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GUETB-1 P ID: MK ACORLY CERTIFICATE OF LIABILITY INSURANCE �� DATE (MM/DD/YYYY) 09/10/2019 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 have ADDITIONAL INSURED provisions or 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 772-286-4334 Stuart Insurance, Inc. 3070 S W Mapp Palm City, FL 34990 Joseph E. Coons, CPCU. CIC. CONTACT Margaret Kiess NAME: (AICONN0, Ext): 772-286-4334 1 FAX No):772-286-9389 ADDRESS: mkiess@stuartinsurance.net INSURER(S) AFFORDING COVERAGE NAIC ft INSURER A :Westfield Insurance Co. 24112 uetNSUR Der Brothers t Construction LLC - P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURER B : INSURER C : 06/30/2020 INSURER D : $ 1,000,000 INSURER E : INSURER F : X COVERAGES CERTIFICATE NUMB 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF IMM/DO/YYYY1 POLICY EXP (MM/DD/YYYY) LIMITS G X COMMERCIAL GENERAL LIABILITY X X 06/30/2019 06/30/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCURTRA7630158 DAMAGE TO RENTED PREMISES (Ea occurrence) 500,000 $ X Contractual MED EXP (Any one person) $ 5,000 X INCLUDES XCU PERSONAL &ADV INJURY $ 1,000,000 GENL AGGREGATE POLICY OTHER: X LIMIT APPLIES JE& PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED OES ONLY AUTOS ONLY X x SCHEDULEDO SCHD AUTOS ONLY x x TRA7630158 06/30/2019 06/30/2020 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ BODILY INJURY (Per person) $ $ $ BODILY INJURY (Per accident) (Her accidentDAMAGE Dedutibles$ 2,000 A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X TRA7630158 06/30/2019 06/30/2020AGGREGATE EACH OCCURRENCE $ 5,000,000 $ 5,000,000 DED RETENT ON $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Indian River County Additional Insured in regards to General Liability and Automobile Liability. Blanket Waiver of Subrogation for General Liability. 30 day notice of cancellation (10 day for non- payment) applies. BID # 2019-010 CANCELLATION IRCBD-1 Indian River County 1801 27th Street Vero Beach, FL 32960 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4(9- 66a -9—e— E ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD