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--, ® A 0 EY CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/7/2020 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(les) 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 Arthur J. Gallagher Risk Management Services, Inc. 200 S. Orange Avenue Suite 1350 CONTACT NAME: Carmen J. Bishop P"°NE 407-563-3546 FAX No E-MAIL ADOREss: certRequests@ajg.com INSURERS AFFORDING COVERAGE NAIC # Orlando FL 32801 INSURER A: Lloyd's S nd 2987 INSURED INDIRIV-04 Indian River County Board of County Commissioners Attention: Beth Martin INSURER B: Safety National Casualty Corporation 15105 INSURER C: Evanston Insurance Company 35378 EACH OCCURRENCE $2,000,000 1800 27th Street INSURER D INSURER E Vero Beach FL 32960 INSURER F: nwoownC�+ f`CDTICI!`ATC NIIMRI=R• rO1 )AR9F Wil-V131UN NIJMMLK: vTHIS 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 INSURANCEiNSD ADULTS I -u- WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MWDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY PK1017420 5/1/2020 5/1/2021 EACH OCCURRENCE $2,000,000 CLAIMS -MADE [xl OCCUR DAMAGE TO PREM SES (EaENTED occurrence) $ MED EXP (Any one person) $ X SIR $200,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COM P/OPAGG $ X POLICY ❑ PRO- JECT ❑ LOC OTHER: A AUTOMOBILE LIABILITY PK1017420 5/1/2020 5/1/2021 COMBINED SINGLE LIMIT $2,000,000 Ea accident BODILY INJURY (Per person) $ AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED IANY AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident $ X SIR $200,000 UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ B WORKERS COMPENSATION SP4063018 5/1/2020 5/1/2021 X I STATUTE ETH AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N I A E.L. DISEASE - POLICY LIMIT $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Auto Physical Damage MKLV31M0047429 5/1/2020 5/1/2021 Per Occurrence 21,600,696 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Compensation & Employer's Liability Policy SIR $650,000 Evidence of insurance for IRC -1816, County Welcome Signs, 2020-M-490-00001and 2020-M-490-00002. Florida Department of Transportation is included as additional insureds, as allowable by FL Statute 768.28 P`c OTICI!`ATc unl nro CONCFI I OTION U 1988-2015 AGUKU GUKYUKA I IUNI. An rlgnis reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Florida Department of Transportation 3601 Oleander Avenue Ft. Pierce FL 34982 AUTHORIZED REPRESENTATIVE U 1988-2015 AGUKU GUKYUKA I IUNI. An rlgnis reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD