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PARAELE-03 5MGNEtLY
<br />CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY)
<br />1/26/2022
<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 not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER CONT CT Shari McNeely
<br />NAM
<br />J.W. Edens and Company Inc. (A/CC,,"N , Ext : (321) 383-4554 ac, No):
<br />4650 S Hopkins Ave E-MAIL smcneely@jwedens.com
<br />Titusville, FL 32780 Ess: 1
<br />INSURED
<br />Paragon Electric Of Vero, Inc.
<br />9120 16th Place
<br />Vero Beach, FL 32966
<br />INSURER F:
<br />ers
<br />m
<br />DC\/ICIAhI IVIIMRCL?•
<br />038
<br />tluvCKAVCa %+crtr rr,v�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 CONTRACTOR 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 />INSR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />LTR
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FX OCCUR
<br />Vero Beach, FL 32960
<br />72862532
<br />1/1/2022
<br />1/1/2023
<br />EACH OCCURRENCE $ 1,000'000
<br />DAMAGE TO RENTED 300,000
<br />SES( $
<br />MED EXP (Any oneperson) $ 10,000
<br />PERSONAL BADV INJURY $ 1,000,000
<br />N'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY a jE& � LOC
<br />Rx"
<br />GENERALAGGREGATE $ 2,000,000
<br />2'000,000
<br />PRODUCTS - COMP/OP AGG $
<br />COMBINED SINGLE LIMIT 1,000,000
<br />ccid $
<br />B
<br />OTHER: Limited Contractual Liab$
<br />AUTOMOBILE LIABILITY
<br />BODILY INJURY Perperson)_ $
<br />X ANY AUTO
<br />4786253202
<br />1/1/2022
<br />1/1/2023
<br />BODILY INJURY Per accident $
<br />OWNEDSCHEDULED
<br />AUTOS ONLY AUTOS
<br />yyryE
<br />X AUTOS ONLY X AUOTOJ ONLY
<br />PROPERTY DAMAGE
<br />Per accident $
<br />A
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />47-862-532-03
<br />1/1/2022
<br />1/1/2023
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000
<br />DED I X I RETENTION$ 10,000
<br />Follow Form $
<br />rm=
<br />FoER
<br />C
<br />WORKERS COMPENSATION
<br />EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N / A
<br />WC840-0032156-2022A
<br />1/1/2022
<br />1/1/2023
<br />ER
<br />�( PST
<br />1,000,000
<br />E.L. EACH ACCIDENT $
<br />1,000,000
<br />E.L. DISEASE - EA EMPLOYE $
<br />1,000,000
<br />E.L. DISEASE -POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, mai be attached if more space is required)
<br />Bid 2022023- North County RO SCADA Improvements.
<br />The General Liability policy includes a Blanket Additional Insured status only when there is a written contract that requires such status. This insurance is
<br />primary for the Additional Insured, but only with respect to liability arising out of "your work" for that Additional Insured by or for you and BLANKET WAIVER
<br />OF SUBROGATION When you have agreed to waive your right of subrogation in a written contract. Workers Comp policy includes a Blanket Waiver of
<br />Subrogation endorsement. Auto Policy includes DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE BLANKET COVERAGE and WAIVER
<br />OF OUR RIGHT TO RECOVER PAYMENTS (WAIVER OF SUBROGATION) - BLANKET
<br />ACORD 25 (2016/03) v IyOO-w10 M%,UMU I.vr%r-1jr\M11i iv. rii iiyiiw 1GOC1��u.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Indian River County
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />1800 27th Street
<br />Building "B"
<br />Vero Beach, FL 32960
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) v IyOO-w10 M%,UMU I.vr%r-1jr\M11i iv. rii iiyiiw 1GOC1��u.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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