2022-011 - Laserfiche WebLink

Home Browse Search

ACCWE' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYre) 1/24/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Acentria Insurance -Harbor Insurance Agency 6645 South US Highway 1 Port Saint Lucie FL 34952 CONTACT NAME: Carolyn Lombardi PHONE A/C No Ext: 561-623-6408 ac No: 772-460-2315 E-MAIL ADDRESS: carol n.lombardi Acentria.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Southern -Owners Insurance Company 10190 INSURED DONHiNK-01 Don Hinkle Construction Inc 246 Bimini Drive Hutchinson Island FL 34949 INSURER B : INSURERC: INSURERD: INSURER E: INSURER F: I CERTIFICATE NUM13ER: 15905IZ246 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDD I POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 72049610 2/25/2021 2/25/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO- F1 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JECT LOC $ I OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ OWNED ice— SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident A x UMBRELLA LIAB X OCCUR 14914256300 1 2/25/2021 2/25/2022 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE j AGGREGATE $ l DED X I RETENTION $ WORKERS COMPENSATION $ PEROTH- AND EMPLOYERS' LIABILITY YIN i � STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L. DISEASE - EA EMPLOYEE $ �OFFICER/MEMBEREXCLUDED7 Mand Iatory in NH) f yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below I II I I, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarxs Schedule, may be attached if more space is required) RE: Indian River County Tax Collectors Office Expansion: Bid No.: 2022018, Project IRC -2030 Certificate holders are included as Additional Insureds with respect to General Liability including products completed Operations. Waiver of Subrogation applies in favor of the certificate holders. '30 days notice of cancellation, except 10 days for non-payment of premium. Indian River County Board of County Commissioners 1801 27th Street Vero Beach FL 32960 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cz�y�� V 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD