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2021-038A
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2021-038A
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Last modified
4/12/2022 11:47:57 AM
Creation date
4/12/2022 11:41:50 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/16/2021
Control Number
2021-038A
Agenda Item Number
7.B.
Entity Name
Baytree Condominium Association, Inc.
Subject
Granting beach access point at Sea Grape Trail Park
from March 15 th – March 19, 2021 for Dune Stabilization Project
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GUETB-1 OP ID: <br />ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />111% ' 1 03/10/2021 <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(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 <br />Stuart Insurance, Inc. <br />3070 S W Mapp <br />Palm City, FL 34990 <br />Joseph . Coons, CPCU. CIC. <br />t;NSUR D <br />uett er Brothers <br />Construction, LLC <br />P.O. Box 12271 <br />Fort Pierce, FL 34979-2271 <br />D: <br />E: <br />Id Insurance Co. <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />772-286-9389 <br />112 <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 />INSR <br />TYPE OF INSURANCE <br />DDL <br />UBR . POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FXOCCUR <br />X Contractual <br />X <br />X <br />�IKA7630158 <br />06/30/2020 <br />06/30/2021 <br />EACH OCCURRENCE $ 1'000'000 <br />DAMAGE TO RENTEDnce $ 500,000 <br />MED EXP (Any oneperson) $ 5,000 <br />X INCLUDES XCU <br />PERSONAL BADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY �X JECT LOCPRODUCTS-COMP/OPAGG <br />OTHER: <br />GENERAL AGGREGATE $ 2,000,000 <br />$ 2'000'000 <br />A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY X AUT <br />X AUTOS ONLY X INONLY <br />X <br />X <br />TRA7630158 <br />06/30/2020 <br />06/30/2021 <br />COMIdnti BINED SINGLE LIMIT L 1,000,000 <br />BODILY INJURY Per person)$ <br />BODILY INJURY Per accident $ <br />BODILY <br />PPe�aent AMAGE $ <br />DedUtlbles 2,000 <br />A <br />X <br />UMBRELLALIAB <br />EXCESSLJAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />X <br />X <br />TRA7630158 <br />06/30/2020 <br />06/30/2021 <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ 5'000'000 <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROP RI ETOR/PARTNER/EXECUTIVEE-1 <br />W.FICERVEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />'I, <br />'I <br />PER STATUTE OTH- <br />E. L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYE <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />PROJECT: Baytree Dunes Restoration <br />Indian River County, 1801 27th Street, Vero Beach, FL 32960-3388 AND Baytree <br />Condominium Association Inc are listed as additional insureds. <br />BAYTC-1 <br />Baytree Condominium <br />Association, Inc <br />8400 N. A1A <br />Vero Beach, FL 32963 <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 />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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