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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMroDnmr) 07/15/2015 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain 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 SURETY AGENCY, LLC 552-B NEW HAW CREEK ROAD ASHEVILLE, NC 28805 828-236-1000 FAX 828-236-1001 NAMEOACT KAREN BEARD PHONE Ems): 828-236-1000 (A/c, No): 828-236-1001 ADDRESS: KAREN110ABELLSOUTH.NET INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: ZURICH AMERICAN INS CO X INSURED DICKERSON FLORIDA, INC. P. 0. BOX 910 FT. PIERCE, FL 34954-0910 INSURER B: 07/01/2015 INSURER C: EACH OCCURRENCE INSURER D: PREMISES TORENTED INSURER E: INSURER F: CLAIMS -MADE COVERAGES CERTIFICATE NUMBER: 100383 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 PERTA N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X GL05761374 07/01/2015 07/01/2016 . EACH OCCURRENCE $ 1,000,000 PREMISES TORENTED $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: nPOLICY n .721: n LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO AUTOWNED HIRED AUTOS - _ XNON SCHEDULED OWNED AUTOS BAP5761373 07/01/2015 07/01/2016 (Ea acciciiden SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident)S PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DEO RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? - (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC5731375 07/01/2015 07/01/2016 X AWL OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) PROJECT: INDIAN RIVER COUNTY BID NO. 2015039, COUNTY PROJECT NUMBER: 1317 VERO LAKE ESTATES ASPHALT MILLINGS PROJECT (PHASE II) INDIAN RIVER COUNTY IS ADDITIONAL INSURED WITH A THIRTY (30) DAY NOTICE OF CANCELLATION FOR THE WORK PERFORMED BY THE INSURED ATION INDIAN RIVER COUNTY 1801 27TH STREET VERO BEACH, FL 32960-3388 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 d ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserve. The ACORD name and logo are registered marks of ACORD