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-! AC'C3RtT CERTIFICATE OF LIABILITY INSURANCE �, DATE (MMIDDIYYYY) 11/13/2018 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 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 M3 Insurance Solutions, Inc. 828 John Nolen Drive Madison W1 53713 NAMS;..CONTACT Alex HUdzinski PHONE FAX gl(Q,• 608-288-2826 AIc 608-273-1725 e MAIL DRE alex.hudzlnski rvdJm3lns:I;om�.lnc pRoartceR JOHNINC-01 �It�ZGId� INSURERS AFFORDING COVERAGE MAIC fl .INSURED Johnson -Davis Incorporated 604 Hilibrath Drive INSURER A: AmerlSUre Mutual Insurance INSURER B: $ INSURER C: $ Lantana FL 33462 INSURER D; COMMERCIAL GENERAL LIABILITY INSURER E: -INSURER .F: MED EXP (Any oneperson) COVERAGES CERTIFICATE NUMBER: 634185512 REVISION NUMBER: 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iLTRI TYPE OF INSURANCE ADO[: S BR POLICY NUMBER _ POLICY EFF- MWDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ CPREI�ESs(Ea oceurre ce $ COMMERCIAL GENERAL LIABILITY MED EXP (Any oneperson) $ CLAIMS -MADE t_ OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG . $ POLICY ARO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ - SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ . NON -OWNED AUTOS _ $ -UMBRELLA LIAR .00CUR EACH OCCURRENCE $ -EXCESS LIAR CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N -: ANY PROPRIETORIPARTNERIEXECUTIVE -: :OFFICER/MEMBER EXCLUDED? �;' NIA - WC210013502 3/1/2018 3/1/2019 X WC STA7U- - Slit- - - - - - . E,L EACH ACCIDENT -- - --- - - -- - $1 000.000 E L. DISEASE - EA EMPLOYEE $1.000.000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT - - - -- - -- $ I 000 GM: _T DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (Attach ACORD 101, AddltloneI Remarks Schedule, if more space Is required) Project: 45th Street Beautification Project Phase II, IRC -1748, Bid Number 2018048, 45th Street from 43rd Avenue to 28th Court, Vero Beach, FL 32967. 30 days notice of cancellation to Indian River County applies. %,A1 L ML_LA I lUIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County 1800 27th Street Vero Beach FL 32960 AUTNORr[EO'REPRENTpTiS/E CU 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACOAD name and logo are registered marks of ACORD