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GIBRCON-01
<br />AND
<br />14C111ICNR0
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDD/YYYY)
<br />F10/20/2021
<br />I TYPE OF INSURANCE
<br />ADDL
<br />NI
<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 riot confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER -
<br />Wright Gardner Insurance, Inc.
<br />100 West Antietam Street
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />(A/C, No, Ext): (301) 733-1234 (A/c, No):(301) 733 5821
<br />Hagerstown, MD 21740
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />_
<br />INSURER A; Nationwide Mutual Ins CO
<br />10/1/2021
<br />INSURED
<br />INSURERB:AMCO INSURANCE COMPANY
<br />_
<br />INSURER C: Libert y Mutual Fire Insurance Company 23035
<br />Gibraltar Construction Company, Inc.
<br />42 Hudson St Ste 107
<br />Annapolis, MD 21401-8537
<br />INSURER D :Allied Property and Casulaty Insurance Company
<br />INSURER E: Federal Insurance Company 20281
<br />INSURER F:
<br />COVERAGES r.FRTIFIr'GTF Nil IMRS=P9
<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 />ILTR NSR
<br />I TYPE OF INSURANCE
<br />ADDL
<br />NI
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />D/DD
<br />POLICY EXP
<br />--
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />-
<br />X
<br />ACP GLO 3019842552
<br />10/1/2021
<br />10/1/2022DAMAGE
<br />EACH OCCURRENCE $ 1,000,000
<br />TO RENTED 100,000
<br />PREM S S a occurrence $
<br />MED EXP (Any oneperson) $ 5,000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY 1XI i88T EILOC
<br />GENERAL AGGREGATE 1 $ 2,000,000
<br />PRODUCTS -COMP/OP AGG $ 2,000,000
<br />$
<br />COMBINED SINGLE LIMIT 1,000,000
<br />Ea accident $
<br />B
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />p
<br />AUT OS ONLY X 'AUTOS ONLY
<br />Ix
<br />X
<br />ACP BAA 3019842552
<br />10/1/2021
<br />10/1/2022
<br />BODILY INJURY Per person) $
<br />—_—
<br />$
<br />PROOPERTYU AMAGEaccident
<br />Per accident $
<br />EACH OCCURRENCE $ 5,000,000
<br />B
<br />C
<br />D
<br />E
<br />X UMBRELLA LIAB X OCCUR
<br />EXCESS LIAB CLAIMS -MADE
<br />NIA
<br />X
<br />ACP CAA 3019842552
<br />WC2-291-470995-011
<br />ACP CIMP 3019842552
<br />8261-1389
<br />10/1/2021
<br />10/1/2021
<br />�
<br />10/1/2021
<br />10/1/2021
<br />10/1/2022
<br />10/1/2022
<br />10/1/2022
<br />10/1/2022
<br />AGGREGATE $
<br />DED X RETENTION$ 0
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />MandaFFICER/Mtory in ER EXCLUDED?
<br />tory in and
<br />It es, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Equipment Floater
<br />Professional Liabili
<br />_
<br />Aggregate $ 5,000,000
<br />S
<br />X TATUTE X OT
<br />RH-
<br />E. L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />Both Aggregte,Occ. 1,000,000
<br />General Aggregate 1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />When required by written contract Indian River County, and Verotown, LLC is listed as an additional insured per policy form to follow.
<br />Location Of Work: 3901 26th St, Vero Beach, FL 32960
<br />Jackie Robinson Training Complex Villas Remodel
<br />U 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />< J-%1Yl1CLLfi I ILJN
<br />Indian River County Florida
<br />1801 27th Street
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Vero Beach, FL 32960
<br />AUTHORIZED REPRESENTATIVE
<br />16,
<br />�N
<br />OCr1Rr1 79; 19n4a/nz1
<br />U 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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