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Hrom tzdna I urner At J, Role Davis InsuranOe FaXID TO: err; vs Date: 219/1007 04.25 PM Page. <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID E DAT1021' 9107 <br /> DERRCON D2i09 / 07 <br /> PRGULCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> J Rolfe Davis Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P . O . Box 945255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Maitland rL 32794 -52.55 <br /> Phone : 407 - 691_9600 INSURERS AFFORDING COVERAGE NAIL # <br /> 20494 <br /> Derrico Construction Corp . ra-PEP : a>,a3.uaa a,.Ast m. . ca . 10701 <br /> P . O . Box 361177 rrae <br /> Melbourne FL 32936 - 1177 r <br /> F.e� - <br /> COVERAGES <br /> - ) UEn JF IkAA_EUST B LOOV vAESE .AE_ TO n J L `:art DABO = FVR 1 PA PEPic0 4C,--AF--D A'OTWIT-STs DINP <br /> N1 PE J R@E TE i FICO J : ! OP AN" C A O-HER UI✓EN T, H RE PEC -- I rH H cTIF a FNA'! BE ISSUED OR <br /> A P. - W t SJR . . AF Ok EL v . HE OL IE 'E6CRltk Ir4S3 E ' 1CAL_ THE d. 5E".U6CN f1DiOl OPJz- JF6X:H <br /> 1Civ., 'SGP i P.1'd, i1A IMA . H:-„9 '_EE1 _Ev Br FAQ 'sN, <br /> fIWRI Z ---___ -- _ <br /> _TR HARD TPF OF INSLRANCE POLI:x NGMBER 17DLTG'(2FFCT'9E-rF61° <br /> �_ _ DATE (MMRDRr; DATE (AAMC'DMA LIMITS <br /> GEr`ERAL LIABILm' LA'" xwP;_� . 41000000 <br /> A X �X_! r`vv Rr+L ,,E,.F aeum 209169SS47 '�, 09/06 / 0611 09 / 06 /07 IPFF./r Es rEoc n ; 1300000 <br /> "`IFDEkvcneF s1c000 _ <br /> 00D000 <br /> _ 1 C ,.: ' § 2000000 <br /> ca=r. - 1C--PEGATE L1VT OPO-1=5 . _ Pan T, _c :,vmP a, C : s 2000000 - - <br /> . 1X _ �_ _. _• — . _ __ <br /> 1 <br /> I aur rno�L uAetln <br /> A X '' A' 1 2091695550 09 /06 / 05 09 / 06 /07 �'= a I .�L ,If 1000000 <br /> ,,r_, <br /> rr�.n ,Neo ., s - ; -w- <br /> -- oa,FEPT. -A'AA,.F -- ---' - - - _ - _- - - - <br /> i P C. ]311 <br /> GARAGE LIeBILIT' — <br /> ,t DFN 4 <br /> _ N _�-- <br /> '. <br /> E}CE3S JMBRELLA LIABILIr{ — T IAF., J. r:✓ = / 14000000 <br /> B 'FXV xeuR �—'. _ ales l.wLE 1 209169556409 /06 / Oo' 09 / 06 /07 a�cg000000 <br /> — __ <br /> IX <br /> c . 11..1. $ 10000 <br /> \%CRKERS COMPENSATION ALP I <br /> EMPLO : ER LIABILITY <br /> C / "- a -o,rvr 83034631 06 / 03 / 06 06 /03 /07 E E 600000 _ <br /> ex _r_,El ' <br /> a . . :r,r_ J nIE _ , IsE:�E - aErs -: :E_ If 500000 <br /> ,-c <br /> UTHEP —�- <br /> E E - row ,._,, ; 1 . 500000 <br /> wEYRIPTLN Cf UFEP,Tgp13 / UJCiTDN$ / VEHICLES / E[ClJ3OnS ACDE-0 BY ENDGR3EMEV' / S°ECITL PR_v:'v!Jh3 <br /> Re ! Indian River County Bid N : 2007026 Annual Labor =ontract ( Utilities ) . <br /> Indian River County is included as Additional Insured as respects General <br /> Liability under a blanket additional isured endorsement if required by <br /> T.•ritten contract . Liability is limited to loss or damage arising out of <br /> negligent acts of the insured . * Except as required by Florida Statute . <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDRIV3 MCULD AHT OF 'NE ABO',E DESCRIBED POJCIES BE CaM]ELLEO BEF-RE THE EXPIRATION <br /> CArc THEREOF THE ',S3UWG ':r13U%R W LL ENDEAVOR TO MAIL 30 * DAYS WRITTEN <br /> Indian River County <br /> Hoard of Commissioners NOTICE TO T-E CERTIF'CATE HOLDER NAMED TO THE LEFT, BJT FA LURE TO DC 50 SHA_L <br /> Purchasing Division 'MPOSE s_-0RLIOATIOA OR LIAWLIT' OF AN” KI RC UPON THE INSURER, ', AOEIPS ' R <br /> 184D 25th Street REPRESEIgATIVES. <br /> Vero Beach FL 32960 L- REPRES=_NTA'NE <br /> ACORD 25 {2081N8) ® ACORD CORPORATION 1988 <br />