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A`ORCP CERTIFICATE OF LIABILITY INSURANCE OP ID: MK DATE(MMIDD/YYYY) 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(ies) must be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the pollcy, certaln policies may require an endorsement. A statement on this certificate does not confer rights to the certlficate holder in lieu of such endorsement(s). PRODUCER Stuart Insurance, Inc. 3070 S W Mapp Palm City, FL 34990 Joseph E. Coons, CPCU. CIC. CONTACT NAME; Joseph E Coons PHONE 772-286-4334 _INC No Eat). EMAIL ADDRESS: Jcoons@stuartinsurance.net FAX No): 772-286-9389 PRODUCER GUETB-1 CUSTOMER ID r!; INSURED Guettler brothers Construction LLC Ben G. Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURER(5) AFFORDING COVERAGE INSURER A : Westfield Insurance INSURER B: INSURER C : NAIC 24112 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES INDICATED, NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE PERTAIN, POLICIES, AIN DR VJ BO LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN REDUCED POLICY NUMBER ISSUED TO CONTRACT THE POLICIES BY EFF (MM DOY/YYYY) THE INSURED OR OTHER DOCUMENT DESCRIBED PAID CLAIMS, LICY EXP (MM/OOIYYYY1 NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS INSR LTR TYPE OF INSURANCE A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 1,000,000 PREMISES(Ea CTTE $ 500,000 MED EXP (Any one person) $ 10,000 X X GEN'L Contractual PERSONAL 8 ADV INJURY $ 1,000,000 INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER PC' ICY X ECT PRO- PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE X X X X LIABILITY I ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDA'UTOS 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 J $ 10,000 $ A X UMBRELLA LIAR X OCCUR EXCESS LIAB I i CLAIMS -MADE X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ $ $ WORKERS AND ANY OFFICER/MEMBER (Mandatory 11 yes, DESCRIPTION COMPENSATION EMPLOYERS' LIABILITY N / A WC STATU• 10TH - TORY LIMITS . ER PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? I E L EACH ACCIDENT $ In NH) describe under OF OPERATIONS below E DISEASE • EA EMPLOYEE! $ $ E DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD 101, Additional Remarks Schedule, It more space Is required) GRADING OF LAND * Blanket Aqddition I In ured in regards to General Liabilityand Automobile Liaebili BlankC t Waiver of Subro ation for GeneraLiability, 30 day notice et cancellation (10 day for non-payment) applies. r.FPTIFIr ATC unr rCo _ LATION 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. ACORD 25 (2009/09) AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD