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r;� 0 <br />CERTIFICATE OF LIABILITY INSURANCEDATE(MMIODNYYY) <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />PERIOD <br />WITH RESPECT TO WHICH THIS <br />06/16/2021 <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 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 lieu of such endorsement(s). <br />PRODUCER Winchester Insurance, Inc <br />1425 W Broadway (SR 426) <br />P.O. Box 620969 <br />� <br />Oviedo FL 32762 <br />- <br />CONTACT <br />-NAME Chris Winchester <br />_ <br />PHONE (407) 365-5656 FAA1C NNQ1.(407) 366-0031 <br />E-MAIL— <br />DoaEss: Chris@winchesterinsurance,com <br />INSURER SI AFFORDING COVERAGE <br />�--- <br />NAIC /1 M1 <br />INSURERA,Arch Specialty Ins Co. <br />21199 <br />_ <br />INSURED Y <br />Ag 5cape Services, Inc. <br />INSURERB:American Interstate Insurance CO <br />31895 <br />JNsuRERc_American Zurich Insurance Co <br />.__ <br />40142 <br />Florida Site Contracting <br />866 11th CT .SW <br />INSURER D : <br />NSURERE• <br />Vero Beach FL 32962- <br />VIJIVIY IYVIYIp GR. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />PERIOD <br />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 />IL SR -- ADD L SUBR POLICY EFF POLICY EXP <br />TYPE OF INSURANCE POLICY NU BER <br />— ----- <br />LIMITS <br />A X:COMMERCIAL GENERAL LIABILITY X X 600GLO19236900 01/15/2021 01/15/2022 <br />! CLAIMS <br />EACH OCCURRENCE ($ 1,000,000 <br />DAMAGE TO RENTED <br />-MADE ✓XI OCCUR <br />S 50,000 <br />�Ea nccuurnce) _ <br />—i <br />X 1,000 <br />MED EXP (Any one person) s 5,000 <br />BI/PD DedUCilb <br />PERSONAL B ADV INJURY I S 1,000,000 <br />_GEML AGGREGATE LIMIT APPLIES PER: <br />POLICY �� DEQ <br />GENERAL AGGREGATE $ 2,000,000 <br />LOC <br />PRODUCTS - COMPIOPAGG S 2,000,000 <br />_ <br />S - <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT I S <br />(Eaaccidem) <br />I <br />ANY AUTO <br />1 ALL OWNED SCHEDULED <br />--� <br />BODILY INJURY (Per person) i $ <br />— <br />BODILY INJURY (Per accident- ) r$ -- <br />_. AUTOS AUTOS <br />! HIRED AUTOS NON -OWNED <br />--- AUTOS <br />PROPERTY DAMAGE - <br />eLaccidenl) � s <br />1 <br />UMBRELLA LIAR <br />=-OLACU-1S.MADEEXCESS <br />OCCURRENCE 'S <br />LIABEACH <br />AGGREGATE Is <br />I <br />i D i IO <br />- �s - <br />B <br />YES'LIION <br />iAND KERSEMPLOYERS' <br />IAND EIv1PLOYERS' LIADILITV <br />?LIT <br />X <br />AVVVCFL3002832021 <br />06/12/2021 <br />166/12/2022 <br />X PER OTH- <br />T©IU7E .ER <br />YIN <br />I ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? � <br />NIA <br />- <br />E.L. EACH ACCIDENT S 1 ,000,000 <br />E.L. DISEASE- EA EMPLOYEE! S 1 ,000,000 <br />(Mandatory In and <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT S 1,000,000 <br />—DEaCE <br />IPT ON F OPERATIONS below <br />Equipment <br />--i <br />'Contractors <br />Rented/Leased Equipment <br />ECO9262124 I6/01i2021 <br />I3101=2021 <br />(06/01/2022 <br />1,000 Deductible 218,235 <br />i <br />1,000 Deductible 400,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 107, Additional Remarks Schedule, may be attached if more space Is required) <br />Re: #2021045 4th Street Culvert Replacement at 90th Avenue. <br />Indian River County and Indian River Farms Water Control District are listed as Additonal Insured in regards to General Liability <br />per written agreement. Waiver <br />of Subrogation in favor of Indian River County and Indian River Farms Water Control District. Thiry (30) day notice of cancellation <br />provided. <br />r CDTICIrAT¢ u.v ncr <br />— - --- I.ANctLLA I IUN A1000063 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANQELLEb dEFOI <br />Indian River County Purchasing Division THE EXPIRATION DATE THEIREOF,'NOTICE. WILL• �E.DeLIVERl D6 <br />ACCORDANCE WITH THE POLICY PROVISIONS. S s;'•, -,+.a' <br />1800 27th Street <br />Vero Beach FL 32960- ''`' <br />AUTHORIZED REPRESENTATIVE - <br />Fax: (772)770-5140 " <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />