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2004-105
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2004-105
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Entry Properties
Last modified
8/30/2016 2:22:17 PM
Creation date
9/30/2015 7:31:53 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
05/04/2004
Control Number
2004-105
Agenda Item Number
11.I.5
Entity Name
Sitewerks Inc.
Subject
Contract and Specifications Pelican Island National Wildlife Refuge
Area
Pelican Island
Archived Roll/Disk#
3210
Supplemental fields
SmeadsoftID
3758
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km : Linda Allen At: Florida Insurance Center inc o KarenFax * : (813.1 , 54- 3450 Cate: 51141 : 2 : 17 P %l Page 2 ir, <br /> _ <br /> CERTIFICATE 4F LIABILITY INSURANCE OPn LAj °ArzlMrZO <br /> YYV " <br /> SITEWI l 05 04 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Florida Insurance Center , Inc . HOLDER , THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 414 N . Alexander Street ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW, <br /> Plant City FL 33563 <br /> ' Phone : 813 - 754 - 3561 Eax : 813 - 764 - 8402 � INSURERS AFFORDING COVERAGE NAZCA <br /> INSURED <br /> Westfield Insurance company _ 24112 <br /> � Nc1 AnCorrIp Preferred Ins Co . _ <br /> Sitewerks Inc . � N`'cP � '= Auto Owners Insurance Co 98 <br /> 18 <br /> 4095 43rd Avenue ` -- --- -- — - — --898-a 8 <br /> Vero Beach FL 32960 F--; <br /> 15_r!R.F E --t----- --- -- <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCVE FOR THE POLICY PER OD INDICATED. NOTVNITHSTANDPJ 3 <br /> ' ANY REOUIREMENT , TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO AJHICH THIS CERTIFICATE MAY BE ISSUED OR — <br /> WAY PERTAIN , THE INSURANCE AFFORDED BY THE POVCIES DESCRIBED "EREIN IS SUBJECT TO ALI. THE TERMS, EKCLUSICNS AND CONDITICNS OF SUCH <br /> POLICIES AGGREGATE LfdITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> - LRY E tv F-K.I -FzF Ei� H <br /> '_TR INARD TYPE Of INBI;RANCE I POLICY NUMBER DATE 1MMT7U:YY I DATE MMMD.YY� VM:TS <br /> IrQ1pERA. LLABILITv I I Efl Co", lPrEll 2 = 1 , 000 , 000 _ <br /> ' A S E I `tM6-IEPCiALiE11ERi,_ LiA5IIj7Y CWP3995394 -E--- �— <br /> - t - — 02 / 04 / 04 1 02 / 04 / 05 _. �•_ 1 c . Len- s 100 , 000 <br /> 1 <br /> _ —J JLAI4ll 'MGE $ D'CCUR t 3 5 , 000 <br /> I I IeC xP � L1^r '. • iW <br /> LY 1 Owner /Cont Prot . 1 , 000 , 000 <br /> L—� — f7ENFGw . R, _A'E S <br /> 2 , 000 , 000 <br /> — <br /> ' I ,iEh L AOC+F20ATE LJAI i AFPLE9 �F i i --_— . _ _ ------ . _. <br /> !•—� 1� Pur_UL:: 19 _ _t.vc . .v ,y(Ur t 14000 000 <br /> U4i JE7r LOC' 1 <br /> ' AJTO!'IOE1l.E '.UiBL1TY ' � I rnF184dEO ST:Ci�E .I'r ' I <br /> C Z C E1 Apt Al;ro 43 - 653 - 787 - 00 i 05 / 08 / 04 05 / 08 / 05 ='° 1p''e1'' 1 , OQO , 000 <br /> Z <br /> .-1 � flint..•.. T !F+r I d <br /> t l a ALT05 _ — I {Per d:-Y rc; <br /> r� <br /> r- <br /> IrPo=�= , <br /> GARAGE LNIBILITY `_�----_--- u fC % - r .':EN- 5 _— <br /> J� r <br /> LE (CIS"MBRELLA LIABILITY C'� F• F _'f <br /> �— <br /> DEbUCTPLE <br /> I i 14 <br /> I RETFe.> _ H I S <br /> —T <br /> WORKERS COMPENSAr.ON AND J — <br /> Z tris EF _ <br /> ' EMPLOYERS IIABIIITY <br /> B _�— --- - _--_ <br /> WC77030440 <br /> 02 / 04 / 04 02 / 04 / 05 E r1 <br /> i 1000Q0 <br /> fie . "'rrE 05p �:cu!t>E' ^ I r - - -- -! — <br /> i EL D3EA.yE E. . FA,p _ EE - 100000 <br /> n 'ret . deerre unuel 1. __ _ _ _. _ _ <br /> sPe: �L >-.o':F.ar 0e art ! FL DSEASE = :LC L41IT is 500000 <br /> OTHER — <br /> ' A Equip Floater ICWP3995994 02 / 04 / 04 1 02 / 04 / 05 j gaximum $ 300 , 000 <br /> Leased or Rented I I I Dad $ 500 <br /> DEFCR:PTICN OF OPERATIONS ' LOCATIONS,' VEHICLEV E%CWSIONS ADDED BV ENDORSEMENT : SPEGAL PRO VISIONS <br /> Indian River County is named as additional insured with respects to General <br /> ' & Automobile liability . <br /> ' CERTIFICATE HOLDER CANCELLATION <br /> INDIANR SHOULD ANY OF TME ABOVE DESCRIBED POLICIFB BE CANCELLED BEFORE THF ExFIRATTON <br /> CATS THEREOF. THE IttI;INO INSURER WILL ENDEAVOR TO MAL 30 DA�t WRTTTEH <br /> ' <br /> Indian River County NOTICE TO TME CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FALLRE TO DO SO SHALL <br /> 1840 25th Street IMPOSE NO DELIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, US AGENTS OR <br /> Vero Beach FL 32960 REPREBENTA'NFt. <br /> AVT ED FMEtENTATIV <br /> ' ACORO 25 (2001 (08) 1ACORD CORPORATION 1988 <br />
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