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_SENT BY : HP LASERJET 3150 ; 321 724 2083 ; JAN - 22 - 07 9 : 56AM ; PAGE 1 / 1 <br /> A�OR_D. CERTIFICATE OF LIABILITY INSURANCE OP ID D DATEIMWOSIYY'FYT <br /> PRODUCER LHOP ID Ol 19 ' 07 <br /> THIS CERTIFICATE IS ISSUED A9 A MATTER OF INFORMA710N j <br /> 9ebater Insurance Agency ONLYHOLDER.DTHISFERS NO ERTIFICATEDOESNOTAMEND, EEUPON tHE XTENDOR <br /> 916 9 . Miourne Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> . ; <br /> Haat Melbourne PL 32904 - <br /> PhoneN321 - 724 - 0022 Fax1321 - 724 - 2063 <br /> INsUREo 11 INSURERS AFFORDING COVERAGE _ NAIC 0 <br /> INSURE <br /> A: United lire Group 0905T <br /> La Tanne Construction - <br /> CO O at On INSURER e: Supmit COnlultin Inc . <br /> Taxi 59 - 5006g '--- — <br /> 2300 Avocado LINSURER C : <br /> Avenue Ste OMelbourne TL 32935 DCOVERAGES E <br /> TME POLICIES O- INSURANCE LISTED BELOW HAVE SFFN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATED. NOTWITHSTANDING <br /> ANY REGU.REMENT, TERM OR CONMIYON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH nHS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN <br /> ERTH THE INSURANCE AFFORDEU By THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS $HWM MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> NSR ... _ .. .._. <br /> LTR N TYPE OFINEURANCf POLICY mIMa sICYEESFCA4F <br /> GEMFML LIABILITYLIABILITY ._ .. ___. .. . . <br /> DATE MMIDDNYYI Oq INUMD LIMITS <br /> � A X X ' COMMERCIAL GENERAL LIABILITY EACH OCCVRRENCIE & 1000000 <br /> 60352895 j 10 /02 / 06 10 / 02 / 07 PREM' PaVEeanl s 100000 <br /> J CLAIMS MADE OCCUR IJ <br /> X Blanket MED EAF 'Any one xmr ) 65000 <br /> TContractus i f'ENSoNAL B ADY INJURY f 1000000! <br /> GEN'L AGGREGATE LIMIT APP4E9 PER GENERAL AGGREGATE f 2000000; <br /> POUCY PRD- LOC PROOUCTB • GOMPIOPAGG 32000000JECT . <br /> �A--U--�.TOMOBILE UALBILITT <br /> TA i Y ANYAUIO 6O3S2895 COMBINED SINGLE LIMIT 1 jOOOOOO <br /> II , / 10 / 02 / 07 (EAAWIdeM) <br /> ALLOWNED AUTOS <br /> 30 02 06 <br /> SCHEDULED AUTOS BODILYINRpRY _ <br /> PPrpplOn) <br /> X HIRED AUTOS <br /> X WIN OWNEO AUTOS <br /> BODILY INJURY E ' <br /> — vROPEFiTY DAMAGE � S <br /> (Pe ecddBM/ <br /> GARAGE LIABILITY <br /> AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN EAACC S <br /> AUFO ONLY' AGO S <br /> EICESb/UMBRELUI iMI81LRY <br /> J OCCUR 'J EACH OCCURRENCE ! . <br /> CLAIMS MADE 1 <br /> AGUNEGATF S <br /> I DEDUC71ALE �. _ 3 <br /> _ <br /> RETENTWN <br /> WORKERS COMPENSAnON MND S - <br /> EMPLDYERb' LIABRRY IT VlIMd9 X ER <br /> ANY' PRRAMEBEREXCL ERIFJ(EWiryE 830 - 36951 10 / 02 / 06 10 / 02 / 07 EL EACH ACCIDENT t1000000 <br /> OFFICERBAEA®FR EAGL VDEDT <br /> - II YYes. d..cnp. .,Wm E.L WBGSEEA EMPLOYE 73000000 <br /> 9YECIAL PgDVISIDN$ MIPs <br /> DTMER EL. DISEASE - FOLICYLIWT E1000000 <br /> I. Inland Marine 6035T895 10 / 02 /06 10 / 02 / 071 Ranted 200000 <br /> SCRPnONOFOPERAT*NSILOCATIONSIVEHICLE{ IEICLUEMINO ADDID DIY ENDORSIMINT / 9PECYL P0.0Ve10Nb lig �menG <br /> R8 : Indian River County Bid M 2007027 Indian River Drive South Sidewalk <br /> mprovements - Certificate Holder is an additional insured within coverage <br />� orms provided by the general liability policy . Notice of Cancellation will <br /> B 30 days unless cancellation 1s for Ron -payment Of premium which will be <br /> 10 days based on Tlorida Statutes . <br /> ERTIFICATE HOLDER <br /> r CANCELLATION <br /> IND10 D6 SHOVLO ANY OF THE ABDVE DESCROSO POLICIES BE CANCELLED BEFORE THE ESPIRATI <br /> DATE THEREOF. THE MSUING INSURER WILL ENDEAVOR TOMAA 30 DAYS WRITTEN <br /> Indian RSYer County <br /> NOTICE TO OT <br /> HOLDER NAMEOTOTHE LEFT. SUT FAILURE TOW SOSRALL <br /> 1840 25th Street 1WO73E NO OBLIOAT1pN. OR LIABILITY OF ANY ILIND UPON THE INSURER, ITS a0ENT1 OR <br /> Vero Hench . FL 32960 REPRE!lNTATIVES. <br /> AUT a8D_,t��elI[11E1(jATMa _ <br /> CORD 25 (2001/08) = • • -FFsh to <br /> III P . A . <br /> 9 ACORD CORPORATION 1988 <br />