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Client#: 8381 XGDSYS
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM,DDiYY1
<br />07/26/2019
<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. TfUS 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 poiicyfies) must be endorsed. If SUBROGATION IS WAIVED subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />ZERVOS GROUP, INC.
<br />24724 Farmbrook
<br />P.O. Box 2067
<br />Southfield, MI 48037-2067
<br />INSURED
<br />CONTACT
<br />NAME:
<br />PHONE
<br />(A/C, No, Ext): 248 3554411
<br />E-MAIL
<br />ADDRESS:
<br />(AJC, No): 248 355-2175
<br />INSURERS) AFFORDING COVERAGE
<br />NAIL
<br />INSURER A : Valley Forge Insurance Company
<br />XGD'SYSTEMS, LLC
<br />DBA TDI USA
<br />415 NW Flagler Ave., Ste. 302
<br />Stuart, FL 34994
<br />Rama; 8 : National Fie Insurance Co. Radford
<br />INSURER :
<br />INSURER D :
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES
<br />CERTIFICAT
<br />1\L -it IJIVI,I IYVIYIOGR.
<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 POL CIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />IiNSR
<br />SUBR,
<br />,WVD
<br />POLICY NUMBER
<br />POLICYEFF
<br />1(MVdOD/YYYY)
<br />POLICY EXP
<br />,{MMIDDIYYYY)
<br />LLMEES
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />X
<br />X
<br />I
<br />6046384825
<br />03/31/2019
<br />03/31/2020
<br />EACH OCCURRENCE (
<br />$1,000,000
<br />CLAIMS -MADE i X
<br />OCCUR
<br />encs)
<br />X
<br />Contractual
<br />PREMISES (EaEoNcour
<br />MED EXP (Any one
<br />$100,000
<br />$15,000
<br />X
<br />X, C & U
<br />person)
<br />PERSONAL 8, ADV INJURY
<br />$1,000,000
<br />4EN1
<br />AGGREGATE.
<br />LIMIT APPLIES PER:
<br />-1
<br />GENERAL AGGREGATE
<br />s2,000,000
<br />POLICY
<br />X JE C l X I LOC
<br />PRODUCTS - COMP/OP AGG
<br />$2,000,000
<br />OTt
<br />$
<br />A
<br />AVT0008.12UA8
<br />JTY
<br />X
<br />X
<br />48348191272
<br />p3/311201913/31/2020
<br />EisrNIGLE.LIMIT
<br />!,000,000
<br />X
<br />ANY AUTO
<br />ALL OWNED
<br />SCHEDULED
<br />BODILY INSLYI (Per person)
<br />3
<br />AUTOS
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />HIRED AUTOS
<br />X
<br />AUT SWNED
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$
<br />$
<br />UMBRELLA G [JAS
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$
<br />DED I / RETENTIONS
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS LIABILITY YIN
<br />X
<br />4034991286
<br />33/31'/20'[;J.03da1'H2o
<br />x
<br />PER
<br />STATUTE tER
<br />OANY FFICER/MEMBOER MPEXC UDED?�C E
<br />Y
<br />N /A
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1
<br />A
<br />ShortTerm Leased
<br />Rented Equipment
<br />Scheduled Equip.
<br />6046384825
<br />03/31/2019
<br />03/31/2020
<br />,000,000
<br />$495,000 Limit
<br />$1,000 Deductible
<br />Limit Shown Below
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if more space is required)
<br />Job Description: Jungle Trail Shoreline Stabilization Project, IRC -1823
<br />Indian River County, Florida and tndtan River County are additional insured per written contract with
<br />respects to general liability and automobile liability for work performed at the above job. A waiver of
<br />subrogation in favor of the additional insureds is in place with regards to workers' compensation. USL&H
<br />coverage applies. A thirty day prior written notice of cancellation, ten day for non-payment of premium,
<br />wilt be provided to the certificate holder by registered mail, return receipt.
<br />ICATE HOLDER
<br />CANCELLATION
<br />Indian River County, Florida
<br />Board of County Commissioners
<br />1800 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 />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S425574/M408601
<br />VML
<br />
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