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2006-120
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2006-120
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Entry Properties
Last modified
8/10/2016 10:48:38 AM
Creation date
9/30/2015 9:38:39 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
04/11/2006
Control Number
2006-120
Agenda Item Number
7.F.
Entity Name
P.J. Land Clearing & Excavating, Inc.
Subject
documents and specifications for Oslo Road Clearing
Area
8th. Ct SW - 27th. Ave SW
Bid Number
2006060
Supplemental fields
SmeadsoftID
5588
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PICU eun_M I nNINI <br />ACORD. CERTIFICATE OF LIABILITY <br />INSURANCE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DAT DIYYYY) <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE I—XIOCCUR <br />MPG40944 <br />' <br />3/9/2006 <br />3//14/214/2 006 <br />PRODUCER (561) 655-5500 <br />$ 1,000,000 <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br />OF INFORMATION <br />Acordia West Palm Beach <br />ONLY AND CONFERSNORIGHTS UPON THE <br />CERTIFICATE <br />501 South Flagler Drive, Suite 600 <br />West Palm Beach, FL 33401-5914 <br />PERSONAL B ADV INJURY <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />' <br />AUTHORIZED REPRESENTATIVE _ <br />GENERAL AGGREGATE <br />$ 21000,000 <br />GENT <br />INSURERS AFFORDING COVERAGE <br />PRODUCTS -COMPIOPAGG <br />NAIC # <br />INSURED PJ's Landclearing 6 Excavation Services,lnc <br />P. O. Box 540517 <br />Greenacres, FL 33454 <br />r(e$UNEad:-Old Dominion Insurance Company <br />A <br />INSURED B Owners Insurance Co <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />B1 G40944 <br />I•,, <br />INSURER C:""-«✓ „ <br />3/9/2007 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />INSURER D: <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />INSURER E <br />PROPERTYDAMAGE-�.. <br />(Per accident) <br />$ <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 POLICIESDESCRIBED 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 />INSR DD' POLICY EFFECTIVE POLICY EXPIRATION <br />LTR NSR POLICY NUMBER DATE MMIDDYV A(MMI LIMITS <br />A <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE I—XIOCCUR <br />MPG40944 <br />' <br />3/9/2006 <br />3/9/2007 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X <br />pREMlses Ea occurance <br />$ 51 <br />MED EXP (Any one person) <br />$ 101000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />' <br />AUTHORIZED REPRESENTATIVE _ <br />GENERAL AGGREGATE <br />$ 21000,000 <br />GENT <br />AGGREGATE LIMIT APPLIES PER. <br />PRD- LOC <br />POLICY F1 <br />PRODUCTS -COMPIOPAGG <br />$ 230009000 <br />X <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />B1 G40944 <br />3/9(2006 <br />3/9/2007 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTYDAMAGE-�.. <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANYAUTO- <br />AUTO ONLY - EA ACCIDENT <br />8 <br />- <br />OTHER THAN EA ACC <br />AUTO ONLY: ,.AGG. <br />$ <br />$- <br />EXCESSIUMBRELLA <br />LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />- <br />EACH OCCURRENCE <br />$, <br />AGGREGATE <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY <br />ANV PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDEDt+ <br />Byes, tlescdbe under <br />SPECIAL PROVISIONS below <br />- <br />WC STATU- <br />TORY LIMITS <br />TH- <br />ITR-- <br />ER <br />E.L. EACH ACCIDENT <br />$ <br />EL DISEASE - EA EMPLOYEE <br />$ <br />E . DISEASE -POLICY LIMIT <br />$ <br />B <br />OTHER <br />Commercial Inland Marine <br />20572277-06 <br />3/9/2006 <br />3/9/2007 <br />All Risk / $1,000 tied $2,297,767 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />Certificate holder is an additional insured with respect to general liability Fax -740-9981 <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Indian <br />County <br />1840 25tthhSt <br />S <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />— <br />Vero Beach, <br />FL 32960- <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER; ITS AGENTS OR <br />REPRESENTATIVES. <br />' <br />AUTHORIZED REPRESENTATIVE _ <br />—i1 <br />ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />
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