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'nC �� CERTIFICATE OF LIABILITY INSURANCE DATE (M MID �-; 5/3/2022 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 CONTACT The Sihle Insurance Group of Vero Inc. NAME: Certificate Department 5055 Highway AIA PHONE c 7724731100 ac No :407-389-3580 Vero Beach FL 32963 EMAIL_ INSURERS AFFORDING COVERAGE NAIC A INSURERA: Continental Insurance Company 19445 INSURED TIMCROS-01 Timothy Rose Contracting Inc. INSURER B: Valley Fore Insurance Company 20508 825 8th Street INSURER C: Transportation Insurance Company 20494 Vero Beach FL 32962 INSURER D: Continental Casualtv Cmmnanv INSURER E: INSURER _- COVERAGES CERTIFICATE NUMBER. 1327106493 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 AD[ 7�7015727381 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/ODIYYYY MMIDD(YYYY LIMITS B X COMML-RCIAL GENERAL LIABILITY Y 6!62021 6/6/2022 EACH OCCURRENCE $1,000.000 CLAIMS -MADE O OCCUR AMA TOREN? 6162021 1 6/6/2022 6162021 1 6/6/2022 PREMISES Ea occu(rence) S100,000 MED EXP (Any one person) S15,000 PERSONAL & ADV INJURY S1.000.000 U N=KAL A(iUREGATE PRODUCTS - COMPIOP AGG S2.000,000 S2,000,000 s COMBINED SINGLE LIMIT Ea accident GENT AGGREGATE LIMIT APPLIES PER: BODILY INJURY (Per person) PRO - X POLICY n ECT n LOC BODILY INJURY (Per accident) S PROPERTY DAMAGE Pnr arrid ,nt S OTHER: C AUTOMOBILE LIABILITY BUA 7015727395 ANY AUTO WNED X SCHEDULED TOS ONLY AUTOS RED NON -OWNED X J TOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR 7015727400 EXCESS LIAR CLAIMS -MADE DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXEGUTIVE YIN OFFICCR/MEMBrJiEXCLUDED? ❑ N / q (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below D Contractors Equipment Rented/Leased Equipment C7015029465 Installation Floater 6162021 1 6/6/2022 6162021 1 6/6/2022 PREMISES Ea occu(rence) S100,000 MED EXP (Any one person) S15,000 PERSONAL & ADV INJURY S1.000.000 U N=KAL A(iUREGATE PRODUCTS - COMPIOP AGG S2.000,000 S2,000,000 s COMBINED SINGLE LIMIT Ea accident S 1.000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE Pnr arrid ,nt S EACH OCCURRENCE I S 3.000.000 S E L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT S 6/62021 6/6/2022 Maximum Any One Item S500,000 Maximum Any One Item 5100,000 Property Limits S100,000 DESCRIPTION OF OPERAf IONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is reyuimd) Project Name: 69th Street from 66th Avenue to SR5/US-1, Resurfacing IRC -1505, FM No. 438073.3.1.54 Indian River County is listed as additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. 1800 27th Street Vero Beach FL 32960 AU/TIfORI2EO REPRESE NTATIVE ACORD 25 (2016103) RD C The ACORD name and logo are registered marks 8of ACORD ORPORATION. All rights reserved,