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<br />AC"
<br />l`(-(/I,R CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />04/18/2022
<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
<br />CONTACT
<br />NAME:
<br />Brown & Brown of Florida, Inc.
<br />PJC Ro Ext): (954) 776-2222 ac Nu : (954) 776-4446
<br />E-MAIL certs@bbftlaud.com
<br />ADDRESS:
<br />1201 W Cypress Creek Rd
<br />INSURER(S) AFFORDING COVERAGE NAIC p
<br />Suite 130
<br />INSURER A : Zurich American Insurance Company 16535
<br />Fort Lauderdale FL 33309
<br />INSURED
<br />INSURER B: American Guarantee and Liability Insurance Company 26247
<br />Proctor Construction Company, LLC
<br />INSURER C: AIG Specialty Insurance Company 26883
<br />INSURER D:
<br />2050 Highway US 1, Suite 200
<br />INSURER E:
<br />INSURER F;
<br />Vero Beach FL 32960
<br />COVERAGES CERTIFICATE NUMBER: '2021-2022 Master REVISION NUMBER:
<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 />TR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />MMLDDY EFF
<br />MM/DDPOLICY EXP
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 2,000,000
<br />CLAIMS -MADE Fx_1 OCCUR
<br />PREMISES Ea occurrence $ 1,000,000
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL &ADV INJURY $ 2,000,000
<br />A
<br />Y
<br />GLO130568401
<br />05/25/2021
<br />05/25/2022
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE $ 4,000,000
<br />POLICY F PET 7 LOC
<br />PRODUCTS - COMP/OP AGG $ 4,000,000
<br />Employee Benefits Per $ 1,000,000
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />CGMB+NED SINGLE LIMIT $ 1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />X ANYAUTO
<br />B
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BAP130568501
<br />05/25/2021
<br />05/25/2022
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />Per accident
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE $ 10,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AUC130568201
<br />05/25/2021
<br />05/25/2022
<br />DED I X1 RETENTION $ 0
<br />Prod/Co Ops Aggregate $ 10,000,000
<br />A`
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/ N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />WC130568601
<br />0$/25/2021
<br />05/25/2022
<br />X PER STATUTE EORH
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Limit of Liability $2,000,000
<br />C
<br />Pollution Liability - Claims Made
<br />Retro Date 1/1/2008
<br />CPL1067283
<br />05/25/2021
<br />05/25/2023
<br />Policy Aggregate $2,000,000
<br />Deductible: $10,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Project: North County Library Expansion Bid No: 2022021 1 Project No: IRC -2009
<br />Indian River County is an additional insured with respect to General Liability if required by written contract. General Liabiity is primary and non-contributory if
<br />required by wriiten contract. Waiver of Subrogation applies to General Liability and Workers Compensation if required by written contract. 30 Day Notice of
<br />Cancellation applies except 10 days for non- payment of premium.
<br />f`GOTIPIr ATC unI nco CANCFI I ATION
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) 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 />1801 27th Street
<br />AUTHORIZED REPRESENTATIVE
<br />Vero Beach FL 32960-3388
<br />- �y
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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