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2019-061A
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2019-061A
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Entry Properties
Last modified
12/27/2019 12:38:11 PM
Creation date
4/26/2019 1:10:04 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Bid
Approved Date
04/09/2019
Control Number
2019-060A
Agenda Item Number
8.D.
Entity Name
Vero Beach Roofing
Subject
Reverse Osmosis Plant Roof Replacement
Area
North Reverse Osmosis Plant
Project Number
IRC-1802
Bid Number
2019031
Alternate Name
RO Plant
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ACRD® <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 />CONTACT <br />NAME: Jennifer Hauger <br />PHONEFAX <br />WC. No,_Ext,): 972-404-0295 (AJC, No): <br />E-MAIL <br />ADDRESS: lennlfe,LhaugerPtlratstarhccom <br />CERTIFICATE F LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />9/26/2017 <br />RODUCER SUNZ Insurance Solutions, LLC ID: (Essential) <br />c/o Essential HR, Inc. dba First Star HR <br />4455 LBJ Freeway, Suite 1080 <br />Dallas, TX 75244 <br />INSURED <br />Essential HR Inc., Essential HR II, Inc. <br />dba FirstStar HR <br />4455 LBJ Freeway <br />Suite 1080 <br />Dallas TX 75244 <br />INSURER(S) AFFORDING COVERAGE <br />NSURER A : SUN7. Insurance Company <br />NSURER B: <br />INSURER C : <br />NAIC # <br />34762 <br />INSURER D: <br />INSURER E : <br />INSURER F <br />• <br />REVISION NUMBER: <br />4lJVCtCKk.., va_rs .. vvvvvvt, <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 />TYPE OF INSURANCE <br />ADDL <br />IVSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDD/YYYYI <br />POLICY EXP ' <br />rMMIDD/YYYY) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />- <br />- <br />OCCUR <br />PREMISES Ee occurrence <br />CLAIMS -MADE <br />MED EXP (Any one person) <br />.� <br />PERSONAL & ADV INJURY <br />APPLIES PER: <br />GENERA(_ AGGREGATE <br />$ <br />GEN'L <br />AGGREGATE <br />LIMIT <br />PRO <br />LOC <br />PRODUCTS - COMP/OP AGG <br />POLICY <br />OTHER: <br />JECT <br />AUTOMOBILE LIABILITY <br />CEO aBINEDDtj INGLE LIMIT <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ J 4 <br />$ <br />OWNED <br />SCHEDULED <br />BODILY INJURY (Per accident} <br />AU1OS ONLY <br />HIRED <br />AUTOS <br />NON -OWNED <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />AUTOS ONLY <br />AUTOS ONLY <br />UMBRELLA LIAR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />AGGREGATE <br />DED <br />RETENTION <br />5 <br />$ <br />A <br />WORKERS COMPENSATION <br />WCPE0000018405 <br />10/1/2017 <br />10/1/2018 <br />�j <br />PERTUTE R <br />O0RIi _ <br />AND EMPLOYERS' LIABILITY Y / N <br />WCPE0000018404 <br />10/1/_ <br />10/1/2017 <br />E.L EACH ACCIDENT <br />$ 1,000,000 <br />$ 1 ,000,000 <br />ANYPROPRIETOR/PARTNER/EXECUTIVF <br />OFFICER(MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />-- <br />N/A <br />_E.L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE -POLICY LIMIT <br />_ <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Coverage provided for all leased employees but not subcontractors of: Timothy Rose Contracting, Inc. 1360 SW OLID DIXIE HWY SUITE 106 <br />Effective date: 10/1/2013 <br />Ct[1Irl4.n 11- rrvL.uLrl <br />52200099 <br />Indian River County Purchasing <br />1800 27th St Bldg B <br />Vero FL 32960 <br />_. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />TILE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />✓ i� <br />Glen J Distefano <br />© 1988-2015 ACORDUKATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />38008923 ' Esnential HR Inc PEO 184 MASTER CERT I Natalie Matthew:; 19/26/2017 5:16:00 PM (CDT) i Page L of 1 <br />
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