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SECTION 00620 - SAMPLE CERVMATE OF LIABILITY INSURANCE <br /> ' CERTIFICATE OF LIABILITY INSURANCE <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br /> ' RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND <br /> OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> COMPANIES AFFORDING COVERAGE <br /> INSURED COMPANYA • <br /> COMPANY B - <br /> COMPANY C <br /> COMPANY D <br /> ' COMPANY E - <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br /> NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br /> OR MAY PERTAIN THE INSURANCE ACCORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> ' LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE NUMBER DATE MM/DD DATE MM/D LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 190009000 <br /> A 0 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any One Fire $ 50 ,000 <br /> ❑ CLAIMS MADE . ® OCCUR MED. EXP. A One Person $ 5,000 <br /> 1 PERSONAL & ADV INJURY $ 12000 ,000 <br /> ❑ GENERAL AGGREGATE $ 11000 ,000 <br /> ❑ PRODUCTS — COMP/OP AGG. $ 11000,000 <br /> ❑ $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A ® ANY AUTO (Ea. Occurrence) <br /> $ 1 ,000,000 <br /> ❑ ALL OWNED AUTOS BODILY INJURY $ <br /> ' <br /> [I SCHEDULED AUTOS (Per Person) <br /> 0 HIRED AUTOS BODILY INJURY <br /> ® NON-OWNED AUTOS (Per Accident) $ <br /> 0 PROPERTY DAMAGE $ <br /> El <br /> ' GARAGE LIABILITY AUTO ONLY — EA ACCIDENT $ <br /> ❑ OTHER THAN EA ACC $ <br /> i AUTO ONLY AGG $ <br /> A EXCESS LIABILITY EACH OCCURRENCE <br /> ❑ ❑ CLAIMS MADE <br /> ❑ DEDUCTIBLE AGGREGATE $ <br /> ' ❑ RETENTIONS $ <br /> WORKER'S COMPENSATION AND <br /> A EMPLOYER'S LIABILITY ®WC STATUTORY LIMITS <br /> ' E.L. EACH ACCIDENT $ 100,000 <br /> THE E.L. DISEASE — EA $ 500,000 <br /> PROPRIETOR/PARTNERS/ ® INCL <br /> EXECUTIVE OFFICERS ARE: ❑ EXCL E.L. DISEASE•POLICY LIMIT $ 1009000 <br /> ' OTHER: FULL REPLACEMENT COST <br /> BUILDER'S RISK OF THE WORK <br /> DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/SPECIAL ITEMS <br /> CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> ADDITIONAL INSURED : SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 <br /> ' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. FAILURE <br /> 1 . INDIAN RIVER COUNTY, FLORIDA TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br /> 184025 TH STREET, VERO BEACH , FL 32960 UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. <br /> 2, FLORIDA EAST COAST RAILWAY COMPANY, L.L.C. AUTHORIZED REPRESENTATIVE <br /> ' ONE MALAGA STREET, ST. AUGUSTINE, FLORIDA 32084 <br /> + + END OF SECTION + + <br /> ' 00620 - Sample Liability Insurance <br /> 00620 - 1 <br /> F:\Public Works\KeithMlStomwater Projects\Gifford East\Construction Contract\Bidding & Contract Documents\Bidding & Contract Documents\00620 - Sample Liability <br /> Insurance.doc Rev. 05/01 <br />