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2007-060
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2007-060
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Last modified
5/4/2016 1:56:00 PM
Creation date
9/30/2015 10:35:52 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
02/13/2007
Control Number
2007-060
Agenda Item Number
9.B.2
Entity Name
Passage Island Homes
Subject
Gifford Park Security House
Area
Gifford Park
Project Number
0503
Bid Number
2007033
Supplemental fields
SmeadsoftID
6132
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IAN - 08 - 2007 ( NON ) 14 , 51 HIJLRLEBERRY SIBLE1Y HARIIES' ( FRX ) 77297B4172 R . 00E / 093 <br /> $GIRD CERTIFICATE OF LIABILITY INSURANCE 7AS <br /> DATE IlAMOOY yYI <br /> PaooucEa PO1 q8 D7 <br /> - 8uckl <br /> Huckleberry , Sibley & Harvey THIS CERTBTICATE IS ISSUED AS A MFORMATIONIns r & SOnds , I:1C . VF120 $RANCH ONLY AND CONFERS <br /> NO RIG11T3 UPT1FICA Mt1910 82nd Ave Suite 105 HOLDER THIS CERTIFICATE DOES NEXTM ORVere Beach FL 32966 ALTER THE COVERAGE AFFORDED <br /> BCIES BELOW.INSURERS AFFORDING COVERAGEMAIC #ISURERA: AssDCitiInsur — <br /> INSURER.S: N1.3-wn L+lwnt Cneua:y ta <br /> _ P510ag4e Island eD:Des , e 2 INSURERC: p=o q <br /> Vero eaC Avenue Su1te 205 c=�� =ice• Innes=anc� co f,�nr <br /> SeaCh FL32 �fifi INSURER D: <br /> COVERAGES INSURER E: . ,_ <br /> - THE POLICIREmEw,Or ,GURyiCE USTCD BELC'A RAVE BEEN ISSUED TO THE INSURED NAAIED ABOVE FOR IHE POLICY PERIOD INOICATEE. NOTWITHSTANDING <br /> ANY REOUIRE'JENT, T6W OR COND;naN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISO <br /> UL�J 04 <br /> MAY PERTAIN, TI'le INSURANCE AITOI By 1'HE POLJCIES DESCRIBE-D HEREIN 1S SUBJECT; <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY NAYS BEEN REDUCED BY PAID CLAtt,1S. 0 ALL THE TCRIM$, FXCLUSIDtJ$ AND CON➢ITpN$ OF SUCH <br /> INSR'WD0'�- <br /> LTA INSR➢ TypE OP INSURANCE I I3ER kY EFFEL'TIQ�'pOu(,ry�j[ry�A+� <br /> a� I DgTE MM/DOM' I DATE MlDbbryy LIMITS <br /> GENERAL UABhITY I <br /> $ X COMMEHCtA1GENERALLWHILITY ! O4 -GL- FACNOCCURRENCE $ 1 000 , 000 <br /> 1111 632885 02 / 10 / 061 q2/ IO / 07 PRFM9ESfE $ 100 , 000 <br /> CLAIMS MADE OCCUR I IJ <br /> a MEO a P (Any ane I>m�)E CI,UDED <br /> L PERSONAL BADVINJURY $ 1 , 000 , 000 <br /> GENII CATELIMIT APPLICSPER: GENERAL AGGREGATE $ 21000 , 000 <br /> POLICY , 2"PT ; LOC I PRODUCTS - GCMPIGP AEG S2 , 000 000 <br /> I I LA_ _a C� L .,BILITY 1 I I <br /> CANY hu'D i 03399149 -0 i G➢IMBWEC SINGLE UMrr <br /> 02 /17/D6 � 02/ 17 /g6i ('� ' 1 <br /> �dPP'I $ 1 , 000 , 000 <br /> ALL OWNED AUTCB +III <br /> X SCIIF.DULEDAUTDS S <br /> I BODILY INJURY I <br /> X HIREDAUTOS I MUDIIRI 1 <br /> I X NON,OVI AUTOS BODILI' INJJRY <br /> [Per actidenp I $ <br /> PROPERTY DA <br /> (Per a;=eRUI,IAGC Fs <br /> GARAGE LIABILITY + <br /> O ONLY - CA ACCIDENT S <br /> ANY AUTO AUT . - <br /> OTHERTHAN EA ACC S <br /> AUTO ONLY: ADD ' $ — <br /> FXCESSfIJMBRELVILIABILITY <br /> OCCUR CLA1MS MADE EACH OCCURRENCE $ <br /> ACGRCGATE _ <br /> r _ <br /> DEDUCTInL <br /> RETENTION E I S <br /> WORKERS COMPI:NSATN)N AND, <br /> S <br /> A EMPLOY LJADILfry 022000028808 I X TOW" IMIT$ f E <br /> ANR <br /> OYPRDPRIETOR/PARTNEREkDUTNG l0 / 15 / 06 10 /15 / 07 E ACCIBENT S - <br /> F-FICERAUEMBER EXCLUDED? III 100000 _ <br /> I yea, besnileuMv L.L. DISEASE - EA EMPLOYEE $ 100000 <br /> SPECIAL PROVISIONSPgI <br /> OTHER E.L. DISEASE - POLICY LIMIT $ 500000 <br /> r <br /> I <br /> DESCRIPTION OF OPERATIONS ) LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY FJ'IDpRSEMENT ! 9PECtat PRQVISION9 <br /> 11110I Re : Gifford Park Security House - Owner : Indian River County . Builders <br /> Risk poliCy Can be issued with a $ 1 , 000 Deductible Except Wind/Hail will <br /> have a 14 Deductible , <br /> s <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDRIVE SHOULC ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUNG &SUR" WILL ENDEAVOR TO MAIL 1 D DAYS WRtITT£N <br /> NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL <br /> INDIAN RIVER COUNTY MPOSE NO OBLIGATION OR LIABILITY DF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> I. 1840 2571H STREET RARE <br /> SplTATWES. <br /> VERO BFJICF, FL 32960 ALRHORMED REPRESENTATIVE <br /> ACDRD 25 (2001108) <br /> sae Staniewicz <br />� p ® ACDRD CORPOR,4TIpN 1968 <br />
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