Laserfiche WebLink
' SPECIFIC JOB <br /> COVERAGE CAUSES OF LOSS DEDUCTIBLE <br /> LIMIT AT LOCATION LWRAT A TEMPORART TRANSIT UMIT CAUSES OF LOSS SUB LIMIT DEDUCTIBLE <br /> LOCATION EARTHQUAKE i <br /> ' FLOOD f <br /> sl , 356 , 115 structure s10 , 000 s25 , 000 AOP s 2 500 <br /> SPECIAL <br /> BROAD eAalc <br /> JOB TERMNALUES SECURITY <br /> ,roe TERM WNDESCRIBE JOB SITE SECURITY <br /> CONTRACT AMOUNT VALUE DF OER <br /> GOMMENCEMENt COMPLETION SUPPLIEDWtoPERT7 park - locked at night with <br /> 02 / 23 / 04 240 days s2 , 002 , 1. 39 $ Ranger on duty <br /> . .. .. . . . . . . . .. <br /> JOB DESCRIPTION <br /> beaCR19E 1HE MIDRK TO 6E PEkmRMEO <br /> ' North County Regional Park Phase 2 - 4 multipurpose baseball fields , concession <br /> stand/press box , maintenance bldg , electrical bldg , lighting , fencing , etd . <br /> 9450 CR 512 , Sebastian , FL 32958 MSUPAWSJoe NUNBMI <br /> ADDITIONAL IIMaw&ESTS Attae a e aot 'f necessary)NAME a ADDRESS NAME a ADDRESS <br /> ' Indian River Cour_ty <br /> 1840 25th Street <br /> Vero Beach , FL 32960 <br /> 1 INTEREST INTERlST <br /> X GERTIFIGATION CEpTIFIGATNIM <br /> Owner REQUIRED REQUIRED <br /> ' NAME a AdbREsa NAME a ADDRESS <br /> INTEREST CERTIFICATION IwTtE;REBT CERTIFIDATOM <br /> RAM-- REQUIRED <br /> SPO ��Q� .._ ..- _ RIGGING _ -- <br /> TOTAL VALUES TO BE SNIPPED TO THIS 090 SITE AT APPUOXr$ RIEIL DESCRIBE ALL HOISTING OR OPERATIONS REQUIRING RIGONO, <br /> AMOUNT SNIPPED FOR APPLICANTS % BT ""MOW DISTANCE INVOLVED <br /> VEHICLES CCNTRACTCARRIEIt <br /> ' x <br /> RERARICB <br /> Quoted 2 / 18 / 04 with $ 1 , 000 deductible , please ISSUE WITH $ 2 , 500 DEDUCTIBLE AOP , <br /> ' 1. % WIND / HAIL <br /> I <br /> i <br /> ' ACORD 147 (2001102) ATTACH TO APPLICANT INFORMATION SECTION <br /> G.GI ' rl JAI . TPICI;7) Pt7 ANH,4wwi fl?IHWrITnr1 G101 : gT. V0M -FST -Ra -4 <br />