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ACORAw CERTIFICATE OF LIABILITY INSURANCEDATE (MMIDDIYY) PRODUCER 06/04/2003 Serial # B1065 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ACIG INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i12272 MERIT DRIVE, SUITE 1 .660 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR DALLAS, TX T5251 -0000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE INSURED THE DICKERSON GROUP, INC. INSURER A: ACIGUIIII INSURANCE COMPANY AND DICKERSON FLORIDA, INC. INSURER B: P.O. DRAWER 719 INsuRER c: STUART, FL 34995-0000 INSURER D : I WSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. THE POLICY PER100 INDICATED. NQTWITHSigNDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO wHfCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 'S HE TERMS , EXCLUSIONS AND CONDITIONS TA SUCH j POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN~.SR I t TR I TYPE OF INSURANCE I POLICY NUMBER vOLICY EFFECTIVE vOLICY EJIPIRATK)N GENERAL LIABILITY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any me firs) S CLAIM MADE F7 OCCUR I — I MED EXP (My one pardon) S PERSONAL a AOV INJURY $ GENERAL AGGREGATE I 13 *L AGGREGATE LIMIT APPLIES PER: I S ~, IPF O- LOC PRODUCTS - COMP/OP AGG 5 POLICY f AUTOMOBILE LIABILITY ANY AUTO I aCOMBINED SINGLE LIMIT S ALL OWNED AUTOS SCHEDULED AUTOS P-OOILY INJURY S HIRED AUTOS (Per Derrvon) NON-0WNEDAUTOS BODILY INJURY $ (Per acciCenV PROPERTY DAMAGE I I (per90tiCeny S GARAGE LIABILITY AW. AUTO AUTO ONLY • EA ACCIDENT I S I OTHER THAN EA ACC S � I EXCESS LIABILITY ONLY;A6ILITY AGG S I '_7OCCUR I 17 CLI MADE I EACH OCCURRENCE S AGGREGATE $ F— DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND WCD0300291 /01 /04 WC STATU• OTH. i A EMVLOYERS LIABILITY 06/01 /03 06 I X TOFU LIMITS ER ' E.L. EACH ACCIDENT S 10Q00 000 E,L DISEASE • Fa EMPLOY S 100000000 OTHER I E.L. DISEASE - POLICY LIMIT S 17000 , 000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEMCLESIEXCLUSIONS ADDED BY ENDORSEMENTtSP£CIAL PROVISIONS East Gifford Stormwater Improvements DFI Job # 3349 CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER; CANCELLATION Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T14EEXPIRAI 2625 19th Avenue DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Vero Beach , FL 32960 - 3335 NOTICE TO THE CERMFICATI . HOLDER NAMED TOTHELEFT, BUT FAILUR2TODOSpSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES• A!,ITIRRESENTATIVE ACORD 255 (7/97) ,lrD MAX E . LEWELS oACORD CORPORATION 1998