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��-9R �® <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />4/12/2018 <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 have ADDITIONAL INSURED provisions or be erdorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Wallace Welch &Willingham, Inc. <br />300 1st Ave. So., 5th Floor <br />Saint Petersburg FL 33701 <br />CONTACT <br />NAME: Certificates/Commercial Lines <br />PHONE FAX <br />• 727-522-7777 ac No): 727-521-2902 <br />ADDRESS: certificates@w3ins.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />Y <br />INSURER A: Allied Ins. CO'. of America 10127 <br />ATNATL1710882 <br />INSURED ATLAROO-01 <br />Atlantic Roofing II of Vero Beach Inc <br />Atlantic Metal II of Vero Beach Inc <br />INSURER B: United Specialty Ins. Co. 12537 <br />INSURER C: American Interstate Ins Co. 31895 <br />INSURER D: <br />4020 43rd Ave <br />Vero Beach FL 32960 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1860935692 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 />NR <br />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />MMIPOLDDIYEYYFY <br />MM DD1YYYY <br />LIMITS <br />B <br />X I COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE PC] OCCURAMAGE <br />Y <br />Y <br />ATNATL1710882 <br />6/292017 <br />6/29/2018 <br />EACH OCCURRENCE $1,000,000 <br />TO RENTED <br />PREMISES Ea occurrence $ 50.000 <br />MED EXP (Any one person) $ 0 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY � PR. <br />1-1 LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />S <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />ACP3007793798 <br />7(712017 <br />7!7/2018 <br />COMBINED SINGLE LIMIT <br />Ea accident $ 1.000.000 <br />X7 <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />yPOWNED <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />Pers. Injury Protect $ 10,000 <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />IITNI713993 <br />6/29/2017 <br />629/2018 <br />EACH OCCURRENCE' $ 1,000,000 <br />X <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $ 1,000,000 <br />DED RETENTION$ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />Y <br />AVWCFL2649602017 <br />11/15/2017 <br />11/15/2018 <br />X PER DTH - <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />ANYPROPRIETOR/PARTNER/EXECUTIVE F7N <br />OFFICER/MEMBER EXCLUDED? <br />N 1 A <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Re: Indian River County Bid No. 2018021 <br />Indian River County Jail Complex Roofing Replacement, Recover and Repair Project <br />Indian River County Jail is additional insured with respect to General Liability subject to terms, conditions, and exclusions of the policy. <br />tO T `J68-ZUI5 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />V LLLA I IVI\ <br />Indian River County <br />1801 27th Street <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 />Vero Beach FL 32960-3388 <br />tO T `J68-ZUI5 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />