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GUETB-1 OP ID: MIK
<br />�1
<br />AC"R L? ' DATE (MMIDD/YYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE 1 10/23/2018
<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(les) 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 772-286-4334 coNTACT Margaret Kiess
<br />Stuart Insurance, Inc. PHONE 772-286-4334 FAX 772-286-9389
<br />3070 S W Map P (AIC, No, Ext): A/C, No):
<br />Palm Cityy, FL 34990 E-MAIL m less stua Insurance.net
<br />Joseph E, Coons, CPCU. CIC.
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />INSURERA:Westfleld Insurance Co. 24112
<br />INSURED Guettler Brothers INSURER B:
<br />Construction, LLC
<br />P.O. BOX 12271 INSURER C:
<br />Fort Pierce, FL 34979-2271 INSURER 0:
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 TYPE OF INSURANCE NSD DDL SUER WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br />I TRG X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE I OCCUR Y Y TRA7630158 06/30/2018 06/30/2019 DAMAGE TO RENTEDS (Ea Oct, rrence) $ 500,000
<br />X Contractual MED EXP (Any oneperson) $ 5,000
<br />X INCLUDES XCU PERSONAL &ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br />POLICY I JPEEi D LOC PRODUCTS - COMP/OP AGG $ 2,000,000
<br />OTHER:
<br />A AUTOMOBILE LIABILITY COMBINEcciD ntjSINGLE LIMIT $ 1,000E. 000
<br />Ix
<br />ANY AUTO Y Y TRA7630158 06/30/2018 06/30/2019 BODILY INJURY Per erson $
<br />OWNED SAUTOS CHEDULEDBODILY INJURY Per accident $
<br />OWNES ONLY Ix
<br />SCHEDULED RAUTOS ONLY AUTOS ONLY PPerOacuCenl AMAGE $
<br />Dedutibles $ 2,000
<br />A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000'000
<br />EXCESS LIAB CLAIMS -MADE Y Y TRA7630158 06/30/2018 06/30/2019 AGGREGATE $ 5,000,000
<br />DED I I RETENTION $
<br />WORKERS COMPENSATION PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN .A LITE ER
<br />ANY PROPR
<br />IET
<br />gO
<br />ER/PARTNER/EXECUTIVE N I A E.L. EACH ACCIDENT $
<br />K.F.ICER/MtoryIn NHS EXCLUDED'
<br />If yas, describe under
<br />E.L. DISEASE - EA EMPLOYE $
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />GRADING OF LAND " Indian River County Additional Insured in regards to
<br />General Liability and Automobile Liability. Blanket Waiver of Subrogation
<br />for General Liability. 30 day notice of cancellation (10 day for non-
<br />payment) applies. BID # 2019005
<br />IRCBD-1
<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 Street
<br />Vero Beach, FL 32960-3388 AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 TYPE OF INSURANCE NSD DDL SUER WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br />I TRG X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE I OCCUR Y Y TRA7630158 06/30/2018 06/30/2019 DAMAGE TO RENTEDS (Ea Oct, rrence) $ 500,000
<br />X Contractual MED EXP (Any oneperson) $ 5,000
<br />X INCLUDES XCU PERSONAL &ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br />POLICY I JPEEi D LOC PRODUCTS - COMP/OP AGG $ 2,000,000
<br />OTHER:
<br />A AUTOMOBILE LIABILITY COMBINEcciD ntjSINGLE LIMIT $ 1,000E. 000
<br />Ix
<br />ANY AUTO Y Y TRA7630158 06/30/2018 06/30/2019 BODILY INJURY Per erson $
<br />OWNED SAUTOS CHEDULEDBODILY INJURY Per accident $
<br />OWNES ONLY Ix
<br />SCHEDULED RAUTOS ONLY AUTOS ONLY PPerOacuCenl AMAGE $
<br />Dedutibles $ 2,000
<br />A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000'000
<br />EXCESS LIAB CLAIMS -MADE Y Y TRA7630158 06/30/2018 06/30/2019 AGGREGATE $ 5,000,000
<br />DED I I RETENTION $
<br />WORKERS COMPENSATION PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN .A LITE ER
<br />ANY PROPR
<br />IET
<br />gO
<br />ER/PARTNER/EXECUTIVE N I A E.L. EACH ACCIDENT $
<br />K.F.ICER/MtoryIn NHS EXCLUDED'
<br />If yas, describe under
<br />E.L. DISEASE - EA EMPLOYE $
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />GRADING OF LAND " Indian River County Additional Insured in regards to
<br />General Liability and Automobile Liability. Blanket Waiver of Subrogation
<br />for General Liability. 30 day notice of cancellation (10 day for non-
<br />payment) applies. BID # 2019005
<br />IRCBD-1
<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 Street
<br />Vero Beach, FL 32960-3388 AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />IRCBD-1
<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 Street
<br />Vero Beach, FL 32960-3388 AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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