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Client# : 80638 INTERSTATE7 <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE <br /> 9/18/08DmYY) <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HUB International NE (WCL) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 299 Ballardvale St HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Wilmington , MA 01887 <br /> 978 657-5100 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Travelers Indemnity <br /> Interstate Engineering Corp. <br /> INSURER B: <br /> Arnold Pike <br /> INSURER C: <br /> 193 Jefferson Ave . PO Box 687 INSURER D: <br /> Salem , MA 01970 <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 POLTR NSR TYPE OF INSURANCE POLICY NUMBER DATEY M/DOfYYE PDA E MM ISD TION LIMITS <br /> A X GENERAL LIABILITY DTC0463D8853 10/01 /07 10/01 /06 EACH OCCURRENCE $ 1 ,000 ,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300OOO <br /> CLAIMS MADE Q OCCUR MED EXP (Any one person) $59000 <br /> X Blkt Addl Insured PERSONAL & ADV INJURY $190002000 <br /> X Blkt Waiver of Subro GENERAL AGGREGATE s2 ,000 ,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 OOO OOO <br /> POLICY X PRT LOC <br /> A X AUTOMOBILE LIABILITY DTA0810463138865 10/01 /07 10/01 /08 COMBINED SINGLE LIMIT OOO <br /> X ANY AUTO (Ea accident) $ 1 + +000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> A X EXCESS/UMBRELLA LIABILITY DTSMCUP463D8877 10/01 /07 10/01 /06 EACH OCCURRENCE $ 1010002000 <br /> OCCUR E1CLAIMS MADE AGGREGATE $ 109000 ,000 <br /> FDEDUCTIBLE $ <br /> X RETENTION $ 10000 $ <br /> WORKERS COMPENSATION AND OR LIMIT OTH- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <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 CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Indian River County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A0_ DAYS WRITTEN <br /> Board of Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 1800 27th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Vero Beach , FL 32960 REPRESENTATIVES. <br /> AUTHORMEP REPRESENTATIVE_ <br /> ACORD 25 (2001 /08) 1 of 3 #S199600/M24 G /wN �w7 /7•"•_-_C`"BB003 0 ACORD CORPORATION 1988 <br />