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Client#: 80638 <br />INTERSTATE7 <br />ACORDTM <br />ANY REQUIREMENT, TERM OR CONDITION 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 />DATE <br />CERTIFICATE <br />TYPE OF INSURANCE <br />OF LIABILITY INSURANCE <br />POLTR <br />DATEY M/DOfYYE <br />09/18/08DmYY) <br />PRODUCER <br />A <br />X <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br />OF INFORMATION <br />HUB International NE (WCL) <br />299 Ballardvale St <br />10/01/06 <br />EACH OCCURRENCE <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Wilmington, MA 01887 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$300OOO <br />978 657-5100 <br />CLAIMS MADE Q OCCUR <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Interstate Engineering <br />Arnold Pike <br />193 Jefferson Ave. PO <br />Salem, MA 01970 <br />Corp. <br />Box 687 <br />PERSONAL & ADV INJURY <br />INSURER A: Travelers Indemnity <br />INSURER B: <br />INSURER C: <br />X <br />Blkt Waiver Of Subro <br />INSURER D: <br />s2,000,000 <br />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 />ANY REQUIREMENT, TERM OR CONDITION 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 />INSR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLTR <br />DATEY M/DOfYYE <br />PDA E MM ISD TION <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />DTC0463D8853 <br />10/01/07 <br />10/01/06 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$300OOO <br />CLAIMS MADE Q OCCUR <br />MED EXP (Any one person) <br />$59000 <br />PERSONAL & ADV INJURY <br />$190002000 <br />X Blkt Addl Insured <br />X <br />Blkt Waiver Of Subro <br />GENERAL AGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$2 OOO OOO <br />POLICY X PRT LOC <br />A <br />X <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />DTA0810463138865 <br />10/01/07 <br />10/01/08 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />OOO <br />$1 + +000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />$ <br />A <br />X <br />EXCESS/UMBRELLA LIABILITY <br />DTSMCUP463DB877 <br />10/01/07 <br />10/01/06 <br />EACH OCCURRENCE <br />$1010002000 <br />OCCUR E1CLAIMS MADE <br />AGGREGATE <br />$1090001000 <br />FDEDUCTIBLE <br />$ <br />X RETENTION $ 10000 <br />$ <br />WORKERS COMPENSATION AND <br />OR LIMIT <br />OTH- <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />PROJECT: 2008027 - Indian River County - South RO Water Treatment Plant Improvements, <br />Indian River County & Kimley-Horn and Associates, Inc., their respective officers, <br />directors, partners, employees, agents, consultants and subcontractors are listed as <br />Additional Insureds on a primary and non-contributory basis as required by written <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />ACORD 25 (2001/08) 1 Of 3 #S199600/M24 CB003 O ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Indian River County <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -040_ DAYS WRITTEN <br />Board of Commissioners <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />1800 27th Street <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Vero Beach, FL 32960 <br />REPRESENTATIVES. <br />AUTHORMEP REPRESENTATIVE_ <br />ACORD 25 (2001/08) 1 Of 3 #S199600/M24 CB003 O ACORD CORPORATION 1988 <br />