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II61MUN I BION MMCQUILI ACORO` 1CERTIFICATE OF LIABILITY INSURANCE DA Y) 0 33/02/02/220180/8 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 have ADDITIONAL INSURED provisions or 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 CONTACT Sharon Majeski, ARM Johnson Insurance Racine 555 Main Street, Suite 291 Racine, WI 53403 PHONE FAX A/c, No, Ext): (920) 433-7107 A/c, N.):(877) 254-8586 nDOA'E . smajeski@johnsonins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: HDI Global Insurance Company 41343 03/01/2017 INSURED INSURERS: Certain Underwriters at Lloyd's INSURERC:Travelers Insurance Johnson -Davis, Inc. INSURER D: 604 Hillbrath Drive Lantana, FL 33462 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NHMRFRr 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. INSR LTR TYPE OF INSURANCE ADDL SUBR WV POLICY NUMBER POLICY EFF D Y POLICY EXP MM LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X EGGCC000173517 03/01/2017 05/01/2018 EACH OCCURRENCE $ 2'000'000 PAMMGE TO RfEaENTED occurren $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL 8 ADV INJURY $ 2'000'000 - GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑X jEO LOC GENERAL AGGREGATE$ 2'000,000 PRODUCTS - COMP/OP AGG $ 2.000,000 OTHER: A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTEO�S ONLY AUTOSS pBODILY AUTOS ONLY X NON- UTONLY X EAGCC000173517 03/01/2017 05/01/2018 COMBINED SINGLE LIMIT$ 2,000,000 (Ea accident)Ix BODILY INJURY Per erson $ INJURY Per accident $ PerOaccRdent AMAGE $ PIP Basic $ 10,000 A X UMBRELLA LIAB EXCESS LAB X OCCUR CLAIMS -MADE EXAG0000173517 03/01/2017 05/01/2018 EACH OCCURRENCE $ 1 3,000,000 AGGREGATE $ 3,000,000 DED I X RETENTION $ O $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY �, / N ANY PROPRIETOR/PARTNER/EXECUTIVEN OFFIC ER/MJMBER EXCLUDED? ❑ {Mandatory n NH) If yes, describe under DESCRIPTION OF OPERATIONS below Excess Liability Equipment Floater / A ELD10006501302 660 -4H592540 -TIL -18 03/01/2017 03/01/2018 05/01/2018 03/01/2019 PER OTH- T E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ Excess Liab over 3 M 1,000,000 Leased Rented 300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, ma Y be attached if more space is required) Contractor's Pollution Liability - Policy # 7930030920003- Limit - $1,000,000 - 3/1120113-19 - Homeland Insurance Company of NY Project: 74th Ave and 1st St SW Culvert Replacement, project number 1737, bid number 2018024, 74th Ave and 1st St SW, Vero Beach, FL 32968. Indian River County is additional insured with respect to General Liability and Automobile Liability. 30 days notice of cancellation to Indian River County applies. r'=DTICI -ATC u - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Indian River County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1801 27th Street ACCORDANCE WITH THE POLICY PROVISIONS. Vero Beach, FL 32960 AUTHORIZED REPRESENTATIVE 1 �� ACORD 25 (2016103) �f — iaoo-cu ID r+L UKU L URPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD