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2017-109A
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2017-109A
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Last modified
9/20/2017 12:41:43 PM
Creation date
9/20/2017 12:37:27 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
08/15/2017
Control Number
2017-109A
Agenda Item Number
8.P.
Entity Name
Go Line Bus Turn-Off CR510
Subject
North County Bus Hub Site Work
Area
90th Avenue
Project Number
IRC-1715
Bid Number
2017060
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OP ID: MK <br />'`�� Rte^ CERTIFICATE OF LIABILITY INSURANCE <br />DA08/30/2017Y) <br />08130/2017 <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.AX <br />3070 S W Mapp <br />Palm City, FIL 34990 <br />Rick Halcomb, CIC, ARM <br />CONTACT Margaret M. Kiess <br />Al� No Ext :772-286 4334 FAC Nol: 772'286"9389 <br />E-MAIL mkiess@stuartinsurance.net <br />ADDRESS: <br />PRODUCER CATHC-1 <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED Cathco, Inc. <br />INSURER A: Southern Owners 10190 <br />5550 41st Street <br />Vero Beach, FL 32967-1626 <br />INSURER e:Westfield Insurance 24112 <br />INSURER C:FFVA Mutual Ins. Co. <br />INSURER D: <br />X <br />INSURER E: <br />72717650 <br />INSURER F: <br />03/0112018 <br />COVERAGES CERTIFICATE NUMBER: 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 />DOL <br />S <br />B <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYV <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />72717650 <br />03/01/2017 <br />03/0112018 <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP (Any one person) $ 10,00 <br />CLAIMS -MADE OCCUR <br />X XCU <br />PRIMARY <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />NON CONTRIBUTORY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ 2,000,000 <br />POLICY X PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />X <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />B <br />X <br />ANY AUTO <br />CWP0259059 <br />03/01/2017 <br />03/01/201$ <br />(Ea accident) <br />BODILY INJURY (Per person) $ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) $ <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />$ <br />X <br />HIRED AUTOS <br />(PER ACCIDENT) <br />X <br />NON -OWNED AUTOS <br />$ <br />UMBRELLA LIAB <br />X <br />OCCUR <br />, <br />EACH OCCURRENCE $ 1,000,000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />4512123505 <br />0310112017 <br />03101/2018 <br />AGGREGATE $ 1,000,000 <br />DEDUCTIBLE <br />X <br />RETENTION $ 10000 <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />X <br />AND EMPLOYERS' LIABILITY YIN <br />TORY LIMIT ER <br />C <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N I A <br />WC84000310202017A <br />01/01/2017 <br />01/01/2018 <br />E.L. EACH ACCIDENT $ 1,000,000 <br />(Mandatory In NH) <br />If es, describe under <br />BLANKET WAIVER <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />A <br />RentedlLeased <br />72121235 <br />03/01/2017 <br />03/01/2018 <br />Rented 200,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />GRADING OF LAND <br />BLANKET Additional Insured on General Liability & Automobile including <br />Como t EY d Operations <br />BLAV <br />Waiver of Subrogation applies for Workers <br />Compensation <br />rFRTIFI!`ATC unl MCM <br />IRCBD-1 <br />Indian River County <br />1801 27th Street <br />Vero Beach, FL 32960 <br />CANCE <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 />i <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />
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