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2018-078A
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Entry Properties
Last modified
12/29/2020 1:35:27 PM
Creation date
5/24/2018 10:35:12 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/01/2018
Control Number
2018-078A
Agenda Item Number
8.J.
Entity Name
Johnson Davis, Inc.
Subject
Award of project for Gifford Area Stormwater project improvements
Area
Gifford between 41st and 43rd Street; 28th Avenue to R.R. Tracks
Project Number
1502
Bid Number
20188045
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[il._l.- MOYM <br />MMC UILL <br />ACORO' CERTIFICATE OF LIABILITY INSURANCE <br />/DDIYI <br />DA005/115/11/20188 <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 endorsed. <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 />Johnson Insurance RacinePHONE <br />555 Main Street, Suite 291 <br />Racine, WI 53403 <br />CONTACT Sharon Majeski, ARM <br />FAX <br />(A/c, No, Ext): (920) 433-7107 IA/c, No): (877) 254-8586 <br />E-MAIL j �j <br />ADDRESS: eski sma ohnsonins.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />X <br />INSURER A: HDI Global Insurance Company 41343 <br />EGGCC000173517 <br />INSURED <br />INSURER B: Endurance American Specialty Insurance Company 41718 <br />INSURER C: Travelers Property Casualty Company of America 25674 <br />Johnson -Davis, Inc. <br />INSURER D: <br />604 Hillbrath Drive <br />Lantana, FL 33462 <br />INSURER E: ' <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: RFVISInN NHMBFR: <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 />ADDL <br />INSD <br />SUER <br />WVD. <br />POLICY NUMBER <br />POLICY EFF <br />MM DD Y <br />POLICY EXP <br />MM OD YY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />EGGCC000173517 <br />03/01/2017 <br />08/01/2018 <br />EACH OCCURRENCE $ 2,000,000 <br />DAMAGE TO <br />PREMISES (Ea N E enc $ . 300'000 <br />MED EXP (Any oneperson) $ 10,000 <br />PERSONAL 8 ADV INJURY $ 21000,000 <br />,GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑X PEC LOC <br />GENERAL AGGREGATE $ 2'000'000 <br />PRODUCTS -COMP/OP AGG $ 2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 2,000,000 <br />(Ea accident) - <br />BODILY INJURY Per person)$ <br />X <br />I <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X <br />EAGCC000173517 <br />03/01/2017 <br />08/01/2018 <br />BODILY INJURY Per accident $ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY AMAGE <br />Per accident $ <br />PIP Basic $ 10,000 <br />A <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE $ 4'000'000 <br />AGGREGATE $ 4,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />EXAGC000173517 <br />03/01/2017 <br />08/01/2018 <br />DED I X I RETENTION$ 0 <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />FFICER/M EMBER EXCLUDED? <br />Mandatory In NH) <br />If yes, describe under <br />N I A <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE = EA EMPLOYEE $ <br />. <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />B <br />Excess Liability <br />ELD10006501302 <br />03/01/2017 <br />08/01/2018 <br />Excess Liab over 4 M 1,000,000 <br />C <br />Equipment Floater <br />6604H592540 <br />03/01/2018 <br />03/01/2019 <br />Leased Rented 300,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If mores pace is required) <br />Contractor's Pollution Liability - Policy # 7930030920003- Limit - $1,000,000 - 3/1/2018-311/2019 - Homeland Insurance Company of NY <br />Project: Gifford Area Stormwater Project Bid# 2018045 Project# RC -1502 Address: 43rd Street to the north, 41st Street to the south, 28th Avenue to the west <br />and the F.E.C.R.R. (Florida East Coast Rail Road) tracks to the east., Vero Beach, Florida 32967 <br />Indian River County is additional insured with respect to General Liability and Automobile Liability. <br />A 30 day notice of cancellation applies to the certificate holder. <br />Indian River. County <br />1801 27th Street <br />Vero Beach, FL 32960 <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 />1k%,UML; Lo <<U -I 131UI) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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