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OP ID: MK A 2 RE" CERTIFICATE OF LIABILITY INSURANCE DATE(MWODIYYYY) 05/21/2015 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln 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 Phone: 772-286-4334 Stuart Insurance, Inc.NAME: 3070 S W Mapp Fax: 772-286-9389 Palm City, FL 334990 Joseph E. Coons, CPCU. CIC. CONTACT .IOseph E Coons c No. Ext1; 772-286-4334 (AAixc, No): 772-286-9389 E-MAILDRESS: jcoons@stuartinsurance.net PRODUCER CUSTOMER ID e: GUETBinD-1 INSURER(S) AFFORDING COVERAGE NAIC s INSURED Guettler Brothers Construction LLC Ben G. Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURER A:Westfleld Insurance 24112 INSURER e: Bridgefleld Employers Ins. Co. 10701 INSURER C : 08130/2014 INSURER D : EACH OCCURRENCE INSURER E : X INSURER F $ 500,000 COVERAGES CERTIFICATE NUMBER: 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 INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/0D/YYYY) POLICY EXP IMMIDO/YYYY1 LIMITS A GENERAL UABIUTY COMMERCIAL GENERAL UABILITY I X l OCCUR X X TRA7630158 08130/2014 06/30/2015 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 CLAIMS -MADE MED EXP (Ary one person) $ 10,000 X Primary & PERSONAL &ADV INJURY $ 1,000,000 Non- Contributory GENERAL AGGREGATE $ 2,000,000 GEML —1 AGGREGATE LIMIT APPLIES PER: POLICY n .IE T n LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X X TRA7630158 06/30/2014 06/30/2015 COMBINED SINGLE UMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X PIP $ 10,000 A X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE X X TRA7630158 06/30/2014 06/30/2015 EACH OCCURRENCE $ 6,000,000 AGGREGATE $ 6,000,000 DEDUCTIBLE RETENTION $ $ $ B WORKERS AND EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) 1f yes, describe under DESCRIPTION OF OPERATIONS Y/N N 1 A 0830-53293 BLANKET WAIVER OF SUBRO 01/01/2015 01/01/2016 X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace fa required) Indian River County, Indian River Farms Water Control District and City of Vero Beach are listed as additional insured. Blanket Waiver of Subrogation for General Liability and Workers Compensation. 30 day notice of cancellation (10 day for non-payment) applies. JOB: 2014049 Aviation & 20th Street Improvement #1422 CERTIFICATE HOLDER 1 IRCBD-1 Indian River County 1801 27th Street Vero Beach, FL 32960 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Cott -e Eb... D — ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD