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Sedgwick of FL, Inc. <br />1555 Palm Bch Lakes Blvd 6000 <br />Hest Palm Beach, FL 33402 <br />561-689-6190 <br />GeoSyntec Consultants <br />InC. <br />621 HH 53 Street, 6650 <br />Boca Ratan FL 33481 <br />DATE MAMA " <br />4!21199 <br />THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />_ ALTER THE COVERAGE AEE= <br />COMPANIES COVERAGE <br />COMPANY <br />A General Accident Insurance Co <br />COMPANY <br />B American Intl Specialty L I A e S <br />COMPANY <br />C <br />COMPANY <br />D <br />THIS IS TO CERTIFY THAT THE POLICIESOFINSURANCE 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 HAY BE ISSUED OR HAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBSECT TO ALL THE TERMS, <br />—Tn rI ASMC <br />COu, TYPE OF MISUFNACY V <br />LTR <br />POl3Cl NUUGEA <br />POLICY €FFPCTNE <br />DATE(lAAA4Jon <br />POUCYBORAnco <br />WITEiI.f+.4'D M <br />umn <br />A GBIERAL LU4GM <br />C P P 1 1 3 5 4 0 10 1 <br />7 J 0 1{ 98 <br />7 J 0 1{ 9 9 <br />GENERAL AGGREGATE c <br />PRoOLPCTS-22MPIOP AGO S <br />COMMERCM. GE^NERAL LSABIUYY <br />PERSONAL L AGV INJURY A <br />JOOOOAO <br />Y MMS O1 OCCUR <br />EACH OCCURRENCE t <br />-100 0 0 0 0 <br />OWNERS 6 CONT PROT <br />- - <br />FIRE DAMAGE I0.ny one lire} y <br />MEO EXP I Any one poison) S <br />5 0 0 0 <br />A ASJYOAJO01LE <br />X <br />L1 41UTY <br />ANY AUTO <br />B A 0 2 8 0 3 5 3 0 1 <br />7 J 0 1 1 9 8 <br />1/ 0 1{ 9 9 <br />COMBINED SINGLE LIMIT i <br />1000000 <br />ALL OWNED AUTOS <br />SCHEOULEO AUTOS <br />9ODILY INJURY S <br />(Per Person) <br />DODILY INJURY S <br />{Poi Acd6enl) <br />K <br />HIRED AUTOS <br />Nom - OWNED AUTO <br />PROPERTY DAMAGE i <br />GARAGE LIABI ITY <br />ALTO ONLY • EA ACCIDENT s <br />OTHER THAN ALTO ONLY; <br />ANY AUTO <br />EACH ACCIDENT E <br />AGGREGATE I <br />A E oom- LIA®IUTY <br />UBO 1 2 8 5 9 2 0 0 <br />7{ 0 1! 9 8 <br />7 J 0 1 J 9 9 <br />1111 pCCURRENCE s <br />403 0 0 0 0 0 <br />AGGREGATE 5 <br />4 0 0 0 0 0 0 <br />X UMBRELLA FORM <br />OTHER THAN UMBREI1 A FORM <br />A WORIG.wrs ODMPETmTMANO <br />W C 0 1 4 2 8 2 2 0 2 <br />71 0 1 f 9 B <br />7 J 0 1 19 9 <br />X we sx AT GTR• y .' - V49Ci lrlR u ;i;: <br />ER- <br />EL EACH ACCIDENT <br />t 0 n 0 0 0 0 <br />EMPUDYERS LINt Ory <br />THF PRt]ParClnPr INCL <br />PARTN'ERS/606L17NE <br />OPFICERS ARE: E%CLOTHER <br />EL DISEASE • POLICY LIMB f <br />1 0 0 0 0 0 0' <br />£L OSSFI4SE • EA EMPLOYEE i <br />1 000000 <br />$ PPROFESSIONAL LIA <br />& C0INTRACT0RS PO <br />LIABILITY <br />C p <br />IL1PtS 613340 <br />LUT 1011 <br />7{O1J98 <br />]{01199 <br />D E D U CE <br />2,000,000 <br />4,000.000 <br />-$100,000 <br />L18 <br />EACH LOSS <br />AGGREGATE <br />EA C L A I H <br />DESCRIPTION OF i]AL'L+4TlDT#Y4AL'wkT1ON3fJEFIiG.ESi&Fct•EAL II tM.S <br />CERTIFICATE HOLDER IS ADDITIONAL 1NSURED FOR GENERAL LIABILITY AND AUTO <br />INDIAN RIVER COUNTY UTILITIES DEPARTMENT <br />ATTN: RON BROOKS <br />SOLID WASTE DISPOSAL DISTRICT <br />1840 25TH STREET <br />VE?RO BEACH, FL 32960 <br />cnric:iiAni. <br />SICULD ANY OF THE ABOVE DE"11M P[RJGES BE CANCELLED BUORE ,11E <br />EJ[RIILAIrm DATE tHIFwOP, nic I$wNa OOAEPANY wKIL QR®USYrPo To AWL <br />30 DAYS WRTTL N NOTA--- TO UIE C ER11FICATE IfOLDER NAMED TO PIE 1EIT <br />BUT FAILURE TO MALL SUCH NOTICE SNAIL WOW NO OGIJGATM OfT LLNAIL" <br />OF ANY KW UPON THE C <br />O <br />MPANY, OS AGETRni OR REPIAERWIXTW& <br />A111}IONNIZtf.T]WTATM£ <br />