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2004-151
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2004-151
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Entry Properties
Last modified
9/2/2016 10:53:08 AM
Creation date
9/30/2015 7:49:44 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Addendum
Approved Date
06/22/2004
Control Number
2004-151
Agenda Item Number
11.I.3
Entity Name
E.J. Breneman
Subject
Milling, Resurfacing, and Shoulder Paving
Addendum No.1
Area
CR 512 from SR 60 to Fellsmere Farms Oslo Rd. 20th ave. to 27th Ave.
Bid Number
6080
Archived Roll/Disk#
3210
Supplemental fields
SmeadsoftID
3948
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. . . . . . . . . . . . . . .: . . . . . . ........ . . . :: <br /> ::: :i ;;. ':;;:;:::: :: :': > :i:::h::i:.:.::.: ::: : . .. ..... . ....... ..... :::i:::::::' : ;:' :::: �`. .`'.�. ::+:;;.;,.;:::,:::: :.::: <br /> .: ' ::'.`.':::: .::`.::::':::i::: '::;:::"':i; ;;" . . .. . . :. :: :. > ... . . .. .. .. ... <br /> :iii:. .. .. .: ... ... ... .. .. ... <br /> : :: :: :. .. ... : :: :: :: :::: DATE M/DD/Y <br /> r .::akJ. .: 1 �xt.r .:::::::::::::::. ::::::::::::::::::::::::::. :::::::::::::::::::::. <br /> _ _ . .. . .. . .. .. .. 6 /2504... . . . <br /> !.. ...:....' i'%' ... ..:.. .. .i:Eiiiiiiiiiii?i:iiiiiiiiiiiiiiiiiii:iii:4......:.... 4:[i:::[isj�] : iiiiiiiii}i}i}is6:iaiai::a C^: 5: <br />% : 5?1?):C :Si}:Oil: l %'%'! %':'i:ci`% %'% : <br /> . . . . . . . . . . . . . <br /> PROL CER 800-438-2525 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> Engle- Hambright & Davies , Inc . DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW. <br /> One Granite Point Dr . , Ste . 350 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> Wyomissing , PA 19610 A Travelers Property Casualty <br /> INSURED COMPANY <br /> B The PMA Group <br /> E J Breneman L . P . COMPANY <br /> 1117 Snyder Road C <br /> COMPANY <br /> West Lawn PA 19609 D <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO TR TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LIMITS <br /> L DATE (MM/DD/YY) DATE (MM/DD/YY) <br /> GENERAL LIABILITY GENERAL AGGREGATE 2000000 <br /> A COMM. GENERAL LIABILITY DTCO279D8957 1 /01 /04 1 /01 /05 PROD-COMP/OP AGG. 1000000 <br /> CLAIMS MADE OCCUR PERS. & ADV. INJURY <br /> 1000000 <br /> OWNER'S & CONTRACT'S PROT EACH OCCURRENCE 1000000 <br /> X Per Prol . Agg FIRE DAMAGE(One Fire) 1100000 <br /> MED EXP(Any one person) 10000 <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE <br /> A X ANY AUTO 810279D8945 1 /01 /04 1 /01 /05 LIMIT 1000000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE <br /> EXCESS LIABILITY EACH OCCURRENCE 15000000 <br /> A X UMBRELLA FORM CUP279D8969 1 /01 /04 1 /01 /05 AGGREGATE 15000000 <br /> OTHER THAN UMBRELLA FORM <br /> WORKERS COMPENSATION AND X STATUTORY LIMITS <br /> EMPLOYERS' LIABILITY <br /> B 20040309856 1 /01 /04 1 /01 /05 EACH ACCIDENT 1000000. . . . . <br /> THE PROPRIETOR/ INCL <br /> PARTNERS/EXECUTIVE DISEASE-POLICY LIMIT 1000000 <br /> OFFICERS ARE: EXCL DISEASE-EACH EMPL. 1000000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> INDIAN RIVER COUNTY IS INCLUDED AS AN ADDITIONAL INSURED WHEN REQUIRED <br /> BY A WRITTEN AGREEMENT OR CONTRACT WITH THE INSURED . BUT ONLY WITH <br /> RESPECT TO LIABILITY ARISING OUT OF THE INSURED ' S WORK FOR THIS <br /> PROJECT . RE : MILLING , RESURFACING AND SHOULDER PAVING ON CR 512 ( CON ' T) <br /> NC <br /> i ? . . . . . . . . . . . . . . <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> INDIAN RIVER COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> 1840 25TH STREET LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> VERO BEACH FLORIDA 32960 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> FM <br /> ': : . :: ::::::i:::::: :::: ::: ':: ::i::: ::: s�?: :: ::: :: :: : :: .: :: .. .... :: :; :::::: :::: :: : :: :; <br /> :;:;: :::::: ::::i::::::i::::::i::::::i':;:i :::::: : : ::: ?: :: ::i::i:::: :::: ::::i::: :::: :::i ::: :: :: :: :i i::: : ;: .: . ;. ;. <br /> c1r . . IiI . S .S. . 3f�3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />
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