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2017-010
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Last modified
2/20/2017 3:36:59 PM
Creation date
2/20/2017 3:34:42 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
01/17/2017
Control Number
2017-010
Agenda Item Number
8.F.
Entity Name
Baytree Condominium Association
Subject
Seagrape Trail Beach Park License Agreement
Dune Stabilization
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OP ID: MK <br />Ac -ORO" <br />4......,- CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />02/09/2017 <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(ies) 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 />Stuart Insurance, Inc. <br />3070 S W Mapp <br />Palm City, FL 34990 <br />Joseph E. Coons, CPCU. CIC. <br />NAME CT Joseph E Coons <br />{NC. No, Ext): 772-2864334 FAX No): 772-286-9389 <br />E-MAIL coons stuartinsurance.net <br />PRODUCER <br />CUSTOMER ID #: GUETB-1 <br />INSURER(S) AFFORDING COVERAGE <br />NAIL # <br />INSURED Guettler Brothers <br />Construction LLC <br />Ben G. Guettler <br />P.O. Box 12271 <br />Fort Pierce, FL 34979-2271 <br />INSURER A:WestfieidInsurance <br />24112 <br />INSURERS: <br />INSURER C: <br />06/30/2016 <br />INSURER D : <br />EACH OCCURRENCE <br />INSURER E : <br />DAMAGISEES (TOEa RENTEDoccurrence) <br />PREM <br />INSURER F : <br />COVERAGES <br />CERTIFICATE NUMBER: <br />REVISION NUMBER: <br />THIS IS TO CERTIFY 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 />ADDLSUBR <br />INSR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />IMMIDD/YYYY) <br />POLICY EXP <br />LIMITS <br />A <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL <br />LIABILITY <br />X <br />OCCUR <br />TRA7630158 <br />06/30/2016 <br />,JMMIDDM(YY► <br />06/30/2017 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGISEES (TOEa RENTEDoccurrence) <br />PREM <br />$ , 500 000 <br />CLAIMS-MADE <br />MED EXP (My one person) <br />$ 10,000 <br />X <br />Contractual <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />X <br />INCLUDES XCU <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIESPER: <br />POLICY 15-C iNi I- LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />7 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />TRA7630158 <br />06/30/2016 <br />06/30/2017 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(PER ACCIDENT) <br />$ <br />X <br />X <br />PIP <br />$ 10,000 <br />$ <br />A <br />X <br />UMBRELLA UAB <br />EXCESS UAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />TRA7630158 <br />06/30/2016 <br />06/30/2017 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVEn <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, desaibe under <br />DESCRIPTION OF OPERATIONS <br />Y! N <br />I I <br />N /A <br />WC STATU- OTH- <br />TORY LIMITS ER <br />E L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF ERATDONS 1 L CATIONS 1 V HICLES (Attach ACORD 101, Additional Remarks Schedule,11 more space le required) <br />GGLRAD�tIyyNGnO BLAND * gg anket Additional Insured in regards to General <br />General andAu omobile Liability. BlanKet Waiver of Subrogation for <br />CERTIFICATE HOLDER <br />CANCELLATION <br />BAYTC-2 <br />Baytree Condominium <br />Association, Inc <br />8400 N. AIA <br />Vero Beach, FL 32963 <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 />E ,f- <br />ACORD 25 (2009/09) <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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