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2015-128A
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2015-128A
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Entry Properties
Last modified
3/30/2017 2:13:30 PM
Creation date
7/29/2015 10:30:04 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
07/07/2015
Control Number
2015-128A
Agenda Item Number
8.C.
Entity Name
Sunshine Land Design Inc.
Subject
45th Street Beautification
Contract and Specifications
Area
Gifford 45th Street
Project Number
1506
Bid Number
2015040
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'`���K Li CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DO/YYYY) <br />7/17/2015 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Commercial Lines — (407) 481-1613 <br />Wells Fargo Insurance Services USA, Inc. <br />800 N. Magnolia Ave., Suite 106 - FL 2841 <br />Orlando, FL 32803 <br />NAMEACT Certificate Department <br />PHONE <br />(A/C,110. elm: 813-639-3000 <br />FAX No): 855-299-7117 <br />E-MAIL <br />ADDRESS: clw.certrequest@wellsfargo.com <br />INSURER(S)AFFORDING COVERAGE <br />NAI # <br />INSURER A : FFVA MutualInsurance Company <br />10385c <br />INSURED <br />Sunshine Land Design, Inc. <br />3291 SE Lionel Terrace <br />Stuart, FL 34997 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />EACH OCCURRENCE <br />INSURER E : <br />INSURER F : <br />• <br />THIS <br />INDICATED. <br />CERTIFICATE <br />EXCLUSIONS <br />INSR <br />-______...__ --- - -- rcLVI I ry IvumOcrc: Jee oelow <br />IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDD/YYYY) <br />POLICY EXP <br />(MMlDD/YYYY) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE <br />OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE <br />POLICY <br />OTHER: <br />LIMIT APPLIES <br />PRO- <br />JECT <br />PER: <br />LOC <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />SCHEDULED <br />AUTOS <br />MONO LAMED <br />AUT <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAB <br />_OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED <br />RETENT ON $ <br />$ <br />A <br />WORKERS COMPENSATION <br />ANO EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />Y / N <br />N / A <br />WC840-0030912-2014A <br />11/01/2014 <br />11/01/2015 <br />X <br />PER <br />STATUTE <br />OTH- <br />ER <br />E.L. EACH ACCIDENT <br />$ 500,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 500,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 500,000 <br />101, Additional Remarks Schedule, may be attached if more space is required) <br />Indian River County Bid No. 2015040 ? Gifford Neighborhood 45th Street Beautification Project (Project No. 1506) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Indian River County <br />1800 27th Street <br />Vero Beach, FL 32960 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) <br />
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