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OP ID: MK ,r^-� , ACa../R ©" �.,..� CERTIFICATE OF LIABILITY INSURANCE DATE (MM740fYYYY} 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 pollcy(ies) 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 Stuart Insurance, Inc. 3070 S W Mapp Palm City, FL 34993 EEADDRESS: Joseph E. Coons, CPCU. CIC. CONTACT NAME: Joseph E Coons = WCNo_Erq:772-286-4334 FAX NO 772-286-9389 EMAIL•coons rtsurance.net S stuarti i� PRODUCER CUSTOMER IDN: GUETB-1 INSURER(S) AFFORDING COVERAGE INSURER A :Westfield Insurance NAIC N 24112 _ INSURED Guettler Brothers Construction LLC Ben G. Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURER 5 X INSURER C : TRA7630158 INSURERD: 06/30/2017 INSURER E $ 1,000,000 INSURER F 8 500,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED ISSUED TO CONTRACT THE POLICIES BY POLICY EFF JMMIDD/YYYY1 THE INSURED OR OTHER DOCUMENT DESCRIBED PAID CLAIMS. POLICY EXP JMMIDD/YVYYI_ NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS INSR LTR TYPE OF INSURANCE AUOL INSR SUBR WVD POLICY NUMBER 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 RENTED PREMISES (Ea occurrence) 8 500,000 CLAIMS -MADE MED EXP (Any one person) $ 10,000 X X Contractual PERSONAL 8 ADV INJURY $ 1,000,000 INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, 7 POLICY X PRD JECT LOC 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) 11 yes, describe under DESCRIPTION OF OPERATIONS VIN N 1 A WC STATU- OTH- TORY LIMITS ER E L. EACH ACCIDENT $ below E.L. DISEASE - EA EMPLOYEE $ E L DISEASE • POLICY LIMIT $ DESCRIPTION OF PERATION5 / LOCATION5 1 VEHICLES Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) GRADING OF LAND * Blanjc t Add[tion l Insured in regards to General Liabilityand automobile Liability,waiver aiver of subrogation for General 30 day notice Of cancellation (10 day for cion -payment) a rcoTlclr ATC unl nco LLATION IRCBD-1 Indian River County 1800 27th Street Vero Beach, FL 32960 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 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD