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2020-116D
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Last modified
3/2/2021 2:17:19 PM
Creation date
3/2/2021 2:15:07 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
06/23/2020
Control Number
2020-116D
Agenda Item Number
8.N.
Entity Name
Atlantic Roofing II of Vero Beach, Inc.
Subject
Contract Documents for Indian River County Main Library Roof Replacement
(IRC-1338) Bid No. 2020029 for Project No. IRC-1838
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ACORD1 CERTIFICATE OF LIABILITY INSURANCE <br />F DATE(MMIDD/YYYY) <br />6/26/2020 <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 />t this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />jWallace Welch & Willingham, Inc. <br />300 1st Ave. So., 5th Floor <br />CONTACT <br />NAME: Certificates/Commercial Lines <br />PHONE FAX <br />AIC No Ext): 727-522-7777 A/C No : 727-521-2902 <br />`Saint Petersburg FL 33701 <br />ADDRESS: certificates@w3ins.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: Allied Ins. Co. of America 1 01 27, <br />ATN2046514 <br />INSURED ATLAROO-01 <br />Atlantic Roofing II of Vero Beach Inc <br />INSURER B: United Specialty Ins. Co. 12537 <br />EACH OCCURRENCE $ 1,000,000 <br />Atlantic Metal II of Vero Beach Inc <br />INSURER C: <br />INSURER D: <br />4310 45th St <br />Vero Beach FL 32967 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 575898991 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />B <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />ATN2046514 <br />6/29/2020 <br />6/29/2021 <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 50,000 <br />MED EXP (Any one person) $ 0 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY F JECT D LOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS-COMP/OP AGG $2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />ACPBAL3047793798 <br />6/29/2020 <br />6/29/2021 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />Per accident $ <br />B <br />UMBRELLA LIAB <br />X <br />OCCUR <br />BTN2046539 <br />6/29/2020 <br />6/29/2021 <br />EACH OCCURRENCE $ 1,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ 1,000,000 <br />DED F RETENTION $ <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY `, I N <br />ANYPROPRI ETOR/PARTNER/EXECUTIVEâť‘ <br />OFFICE R/MEMBER EXCLUDED? <br />NIA <br />I PER DTH - <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Indian River County is additional insured including completed operations with respect to General Liability if required by written contract subject to terms, <br />conditions and exclusions of the policy. <br />Indian River County is additional insured on a primary basis with respect to Auto Liability if required by written contract subject to terms, conditions and <br />exclusions of the policy. <br />V 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <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 Purchasing Division <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1800 27th Street <br />AUTHORIZED REPRESENTATIVE <br />Vero Beach FL 32960 <br />'.r <br />V 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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