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ACOR" CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDD/YYYY) rz/8/2022 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: Carol n Lombardi PHONE .56I-623-6408 AXAICNo):772-460-2315 EMAIL ADDRESS: carolyn.lombardi@_Acentria.com INSURERS AFFORDING COVERAGE NAIC # CLAIMS -MADE IJ OCCUR INSURERA: Southern -Owners Insurance Company 10190 INSURED DONHIVK-01 INSURER B : Don Hinkle Construction Inc DAMAGERENTED PREMISESS(Ea occurrence) $ 300,000 246 Bimini Drive INSURERC: INSURERD: Hutchinson Island FL 34949 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2120001272 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 TYPE OF INSURANCE ADDL SUBR - - POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD /DD A X COMMERCIAL GENERAL LIABILITY Y Y 72049610 2/25/2022 2/25/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE IJ OCCUR DAMAGERENTED PREMISESS(Ea occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO - POLICY ❑ JECTPRO ❑LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L $ A X UMBRELLALIAB X OCCUR 4914256300 2/25/2022 2/25/2023 EACH OCCURRENCE $2,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $, $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT $ F7OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under _ -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Indian River County Tax Collectors Office Expansion: Bid No.: 2022013, 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 '0 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County Board of County Commissioners 1801 27th Street AUTHDREPRESENTATIVE H. Vero Beach FL 32960 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD