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W&JCONS-01 <br />DSMITH2 <br />CERTIFICATE OF LIABILITY INSURANCE <br />C01VFRA(.FS RFRTIFICATF NIIIMRFR- oClncin nu rnnoco o <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 />DATE 08/31/2018 ) <br />08/31/2018 <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 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 />Hub International Florida <br />3760 N. Wickham Road, Suite 2 <br />Melbourne, FL 32935 <br />CONTACT <br />NAME: <br />PHO(A/C, No, Ext): (321) 255-2220 FAX No):(321) 255-7770 <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC # <br />X <br />INSURER A: National Fire Insurance of Hartford 20478 <br />5095130716 <br />INSURED <br />INSURER B: The Continental Insurance Company 35289 <br />INSURER C: Valley Forge Insurance Company 20508 <br />W&J Construction Corporation <br />INSURER D:XL Specialty Insurance Company 37885 <br />1038 Harvin Way #120 <br />Rockledge, FL 32955 <br />INSURER E: Columbia Casualty Company 31127 <br />INSURER F: <br />- <br />C01VFRA(.FS RFRTIFICATF NIIIMRFR- oClncin nu rnnoco o <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 />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />❑X OCCUR <br />CLAIMS-MADEIS <br />X <br />5095130716 <br />01/31/2018 <br />01/31/2019 <br />EACH OCCURRENCE $ 1,000,000 <br />PREM SESOEa occur ante $ 100'000 <br />MED EXP (Any oneperson) $ 15,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO -D LOC <br />JECT <br />GENERAL AGGREGATE $ 2'000'000 <br />PRODUCTS -COMP/OP AGG $ 2'000' 000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON-OWNEDPROPERTY <br />AUTOS ONLY AUTOS ONLY <br />X <br />6023792443 <br />01/31/2018 <br />01/31/2019 <br />COMaBINED SINGLE LIMIT $ 1,000,000 <br />fEaX <br />BODILY INJURY Per erson $ <br />BODILY INJURY Per accident $ <br />DAMAGE <br />Per accident $ <br />PIP 10,000 <br />B <br />C <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />NIA <br />6023792457 <br />602379246D <br />01/31/2018 <br />01/31/2018 <br />, <br />01/31/2019 <br />01/31/2019 <br />EACH OCCURRENCE $ 10,000,000 <br />AGGREGATE $ 10,000,000 <br />DED X RETENTION $ 10,000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N <br />O Mandatory in N R EXCLUDED? ❑ <br />(Mandatory in and <br />If yes, describe under <br />PER OTH- <br />X STAT T - ER <br />E.L. EACH ACCIDENT $ 1,000,OOU <br />E.L. DISEASE - EA EMPLOYEE $ 1'000'000 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />Leased/Rented 50,000 <br />$1,000,000 per Claim 2,000,000 <br />D <br />E <br />DESCRIPTION OF OPERATIONS below <br />Equipment /Ded $1000 <br />Pollution/Enviro <br />UM00028344MA18A <br />6042787076 <br />01/31/2018 <br />01/31/2018 <br />01/31/2019 <br />01/31/2019 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Indian River County Florida is included as Additional Insured for General Liability & Auto Liability, when required in a written contract or agreement with the <br />Insured. Should a policy be cancelled before the expiration date, a 30 days' notice is to be provided by the Insurer to the certificate holder. <br />roorrcirw rr r ...-.-. <br />v _I9tW-Zu15 AGORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />I IUIV <br />Indian River County Florida <br />1801 27th St. <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 />Vero Beach, FL 32960 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/031 <br />_ <br />v _I9tW-Zu15 AGORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />