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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID P DATE (MM DNYYY) <br /> BARC006 04 /28 / 08 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HSH Ins S Bonds of Brevard LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 400 High Point Dr , Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Cocoa FL 32926 <br /> Phone : 321 - 639- 3055 Fax : 321 - 639-2077 INSURERS AFFORDING COVERAGE '' NAIC # <br /> NSURED <br /> INSURER A: �iaura xn.ucanw c�y ', 19488 <br /> Barth Construction III , Inc . INSURER B: A.e if a w¢ :na,uanae co 23396 <br /> Barth Construction Inc . <br /> Attn : Phil Barth fII INSURER c: <br /> VeroIndian <br /> ea anFRiver Blvd . , Sk202 INSURER D: <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. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY9-25MATION -- - - <br /> LTRINSRD TYPE OF INSURANCE POLICY NUMBERE MMIDD DATE MMIDD LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1 OOO OOO <br /> A X COMMERCIAL GENERAL LIABILITY GL2018953040008 03/30 /08 03 /30 / 09 PREMISES Eammrence $ 50 000 <br /> CLAIMSMADE "iJ OCCUR MED EXP (My one person) $ 5 , 000 <br /> - ''. X Blanket Mil -Insa --- - - - - - - __ __ ___ -- - - - - - - - <br /> �. PERSONAL BADV IWURY E1 OOO <br /> GENERAL AGGROOO <br /> Contractual Llab AGGREGATE E 2 OOO OOO <br /> OWL AGGREGATE LIMIT APPLIES PERI : PRODUCTS - COMP/OPAGO $ 2 O0O 0OO <br /> POLICY n F7 Loc Em Ben . 1 000 000 <br /> AUTOMOBILE LIABIUTY <br /> �1 COMBINED SINGLE LIMIT <br /> AI , X ANYAUTO CA2018949040008 !, 03 /30 / 08 03/ 30 / 09 (Eaamdenl) $ 1r000 , 000 <br /> —a ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Par person) <br /> X HIREDAUTOS <br /> I <br /> —� BODILY IWURY � $ <br /> , $ NON-0WNED AUTOS i I (Per acddenQ , <br /> PROPERTY DAMAGE $ <br /> (Per amdenl) <br /> �:LARAGE LIABILITY ! AUTO ONLY - EA ACCIDENTOTHER THAN S <br /> ! ANY AUTO EA ACC $ <br /> AUTO ONLY: AGG j $ <br /> � EXCESSAIMBRELLA LIABILITY ! EACH OCCURRENCE ' $ 4 , COO , OOO <br /> A J' OCCUR 'L CLAIMS MADE CU201895505 03 /30 / 08 03 / 30 / 09 AGGREGATE $ 4 , 000 , 000 <br /> DEDUCTIBLE $ <br /> 'X RETENTION so $ <br /> WORKERS COMPENSATION AND <br /> X ! TORY LIMITS�11 ER <br /> A EMPLOYERS' LIABILITY WC201896004 03/30/08 I 30 O3 09 E.L. EACHACCIDENT $ 100 , 000 <br /> ANY PROPRIETORIPARTNEPoEXECUTNE / / <br /> OFFICERMEMSER EXCLUDED? <br /> AL PROVISIONS below <br /> E.L. DISEASE - EA EMPLOYEE $ SOO 000 <br /> HYes describe under EL DISEASE - POLICY LIMIT $ SOO 000 <br /> SPECI <br /> OTHER <br /> A IIEquipment Floater IM2018954040008 03 /30 / 08 03/ 30 / 09 , Leased or 10 , 000 <br /> Rented E <br /> OESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDRIVC SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Purchasing Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1800 27th Street REPRESENTATIVES. <br /> Vero Beach FL 32960 -�- <br /> ACORD 25 (2001108) V © ACORD CORPORATION 1988 <br />