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Last modified
3/5/2021 1:53:44 PM
Creation date
12/23/2020 3:53:42 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
11/17/2020
Control Number
2020-238A
Agenda Item Number
8.D.
Entity Name
Kerns Constructionand Property Management Corp.
Subject
Roseland Community Center Building and Site Improvements
Project Number
IRC-1855
Bid Number
2020053
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ACORD <br />�.--.. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />12/10/2020 <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 />PRODUCER <br />Kretschmer Insurance y A enc Inc. <br />PO Box 12519 g <br />CONTACT <br />NAME: <br />PHONE Ext (772) 467-6656 aC No (772) 461-8425 <br />E-MAIL <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />Fort Pierce FL 34979 <br />ADDRESS: <br />DCIO0919-01 <br />05/28/2020 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURERA: United Specialty Insurance Cc 12537 <br />DAMAGE O RENTED <br />PREMISES Eaoruurenr_e S 200, 000 <br />INSURED (772) 985-5015 <br />Kerns Construction and Property Management <br />Corp <br />INSURER B: Kinsale Insurance Co 38920 <br />INSURER C:Progressive Express Insurance 10193 <br />INSURER D: <br />1680 Sw Bayshore Blvd Ste 226 <br />INSURER E: <br />Port St Lucie FL 34984 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMRER, Cert ID 1636 RF\lISION NIIMRFR- <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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSO <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD/YYW <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />Y <br />Y <br />DCIO0919-01 <br />05/28/2020 <br />05/28/2021 <br />EACH OCCURRENCE S 1,000,000 <br />DAMAGE O RENTED <br />PREMISES Eaoruurenr_e S 200, 000 <br />MED EXP (Any one person) S 5, 000 <br />PERSONAL B ADV INJURY S 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- LOC <br />JECT <br />I GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS-COMP/OP AGG S 2,000,000 <br />S <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident $ 1,000,000 <br />C <br />ANYAUTO <br />Y <br />Y <br />02747712-0 <br />10/06/2020 <br />10/06/2021 <br />BODILY INJURY (Per person) S <br />OWNED SCHEDULED <br />AUTOS ONLY X AUTOS <br />BODILY INJURY (Per accident) 5 <br />X <br />HIREDX NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident S <br />S <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />0100129067-0 <br />10/07/2020 <br />05/28/2021 <br />EACH OCCURRENCE $ 1,000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $ 1,000,000 <br />DED RETENTION 5 <br />5 <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ElNIA <br />PER ?5TH - <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />(Mandatory <br />If un <br />yes, describe Linder <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS below <br />e <br />S <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Project: Roseland Community Center Building & Site Improvements. Certificate holder is covered as <br />additional insured when required by written contract. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. <br />1801 27th St AUTHORIZED REPRESENTATIVE <br />Vero Beach FL 329603388 L `� <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Page 1 Of 1 <br />
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