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2007-082
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2007-082
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Last modified
5/5/2016 1:52:44 PM
Creation date
9/30/2015 10:38:12 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/06/2007
Control Number
2007-082
Agenda Item Number
7.O.
Entity Name
Derrico Construction Corporation
Subject
Agreement Hobart Industrial Park Master Water Main
Area
Hobart Industrial Park 77th St.
Project Number
UCP2387
Supplemental fields
SmeadsoftID
6201
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ACORD CERTIFICATE OF LIABILITY INSURANCE OPID E DATE (MWDDM) W) <br /> DERRCON 1 03 / 09 /07 <br /> PRODUCER THIS CERTIFICATE IS ISSUED ASA 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 FL 32794 -5255 <br /> Phone : 407 -691 - 9600 INSURERS AFFORDING COVERAGE NAIL # <br /> INSURED INSURER A. Transcontinentai nuurance co . 20486 <br /> INSURER B: Transportation Insurance cewpa 20494 <br /> Derrico Construction Corp . INSURER C. DriLTeeield Casualty Ins , Co . 10701 <br /> P . O . Box 361177 wsuRER D <br /> Melbourne FL 32936 - 1177 <br /> INSURER E'. <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT IMSTAJNDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF AV Y CONTRACT CR OTHER DOCUMENT WITH RESPECT TO MUCH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSJRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL ME TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOVJIJ MAY HAVE BEEN REDUCED BY PAID CI NMS <br /> LTR SRE TYPE OF INSURANCE POLICYNUMBER DATE IMMIDD,MY) DATE (MMI OM) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> A X X COMMERCIALGENERAL LIABILITY 2091695547 09 / 06 / 06 09 / 06 / 07 PREMISES (Ea occurence) $ 300000 <br /> j CLA MS LVDE Al OCCUR MED EKP (Any One person) $ 10000 <br /> I <br /> PEFSCNY d ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE $ 2000000 <br /> GEN, AG3REGATE LIMITAPPLIES Pp, PRODUCTS - CGVPIOP AGG $ 2000000 <br /> POLICYIX JPECTRC LOC <br /> AUTOMOBILE LIABILITY <br /> '� 2091695550 09 / 06 / 06 09 / 06 / 07 (EaCOMBINED SINGEUM1T '' E 1000000 <br /> A •-1 A'JTC CO BINEDl) <br /> ALL CArt.=_D AUTOS <br /> BODILY INJURY $ <br /> SCHECULEDAUTOS IPer person) <br /> HIRED A--QS I <br /> BODILY INJURY $ <br /> NON OWNED AUTOS (Per accCeni) <br /> PROPER-Y DAMnGE $ <br /> (Re, eccaem) <br /> GARAGE LIABILITI' <br /> AITTO ONLY - EA ACCIOEM $ <br /> ANY ALIO <br /> OTHER THAN EA HCC $ <br /> AUTO ONLY. AGO 1 $ <br /> EXCESSIUMBRELLALIABILIT' EACH OCCURRENCE $ 4000000 <br /> B X1 OCCUR 71 CUIMSMADE 2091695564 09 / 06 / 06 09 / 06 / 07AGGREGATE $ 4000000 <br /> s <br /> DEDUCTIBLE <br /> $ <br /> X I PETENTGN $ 10000 $ <br /> '.VORKERS COMPENSATION AND X TORY LIMITS ER <br /> C EMPLOYERIETGR ILIN _ 83034631 06 <br /> OFFICE MEMB R/PARTNER/Ex=cur'.vE / 03/ 06 06 / 03 / 07 EL EACH ACCIDENT 8 500000 <br /> If Fes des-ree under <br /> EXCWDED9 <br /> EL DISEASE - EAEMPLCYEE $ SOOOOO <br /> I Yes, O05>n Le ppder I <br /> SPECIAL PROVISIONS below EL DISEASE - POLICYLIMIT $ 500000 <br /> OTHER <br /> I <br /> I � <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Re : Indian River County Bid # 2007036 ; Hobart Industial Park NM Extension . <br /> Indian River County is included as Additional Insured as respects General <br /> Liability under a blanket additional insured endorsement if required by <br /> written 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 /> INDIRI4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN <br /> Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br /> Board Of County Commissioners <br /> Purchasing Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> 1840 25th Street REPRESENTATIVES. <br /> Vero Beach FL 32960 IZE REPRESENTATIVE <br /> ACORD 25 (2001108) © ACORD CORPORATION 1988 <br />
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