP $ 10,000 A X UMBRELLA LIAR EXCESS UAB ^CUR CLAIMS -MADE TRA7630158 06/30/2016 0613012017. EACH OCCURRENCE $ 5,000,000 AGGREGATE S 5,000,000 DEDUCTIBLE— RETENTION $ S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/ NTORY ANY PROPRIETORJPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? T 1 (Mandatory In NH) gym, desanbe under DESCRIPTION OF OPERATIONS below N IA VAC STAT LI- OTH- LIMITS , ER EL. EACH ACCIDENT $ El. DISEASE - EA EMPLOYEE $ -- E.L. DISEASE - POLICY UMIT 5 DESCRIPTION OP PERA NS 1 LOCATIONS / VEHICLES (Mach ACORD 101, Addtllonal Remarks Schedule If more space Is required) GRADING OF LA ' Blanket Additional Insured In regards to General lability apd Automobile liability. lanket Waiver of S�7brogation for ener�1 Liability. CERTIFICATE HOLDER CANCE TION SEAOA-3 Sea Oaks Property Owners Assoc. Inc 8811 Hwy AIA Vero Beach, FL 32963-4041 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 ACORD 25 (2009109) (>1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and Togo are registered marks of ACORD