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2003-014
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Last modified
9/2/2016 11:49:52 AM
Creation date
9/30/2015 6:15:33 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
01/23/2003
Control Number
2003-014
Agenda Item Number
11.C.2.
Entity Name
Taylor Industrial Coatings, Inc.
Subject
Floor coatings for jail showers and kitchen
Area
IR county jail
Archived Roll/Disk#
3160
Supplemental fields
SmeadsoftID
2800
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• 01/14/2009 12:05 FAX 8636780284 EBD INSURANCE 0101 <br /> "i Gib- R6*73 /04 X 60 - .507.5 <br /> AC CERTIFICATE OF LIABILITY INSURANCE <br /> DATEIMMIDDIYYYYI <br /> PRODUCER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Swing, Hlackrelder & Duce Ineu ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br /> I F 0 Box 607 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> iLake Walee YL 33959-0607 <br /> INSURED <br /> INSURERS AFFORDIN13 COVERAGE NAICO <br /> � •-- <br /> Taylor Industrial Coatings I., INSURER A: <br /> Gregg Taylor rNsuRER B: <br /> 109 S North Avenue msuRER c; -- <br /> Lake Walea, FL 33853 INSURER D: - <br /> j INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> I ANY REQUIREMENT, TERM OR CONVIIION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 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 /> I IN6R DO t "' <br /> I.T. AD POLICY NUNSEq POLICY EFFECTIVE POLICYEXPFYI DA MIRATIGN UNI76 <br /> A GENERAL UASIUTY OlOG2314051 09'/055/200'1 09/05/2003 EACH OCCURRENCE e <br /> I COMMERCIAL GENERAL LIABILITY DAMAGE RENTED N D -- <br /> PR I OCCU1eRtl1_ <br /> CLAIMS MADE OCCUR MED EXP IAny ane person) e <br /> - ---•• <br /> PERSONAL&ADV INJURY e InnanAn <br /> ' -- GENERAL AGGREGATE e <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG e <br /> POLICY <br /> IPRoi lOt 0 <br /> AUTOMOBILE UABIUTY <br /> ANYAUTO COMBINED SINGLE OMIT L <br /> IEes�denp - .. •• <br /> I <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY INJURY e <br /> Mer Pereao <br /> j HIRED AUTOS <br /> — <br /> BODILY INJURY <br /> NON•OWNEDAUTOS Per accident e <br /> i PROPERTY DAMAGE _ <br /> (p.,eccidenll <br /> GARAGE UAaIUTY <br /> � - AUTO ONLY-EA ACCIDENT e <br /> ANYAUTO EA ALC e <br /> OTHERTHAN <br /> AUTOONLY: AGG $ <br /> A O(CFSSI{lMBRELLAUABIUTY 019033229510 08/22/2002 09/21/2003 EACH OCCURRENCE e <br /> OCCUR n CLAIMS MADE AGGREGATE 1 2 <br /> j DEDUCTIBLE <br /> RETENTION $ - <br /> wORILEMCOMPENSATIONAND WC STATU• ON. -- <br /> EMPLOYERS•UABIUYY <br /> ANY PROPRIETOR/PARTNER/EXECUYIvE E.L.EA[N ACCIDENT <br /> j OFFICER/MEMBER 6XCLUOLDI <br /> Ir <br /> was,deecribevnder E.L.DISEASE-EA EMFLOYEEI e <br /> j SPECIAL PROVISIONS bolo v <br /> OTHER E.L.DISEASE-POLICY LIMIT <br /> S <br /> i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> I <br /> Indian River COunty is also Additional Named Insured <br /> j Iaduetrial Floor Covering <br /> CERTIFICATE HOLDER CANCELLATION <br /> Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLW BEFORE THE EXPIRATION <br /> Bob Baragua DATE THEREOF,THE I$SUINO INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN <br /> 1940 25th St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LETT.BUT FAILURE TO DO SO SHALL <br /> Vero Beach, 1L 37960-3365 'MPO"NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER,ITS AGENT$On <br /> REPRESENTATIVES. <br /> AUTHOEW REPRESENTATIVE <br /> 4151 <br /> ACORD 25(2001108) °ACORD COAVORATION 1968 <br />
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