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ACORJr �-, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08117/2022 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 McGriff Insurance Services, Inc. P.O. Box 10265 CONTACT Martha Lee Hawkins NAME: PHONE 800-476-2211 FAX A1C A/c No): Birmingham, AL 35202 EMAIL mhawkins me r(ff.com ADDRESS: g INSURERS AFFORDING COVERAGE NAIC # INSURERA:Arch Insurance Company 11150 10/01/2021 INSURED C.W. Roberts Contracting, Inc. INSURER 0: INSURER C: 8530 SW Jayme Way Palm City, FL 34990 INSURERD: INSURER E: INSURER F: 10 HLNILU PREMISES Ea occurrence S 100,000 COVERAGES CERTIFICATE NUMBER:UE03YCK4 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 LTR TYPE OF INSURANCEAOULISUBR Indian River County 1801 27th St Bldg. A POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYy LIMITS A X COMMERCIAL GENERAL LIABILITY ZAGLB9247600 10/01/2021 10/0112022 EACH OCCURRENCE S 6,000,000 CLAIMS -MADE a OCCUR 10 HLNILU PREMISES Ea occurrence S 100,000 MED EXP (Any one person) S 10,000 PERSONAL 8 ADV INJURY S 61000,000 X GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a I ECT LOC GENERAL AGGREGATE S 12,000,000 PRODUCTS - COMPIOP AGG S 12,000,000 S OTHER: A AUTOMOBILE LIABILITY ZACAT9276800 10/01/2021 10/0112022 COMBINED SINGLE LIMIT Ea accident S 6,000,000 X ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS X BODILY INJURY Per accident S ( ) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE S DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRILTORIPARTNCRiCXECUTIVEE.L. OFFICER%MEh1BEK EXCLUDED? N❑ N / A ZAWC19966600 10/0112021 10/012022PER OTH- X TATUTE E EACH ACCIDENT S 1,000,000 EA E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatory in NH) Ifes, ydescribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 S S S S S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Indian River County is an Additional Insured with respect to General Liability and Automobile Liability as required by written contract. liCR l lr Il.N1 C YIVLUnm l AM. C1l -- ACORD 25 (2016/03) .UU 1 UI v lutsu-ZUTD AUUKU CORPORATION. All rights reserved. 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 1801 27th St Bldg. A AUTHORIZED REPRESENTATIVE f Vero Beach, FL 32960 ;, ACORD 25 (2016/03) .UU 1 UI v lutsu-ZUTD AUUKU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD