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ACORa CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />08/24/2022
<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 Sheila Julian
<br />NAME:
<br />Brown & Brown of Florida, Inc.
<br />PAHONN (772) 231-252$ FAX
<br />Ext): A/C, No
<br />817 Beachland Blvd.
<br />no.Rless: Sheila.Julian@bbrown.com
<br />EACH OCCURRENCE $ 1,000,000
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />Vero Beach FL 32963
<br />INSURER A: James River Insurance Company
<br />INSURED
<br />INSURER B: Auto -Owners Insurance Company 18988
<br />Barth Construction Inc., Barth Construction of VB LLC
<br />INSURER C: American Builders Insurance Company 11240
<br />Barth Management Team, LLC; Barth Construction III, Inc.
<br />INSURER D: Hartford Fire Insurance Company 19682
<br />1717 Indian River Blvd., Ste 202A
<br />INSURER E:
<br />Vero Beach FL 32960
<br />------ ----
<br />INSURER F:
<br />_L
<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 />INSRPOLICY
<br />LTR
<br />TYPE OF INSURANCE
<br />INS.
<br />WVD
<br />POLICY NUMBER
<br />EFF
<br />MM/DDIYYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />A A o 100,000
<br />PREMISES Ea occurrence $
<br />CLAIMS -MADE X OCCUR
<br />MED EXP (Any one person) $ 5,000
<br />&ADV INJURY $ 1,000,000
<br />A
<br />Y
<br />00130945-0
<br />05/14/2022
<br />05/14/2023
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />PRO ❑
<br />—PERSONAL
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRODUCTS -COMP/OP AGG $ 2,000,000
<br />POLICY JECT LOC
<br />OTHER:
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />X
<br />ANY AUTO
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />B
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />5175202400
<br />05/14/2022
<br />05/14/2023
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />PROPERTY DAMAGE $
<br />Per accident
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />A
<br />EACH OCCURRENCE $ 4,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />00130993-0
<br />05/14/2022
<br />05/14/2023
<br />AGGREGATE $ 4,000,000
<br />DED RETENTION $
<br />WORKERS COMPENSATION
<br />$
<br />ER
<br />AND EMPLOYERS' LIABILITY Y / N
<br />X STATUTE EERH
<br />C
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />N / A
<br />WCV 0262541 04
<br />05/14/2022
<br />05/14/2023
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />(Mandatory In
<br />If yes, describe under
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,600
<br />Inland Marine
<br />Leased/Rented Equip $100,000
<br />D
<br />21MSHF9678
<br />05/14/2022
<br />05/14/2023
<br />Deductible $1,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />Project: Dick Bird Park Pickleball Courts
<br />Indian River County Board of County Commissioners is Additional Insured on General Liability when required by written contract. In the event of cancellation
<br />of the General Liability policy 30 days notice will be provided.
<br />CFRTIFIf1AT9= Lunn neo
<br />111139"
<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 - Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Purchasing Division
<br />1800 27th Street— Room B1-301 AUTHORIZED REPRESENTATIVE
<br />Vero Beach FL 32960
<br />- 1,Z
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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