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W tim AfDRaM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) PRODUCERRTHIS Taylor- Ashley Agency, Inc, 630 Colorado Ave . , P.O. Box 987 Stuart, FL 34995 Additional 112/20Q6 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 772-287-2440 _ INSURED LUCAS MARINE CONSTRUCTION, INC. INSURERS AFFORDING COVERAGE INSURER A STATE AUTO NAIC# INSURER B: COMMERCIAL GENERAL LIABILITY CLAIMSMADE �I OCCUR — THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN 3130 S E Slater St TTAMAGE-TO-RENTED -PREMISES Ea occurance) ----" ---- --- $ MED EXP (Any one person) $---—'- - INSURER C $ Stuart, FL 34997 1286-5094 IINSURER 1840 25th Street INSURER D:- ^_ E: IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Vero Beach, FL 32960 " COVERAGES r w C G .r 111M m rs rn r� 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 WI TH RESPECT TO WHICH THIS CERTIFICAIE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -ILTR Ob`C POLICY EFFECTIVE P01ICYEXPIRATION --� - -- --_--- -""---------- - —� LTR NSRD 7 P F IN N POLICY NUMBER DATE MM/DD/YY DAT MM/DD/YY LIMITS SHOULD ANY OF GENERAL LIABILITY Additional Insured: EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMSMADE �I OCCUR DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN Indian TTAMAGE-TO-RENTED -PREMISES Ea occurance) ----" ---- --- $ MED EXP (Any one person) $---—'- - PERSONAL & ADV INJURY $ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1840 25th Street ^_ IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Vero Beach, FL 32960 GENERAL AGGREGATE $ REPRESENTATI GEN'L AGGREGATE LIMIT APPLIES PER. UTHORI -D - ESSEENTATIVEOF / �^ PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC JE T - - - — -� AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea eccidenp $ 1 o o 0 o o o r , ]( ALL OWNED AUTOS SCHEDULED AUTOS $ BODILYINJURY (Per person) A X ITIRED AUTOS NON -OWNED AU TOS BAP 2096254 10/29/05 10/29/06BO _------ ------- O DILYINJURY (Per accident) ---------- $ _ PROPERTY DAMAGE ( Par accident ) $ -- GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHERTHAN _EA ACC $ ANYAUTO $ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EI CLAIMSMADE AGGREGATE $ J $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATIONANU EMPLOYERS' LIABILITY WA H - TORY LIMIT =R ANY PROPRIETOR/PARTNER/EXECUTIVE E . EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? 11 yea describe under SPECIAL PROVISIONS below — E . DISEASE -POLICY LIMIT -------------- $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS I r CERTIFICATE HOLDER 0 CANCELLATION ACORD25(2001/08) ©ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Additional Insured: DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1840 25th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Vero Beach, FL 32960 REPRESENTATI UTHORI -D - ESSEENTATIVEOF / �^ ACORD25(2001/08) ©ACORD CORPORATION 1988