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<br />B EXOESSLIABILITY PLA3677390099 06/01/99 06/01/00 ' EACIIOCCURRENCE
<br />X OCCUR 'CLAIMSMADE AGGAEGAIF
<br />, DEDUCTIBLE
<br />s2,000,000
<br />:2,000,000
<br />s
<br />s
<br />YIDA%ERS COMPENSATION AND 'O01WC99A42919 06/01/99-06/01/001 TOfIr IILriTs VEfT
<br />EM PLOYERS'UABI LIT Y P..L.EACHACCIOENT ,3500,000
<br />, E.L. DISF ASf . EA EMPLOYE E, 3500 , 000
<br />_I _ .e l.plhenvEILI ICYLIAIIFs500 000
<br />A OTHER Leased/ 1ASP191`7860099 •06/01/99-06/01/05 S_rimits:
<br />Rental Equipment $100,000 w/$500 Ded
<br />Install Floater $ 00,000 w $540 Deed_
<br />DESCAI P TION OF OPE nNTIONSTLOCATION SIVE NICL@SIC.LUSIDNS AG DE O BY EN p ARSE ME NTI SPEC M1 L PIiOVISIOHS
<br />RE: Rockridge Area Sewer Project Bidll 2022 and 110Ider is shown as an
<br />_l
<br />,Iadditional insured with regards to liability coverages
<br />CERTIFICATE HOLDER ADOMONALINSIIFREO;INSURER LEOIL, rs CANCELLATION
<br />I I
<br />S# ICU LDANY ofTIIEABOVE OESORJnERPOOCrESBErANCrLrFDBtKCruTHE F)F'. %nDN
<br />,Indian River County OATETIIEnEOP,TIIEISSUINISINSU•En WILLENOEW
<br />AVORTOMAIL30 OAYSnrTTEN
<br />12625 19t�.h Avenue NOnCETOTTIECERTIFICAIErIr7tDEn NAMrOlO1fe LE.FT.BUr F,MLVIFSH
<br />TODOSOALL
<br />Vero Beackl, FL 32964 IMPOSE NOOSHOAIION OR LIABILITY OF ANY KIND UPON THE INSUREFLITSAGENTSOn
<br />nEPAC6CNtA1'IVES,
<br />AUIHORITC nEPAESENTATIVE
<br />ACORD24•S{716r7y] of 2 IIS21985/M20sG5 SAM Q ACORD CORPORATION was
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<br />ACOA& CERTIFICA_ HOF LIABILITY 1NSUr .N_C_E____� 04/13/0()
<br />PRODUCER �T^
<br />T1i15 t ERTIFICATE IS 155UE4 ASA MATTER OF INFORMATION
<br />IONLY
<br />Upshaw, Inc
<br />AHO CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />1Lanier
<br />1115 US Hwy 98 South
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Box 468
<br />`j'P.O.
<br />8 Lakeland, FL 33802
<br />INSURERS AFFORDING COVERAGE
<br />INSURED
<br />INSUN.ERA:American & Foreign insurance
<br />I •''Tri Sure Corporation
<br />;INSUREnB:Royal insurance Company of America.
<br />P.O. Box 653
<br />INsvnEnc:FCCI Insurance Company
<br />Auburndale, FL 33823-0653
<br />INSURER D:
<br />IINSUREn F- -
<br />COVERAGES
<br />_
<br />THE POUCIESOF INSURANCE LISIEU BELOW HAVE BEEN ISSUE-[) 10 WE-- INSURED NAMED ABOVE fOSi TIIEF'OLICYf EFI*DINt)ICAiED. NOIV;R ISIANDI!#O
<br />ANY nEOU1REMENT. TERM OR CONUIIION Of ANY CONIRACI OR OTHER
<br />DOCU?wMIENT IIVIH1 RFSPECI TO W}{ICII TATS CERTIFICATE MAY BE ISSUED OR
<br />I MAY PERTAIN, THE INSURANCE AFFORDED BY 1111; POLICIES UF-SCITIBEU HEIIEB# IS SURJEC( 10 ATI. THF: Tf nMS, f.kCLU lOT15 A#TD CONUTi10N5Of SUCH
<br />POLICIES AOGnI GATE LIMITS S!#OWN r.#AY IIAVE U4:EN REOUCEL)tiY T'AIDCIAUJS
<br />NORTYPE OF INSURANCE POLICY NUMBEFI
<br />ILIA-__
<br />POLICY EFFECTIVE POLICY EYPIRATION LIMITS
<br />pATrriLAgIrIrT�.Ti?LS1+�T✓y.LM1l1.+17.4±1Y}---�--_
<br />A 'GENERAL LIA81UTY ASP1917860099
<br />06/01/99 06/01/00 EACIIOCCUnn':NCE $1, 000, 04()
<br />X i COMlAEnciAL GENERAL LkA6ILITY
<br />- FIRE DAMAGE (Any one Ire) 510 0, 000
<br />CLAIMS MADF. X1 OCCUR,
<br />MEA EXP IAny Me Pe+Sunt s5, 000
<br />[
<br />PERSONAL A ADV INIURY 5 ., 000, 000
<br />y`
<br />..
<br />OENEFIALAGGnEOAFE$2, 005, 000
<br />1
<br />I GENIIII L AGGREGATE LIMIT ADPL IESSsPER:
<br />a PRO D UC T S -CO MPYOP AGGr s2, 00 0, 00 0
<br />POLICY, 1 PRO• 7 LGC
<br />-
<br />A 4 AUTOMOBILE LIABILITY AAST3054280099
<br />'06/01/99 06/01/00' CONI 13 CNE D SINGL E L IMII
<br />1s1, 500, 000
<br />X ANYAU10
<br />oME„«In..wtl
<br />1
<br />'s
<br />ALL OWNEOAUTOS
<br />UOOILYI"JURY
<br />IPe, Ile' 3 w)
<br />SCHEDULED AUTOS
<br />X! HIRED AUTOS
<br />OO DILY INJUPY s
<br />{Per xrrtlSnl)
<br />X I NON•OWNE O AUTOS
<br />X IDrive Other Car
<br />PnOPEn I DAM AGE s
<br />(re, AceluentT
<br />GARAGE LIABILITY
<br />AUTO ONLY - EA ACCIDENT 5
<br />ANYAUTO
<br />DFHER IRAN EAACC S
<br />' AUIOONLY: AGO 3
<br />B EXOESSLIABILITY PLA3677390099 06/01/99 06/01/00 ' EACIIOCCURRENCE
<br />X OCCUR 'CLAIMSMADE AGGAEGAIF
<br />, DEDUCTIBLE
<br />s2,000,000
<br />:2,000,000
<br />s
<br />s
<br />YIDA%ERS COMPENSATION AND 'O01WC99A42919 06/01/99-06/01/001 TOfIr IILriTs VEfT
<br />EM PLOYERS'UABI LIT Y P..L.EACHACCIOENT ,3500,000
<br />, E.L. DISF ASf . EA EMPLOYE E, 3500 , 000
<br />_I _ .e l.plhenvEILI ICYLIAIIFs500 000
<br />A OTHER Leased/ 1ASP191`7860099 •06/01/99-06/01/05 S_rimits:
<br />Rental Equipment $100,000 w/$500 Ded
<br />Install Floater $ 00,000 w $540 Deed_
<br />DESCAI P TION OF OPE nNTIONSTLOCATION SIVE NICL@SIC.LUSIDNS AG DE O BY EN p ARSE ME NTI SPEC M1 L PIiOVISIOHS
<br />RE: Rockridge Area Sewer Project Bidll 2022 and 110Ider is shown as an
<br />_l
<br />,Iadditional insured with regards to liability coverages
<br />CERTIFICATE HOLDER ADOMONALINSIIFREO;INSURER LEOIL, rs CANCELLATION
<br />I I
<br />S# ICU LDANY ofTIIEABOVE OESORJnERPOOCrESBErANCrLrFDBtKCruTHE F)F'. %nDN
<br />,Indian River County OATETIIEnEOP,TIIEISSUINISINSU•En WILLENOEW
<br />AVORTOMAIL30 OAYSnrTTEN
<br />12625 19t�.h Avenue NOnCETOTTIECERTIFICAIErIr7tDEn NAMrOlO1fe LE.FT.BUr F,MLVIFSH
<br />TODOSOALL
<br />Vero Beackl, FL 32964 IMPOSE NOOSHOAIION OR LIABILITY OF ANY KIND UPON THE INSUREFLITSAGENTSOn
<br />nEPAC6CNtA1'IVES,
<br />AUIHORITC nEPAESENTATIVE
<br />ACORD24•S{716r7y] of 2 IIS21985/M20sG5 SAM Q ACORD CORPORATION was
<br />L
<br />
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