Laserfiche WebLink
40 <br />• <br />AC R 1 CE- RTIFICATE OF LIABILITY INSURANCE as%ii%zona <br />M Is (561)461-8810 FAR (561)461-8976 THISCERiffWATEISISSUED ASA MAI1EROFINFORMA11ON -- <br />'Tavid G. liillbur Insurance Agency, Inc. MILYANDCOWERSNORIGHisUPONMOCERTI►ICATE <br />Flat DER. 1015 CE.RT(FICATE DOE'S NOT AMEND. EXTEND 011. <br />2715 S. U. S, Tlwy. 01 ALTER 111E COV_EPACTE AFFOR.DEDSY THE POLICIES BELOYI. --- - <br />Fort Pierce, FL 34982-5919 INSURERS AFFORDING COVERAGE <br />slnrro Treisure00MUMVa Valley Forge Ins, Co. <br />P. 0. Box 650249 swLweNs-_. Iransc®atlnental—lue. Co. — <br />Vero Reach. FL 32965 ovum* c <br />«aa.p o <br />I <br />COVERA(:E8 <br />Ttl! Paucl€S f1F rr':±1F1Arret Lk4TlCI BakrX! IIAVL 11[ifI FTRRD tO 11R IISWRII fYMR 4Y AEI M f fJk TFI ffXl�x TSfrIFXr s�''� l l rt 11117 WtTIxfTAIIDIFfU <br />ANY REGUN Eaet10, IF nM rA St'M'IBF "6 rJF AW CCF1IRAS A CTIf UTI�R.R LK7[T}1SryT YV1f N 1+f _r7 C f I4 9MIffR1 1111 (rl'FITIrAt.'A If ,AWAY 08 KUJIO nA <br />MAY PtRXA111, 111! s+:,LJRAaKT IAIFLTR17ifD Rf Mt. PC KV1 rig '.rPrOO 1 tilt to" %I I" a,, I I" At A Tie 1f reel f Ars 1'rw*r. AAI) t c+ofx-oM r f aI "I <br />P A PritS.AGGAZI1AIR LUISW*01 MAY FLAVIN IFT RfMAIDflr PAW r1AAP <br />_ TYM _ aI sIMA1AMCs FCt R ! rrawA SRT iI D'4JIS. A DSII <br />GaWK&LluwnY - 1 017195017 1i/11/E999 12/21/20001 1'.000,00( <br />T1 {rAAIasFKaAtrslAfaALLwFInt rArefrAWywIAfM 1 50,00( <br />I_ taArlra 1rAfls XL=j,aGcr <br />1 rs1111rOAFA A am M/'r /-- 1.000, as <br />Ia♦AalarA aaorrapAlts 1 110'00 � 0 <br />am AIIla1OATS WT AAOA.Rs rta irrlmActs a1Cf/'aT► rtfc f 1 T 000, 00( <br />-IPOL"Elm W. <br />At"00011" UA111an♦ 10171950M <br />1 X ATI/ALF10 <br />-- 041 tNVh f1 AUTON <br />M 140LA.ILD AL"CA <br />Ir;Ft 4~0 Al 11 r �... <br />OAM.A+iE l IAN.l11 f <br />�r ANY A1I1u <br />1 ERCffi lUSA.rTY -- - <br />11 MC LM [-Jf1AN•i II111 <br />BEI,s1GrAAc `_ — <br />Ri1'ItNlirxi 1 <br />WORIlE11A CO91ifNI.ATYnir A/tT1 <br />I{ rMPLOYRRS'LW1rLITY <br />1 <br />OTHER <br />11/11/19991 <br />11 / 2' 1/ 2004 <br />, JcrlAlAals arum r L a�F <br />a+A..+� <br />1 1.aur➢, <br />�s i irY'1'�• <br />/rr SwF <br />L <br />ti <br />#Grown# OAMA, . <br />1 <br />A a -M-4 <br />Af/1O gAsr ... <br />y <br />Onp T <br />I <br />Mq:O fYt ,, 'r . <br />1 <br />f Aultxt..r^' <br />1 <br />1 <br />-- <br />h- rSl1r <br />- <br />I- Wift1' <br />I.q/l Ip N <br />c � 1Ar /1 AtC L�Y1T <br />1 <br />re I!'s15a fA 1A:'LOrt <br />i <br />E Sl:R I P11[111 qF OqPERA I IdI'i6fL gCAf IUH STYE IIICL ELE AC LII g�)Hi. AOOF'.O n r F'1fiYfrn a E w F H les r FC W++,,FAOVI�M_Nls <br />Sebastian Water Assessment Proyeet.Phase 2D.Indian River 'County B1dl2054, Project# <br />97-13-U5. Indian River County is included as Additional Insured with respect General <br />';ability and Automobile for services performed by the Named Insured. '10 Days Notice for <br />In -Payment of premium. <br />'ERTIFICATE HOLOER ADDIIIONAL INSUREq:IHSURERLETTER CANCELLA71ON <br />SIIC%JW AHf OF THE ABOVE OESCRIREO POIICIE3 BE CAHCELLEo PErPRE THE <br />I EXPIRATION PATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />*30 GAYS WRI?TEN NOTICE TO THE CERTIFICATE HOL PER NAMED To TRE LEFT. <br />Indian River County BUT rA1LURE to MAJL SUCH 140TICE SHALL IMPOSE NOOBLIOATION OR LIABILITY <br />I 1840 - 25th Street OF ANY IfI11 UPON 111E COMPANY. ITS AGENTS OR REPRESENTATIVES. <br />Vero Beach, FL 32960 AUTNORiIEP Pr'P'RESEHIATIVE <br />CURD 254 (7197) / R1oC (1ORPURATION 1900 <br />