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r� CERTIFICATE OF LIABILITY INSURANCE
<br />DATEJr1MiDDIY�Yl
<br />F
<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, LXTEND 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 />REPRESFN1-ATiVk OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is nn ADDITIONAL INSURED, the policy(los) must be endorsed, If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the
<br />certificate holder In llou of such ondorsomont(s).
<br />PRODUCER
<br />NA NI�_
<br />PHONE 800-344-4838 CI t3stlfo-silo
<br />PrankH. Furman, Inc.
<br />EMAIL
<br />ADDRESS:
<br />1314 Ea8t Atlantic nlvd,
<br />INSUn ERS AFFORDING COVERAGE.
<br />NAIC it
<br />V. O, Box 1927
<br />INSURERA:Zurich American Insurance Com an
<br />16535
<br />Yonipano Beach PL 33061
<br />INSURRD
<br />INSURERS:Great Amuricon Insurance Company
<br />16691
<br />INSURURC:Navi ators 82ecialty Insurance Company
<br />36056
<br />Halley Engineering Contractors, Inc.
<br />INSURER O:
<br />OL001162410S
<br />13901 14VI 110th Avenue
<br />INSURL'REt_
<br />XCU b Broad Form PD Incl
<br />PERSONAL 8 ADV INJURY S 1, 000, 000
<br />_
<br />INSURER IF:
<br />Y.
<br />Miami FL 33178
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY'II IAT 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 />CIE TIFICATii MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED nY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />LXC( USIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LIR
<br />�� �'
<br />TYPE Of INSURANCE.
<br />A OL
<br />SOUR
<br />POLICY NUMBER
<br />POLICY El r
<br />A fYYV
<br />POI.IGY EXP
<br />MI YYYY
<br />_ L BIOS
<br />A
<br />X
<br />C GIAPAC44CIA L GENE NAL IJASILITY
<br />r�
<br />CLAUAS•MAOE LJ OCCURUAMAVE
<br />EACFIOGCUNREt4Cr: $ 1, ODD, 000
<br />REN1 30e,000
<br />PREMISES•,(EA occunencn 3
<br />X
<br />ml:t)EXPt One pi lSQll S 5.'000
<br />ConL•ractual lnoluded
<br />X
<br />Y
<br />OL001162410S
<br />10/1/:020
<br />1n/l/2031
<br />XCU b Broad Form PD Incl
<br />PERSONAL 8 ADV INJURY S 1, 000, 000
<br />Y.
<br />iIlAlT hr'PUtS Pr:{f"
<br />POLICY a mo IOC2,000,000
<br />GENERALAGUREGATE j 5 21000,000
<br />OrN'Lnt`.GRt:GArE
<br />r'110DUCfS-P.OIAP10r'AGO S
<br />AUTOMODILEIJAMLITY
<br />COMINNED SINGLE Iimil S 21000,,000
<br />f ardd Po
<br />A
<br />K
<br />ANY AUTO
<br />ALL OWNED AUfCIS IED
<br />Autos AUTOS
<br />X
<br />Y
<br />DAVOI1624609
<br />10/1/2020
<br />10/1/2021
<br />BODILY INJURY (Ow pwwm) f
<br />IlOMLY INJURY Per;vddonl f
<br />( )
<br />XX
<br />19RItU AUTOS A IONON-OWNED
<br />PROPERTi DAMAGE 4
<br />Id
<br />f
<br />-
<br />X
<br />V140RCAIALIAIIX
<br />OCCUR
<br />TOU120040604
<br />1011/202D
<br />_
<br />10/10021
<br />EACH OCCURRCNCE f 5, OOC, 000
<br />U
<br />VXCESSLIAa
<br />CLAIMS -MADE
<br />Umbrella is follow Corm of
<br />AGGREGATC f S, DOC, 000
<br />:fro X RGT6WT10N 9 d
<br />;
<br />the OF., AL and BL
<br />A
<br />WOin( I. RS LoMPE NSATION
<br />AND EMPL.OYERT LIADO.ITY YIN
<br />AN7 FIRDPItir:IOIVPART14EIVC-XECUTIVE
<br />OFfICC,RIhIR.InER EXCLUDED? �
<br />IMontl;llafylnNH) L.�
<br />n pp'09, Clnb[flhe I(7SQ�
<br />0 SCRIPTION 01 OPERATIONS rmiaw
<br />NIA
<br />y
<br />WCOI162450S
<br />State of rlorlda
<br />10/l/2020
<br />10/1/1031
<br />I.ER
<br />GL EACH ACCIDENT S 1, 000, Opo
<br />E•L.DISCASE-EA EMPLOYEE S 1 000,000
<br />E.L. Ol5EARE -POLICY LIMP( = 000
<br />C
<br />toneractord Pollution T.iabilit)
<br />SP20T,C>80631TSC
<br />10/1/3020
<br />10/%/2021
<br />tacliIfedani $1,b00,000
<br />tOacurrunce Yarm)
<br />naOucUba, $10,000
<br />0f;5CRIP710N OF OPERATIONS / L0ChT10NS / VEIIiCLES (ACORO 101, Addlllonal RumarUs Schedula, rosy ho altathad It morn spnta Is (equilud)
<br />Pro}ectl HIiC 2105; IHC -1505; 66th Avenue Roadway Widening 149th 8treot to 69th Street),
<br />radian River County, Indian River Parma Water Control District (IRYWCD) and its Consultants, their
<br />officers, directors, partners, employees, and agents aro known as Additional Insureds on General
<br />Liability and Automobile Liability as required by written contract subject to policy terms and
<br />conditions, Coverage is primary and non-contributozy over any other valid or collectible insurance of the
<br />Additional Insurado. Waiver of Subrogation applies in favor of the Additional Insureds for General
<br />Liability, Automobile Liability and Workera Compensation as required by written contract subject to
<br />CERTIFICATE HOLDER
<br />UArvctLLAI IUN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Indian Sliver County TNt FXPIRATION OA•rC THEREOF, NOTICE WILL ITE DCLIVEREU IN
<br />.1001 27th Street ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Vero Beach, FL 32960-338B
<br />AUT140rilZrO REPRESENTATIVE
<br />I Dirk 1JeJong/JC 10 -Vale- --
<br />ACOkD 25 20141011 C� 1988-2014 ACORD CORPORATION, All rights reserved.
<br />( The ACORD name and logo are registered marks of ACORD
<br />INS025 12at4oll
<br />
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