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HomeMy WebLinkAbout2017-008SEAGRAPE TRAIL BEACH PARK LICENSE AGREEMENT Indian River County ("County") hereby authorizes the Sea Oaks Property Owners Association, Inc. and its affiliates, agents, representatives and contractors (collectively "Licensee") to use the established beach access point at Seagrape Trail Beach Park ("Park") for the limited purpose of delivering beach material and locating certain heavy equipment onto the beach to perform dune stabilization projects for the nearby residential development. Use of the Park for this purpose is limited to 27 days between February 2, 2017 and February 28, 2017 (including weekends) between the hours of 7:30 AM — 5:30 PM (the "License Period"), and is subject to the following terms and conditions: 1) Licensee shall operate all equipment, or cause all equipment to be operated, in a safe and prudent manner, and in accordance with any measures deemed necessary for public safety by County staff. 2) Licensee shall (a) keep the gates to the Park securely locked at all times except when opened for the passage of Licensee's equipment, (b) manage in a timely and efficient manner any traffic issues that arise as a result of Licensee's use of the Park, and (c) prohibit any public vehicular or pedestrian use of the Park during Licensee's dune stabilization activities. Licensee shall post "Beach Closed" signs at the Park entrance during Licensee's dune stabilization activities. 3) Any sand needed to establish a "sand ramp" for equipment to access the beach, or to perform the dune stabilization projects for the nearby residential developments, shall be provided by Licensee. No use of existing sand from the Park or beach shall be allowed. Any damage by Licensee to the Park shall be repaired to the satisfaction of the County and at no cost to the County. The agreed upon access route shall be inspected/videoed by County staff with the Licensee present, prior to the equipment mobilization to the identified Beach Park. 4) The County assumes no liability for loss of or damage to Licensee's equipment or personal property staged or stored at the Park. Any such equipment or property shall be staged or stored at the sole risk of Licensee. 5) The Park is located between two residential communities. As such, Licensee shall minimize construction impacts to the residential communities (i.e. work hours 7:30 AM — 5:30 PM, construction noise, equipment vibration, etc) to the greatest extent practical. Licensee shall provide 48 hour notice to the HOAs of the adjacent residents and the County prior to commencing access activity through County property. 6) Licensee shall indemnify the County for any damage to Park structures, roads, vegetation or other Park features or County property resulting from Licensee's performance of the dune stabilization projects, or this License Agreement. Any such damage shall be repaired to the satisfaction of the County, or Licensee shall pay to the County the reasonable cost to repair any such damage. Licensee shall also indemnify and hold harmless the County, and its officers and employees, from liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused by the negligence, recklessness, or intentional wrongful misconduct of the Licensee and persons employed or utilized by the Licensee in the performance of the dune stabilization projects, or this License Agreement. 7) Licensee shall maintain, or cause to be maintained, during the License Period, the insurance policies and coverage limits set forth: ▪ Insurance: • Countys and Subcontractors Insurance: The Licensee shall not commence work until they have obtained all the insurance required under this section, and until such insurance has been approved by the County, nor shall the Licensee allow any subcontractor to commence work until the subcontractor has obtained the insurance required for a contractor herein and such insurance has been approved unless the subcontractor's work is covered by the protections afforded by the Licensee's insurance. • Worker's Compensation Insurance: The Licensee shall procure and maintain worker's compensation insurance to the extent required by law for all their employees to be engaged in work under this contract. In case any employees are to be engaged in hazardous work under this contract and are not protected under the worker's compensation statute, the Licensee shall provide adequate coverage for the protection of such employees. • Public Liability Insurance: The Licensee shall procure and maintain broad form commercial general liability insurance (including contractual coverage) and commercial automobile liability insurance in amounts not less than shown below. The County shall be an additional named insured on this insurance on this insurance with respect to all claims arising out of the operations or work to be performed. Commercial General (Public) Liability, other than Automobile $1,000,000.00 Combined single limit for Bodily Injury and Property Damage Commercial General A. Premises / Operations B. Independent Contractors C. Products / Completed Operations D. Personal Injury E. Contractual Liability F. Explosion, Collapse, and Underground Property Damage Automobile $1,000,000.00 Combined single limit Bodily Injury and Damage Liability A. County Leased Automobiles B. Non -Owned Automobiles C. Hired Automobiles D. Owned Automobiles • Proof of Insurance: The Licensee shall furnish the County a certificate of insurance in a form acceptable to the County for the insurance required. Such certificate or an endorsement provided by the contractor must state that the County will be given thirty (30) days written notice prior to cancellation or material change in coverage. Copies of an endorsement -naming County as Additional Name Insured must accompany the Certificate of Insurance. 8) Insurance certificates attached hereto as Composite Exhibit A. 9) At the completion of Licensee's project or expiration of the license, whichever occurs first, Licensee shall return the Park to substantially the same condition as it was at the beginning of the lease, to the County's sole satisfaction. 10) Licensee shall perform its work in strict compliance with any permit issued for the project. If at any time Licensee does not adhere to the permit conditions or above conditions, the County may order the work to immediately cease until Licensee brings the project into compliance. Violation of permit conditions and/or the terms of this License Agreement may result in termination of the License Agreement by the County forthwith and at no cost to the County. LICENSEE SEA OAKS PROPERTY OWNERS ASSOCIATION, INC. Signed: J a-x� (i / J Date: d Printed Name and Title: I --I r E (GCt C` St IA \e nt " i) J INDIAN RIVECOUNTY Signed: ...E Printed Name COUNTY Date: sh50,1L . a/OIA/want +MAO *Insurance -Contractor, Guettler Brothers Construction, LLC., has agreed to be responsible for providing the County with the required insurance certificate, per Steve Boehning, Coastal Waterways. APPROVED AS TO FORM AN ir i A Dl ETC Al WILLIAM K DEBRAAL DEPUTY COUNTY ATTORNEY ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID: MK DATE (MM/DDIYYYY) 12/08/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsoment(s). PRODUCER Stuart Insurance, Inc. 3070 S W Mapp Palm Clty, FL 34990 Joseph E. Coons, CPCU. CIC. INSURED Guettler Brothers Construction LLC Ben G. Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 NAME: Joseph E Coons PHONE 772-286-4334 (AIC, No, Extl: E-MAIL coons©stuartinsurance.net ADDRESS:] V PRODUCER GUETB-1 CUSTOMER ID N. FAX No 772-286-9389 JA/C, INSURER(5) AFFORDING COVERAGE INSURER A : Westfield Insurance NAIC N 24112 INSURER 8 : INSURER C INSURER D : INSURER E : INSURER F : VERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE POLICIES. INSR WVD THE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INLTR TYPE TYPE OF INSURANCE POLICY NUMBER /YPOLICY EFF (MMIDDYYY) POLICY EXP IMM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE 10 NEWEL) PREMISES (Eaaoccurrence) $ 500,000 CLAIMS -MADE MED EXP (Any one person) $ 10,000 X X GEN'L 7 Contractual PERSONAL & ADV INJURY $ 1,000,000 INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER POLICY X PROT LOC JEC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X X TRA7630158 06/30/2016 06/30/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ PIP $ 10,000 $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A WC STATU- OTH- TORY LIMITS ER E L EACH ACCIDENT $ below E.L. DISEASE - EA EMPLOYEE $ E L DISEASE • POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) GRADING OF LAND " Blanket Additional Insured in regards to General Liabilityd Automobile LiabilityliBlanket Waiver of S brogation for Gpepnerra] Liability. 30 day notice Of cancellation (10 day for non-payment) a IRCBD-1 Indian River County 1800 27th Street Vero Beach, FL 32960 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C� ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A�,.. L ;,JoR�� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/08/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Bouchard Insurance for WBS P.O.B0x 6090 Clearwater, FL 33758-6090 CONTACT NAME: PHONE 866 293-3600 ext. 623 Fax IE GAIL Extl: ) (A1C, No): ADDRESS: INSURER(5) AFFORDING COVERAGE NAIC # INSURER A : American Zurich Insurance Company COMMERCIAL GENERAL LIABILITY 40142 INSURED Workforce Business Services, Inc. Alt. Emp. Guettler Brothers Construction LLC 1401 Manatee Ave. West Ste 600 Bradenton, FL 34205-6708 INSURER B : INSURER C : INSURER D : $ INSURER E : INSURER F : OCCUR COVERAGES CERTIFICATE NUMBER: 15FL079902691 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS R I LLTR TYPE OF INSURANCE AINSO WDSUER POLICY NUMBER POLICY EFF (MMIDD/YYYYI POLICY EXP (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GE AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 8 POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMI (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL O AUUTOSS ,_ SCHEDULED AUTOS (eracc) BODILY INJURY (Per $ HIRED AUTOS ^ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEO RETENTION $ $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y OTH- X STATUTE ER A / N OFFILIZ R/MEMBOERIEXCLUDED7 ECUTIVE N / A WC 90-00-818-05 12/31/2015 12/31/2016 E L EACH ACCIDENT $ 1,000,000 (Mandatory In NH) It descnbe E.L DISEASE - EA EMPLOYEE $ 1,000,000 yes, under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/31/2015 12/31/2016 Client# 050682 DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage is provided for Guettler Brothers Construction LLC only those co -employees 4401 White Way Dairy Road of, but not subcontractors Fort Pierce, FL 34947 10, Indian River County 1800 27th Street Vero Beach, FL 32960 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR_ESENTATIVE I -. 988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID: MK ACOR©• CERTIFICATE OF LIABILITY INSURANCE `.� DA TE{MM�D 01/3112001717 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION I5 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Stuart Insurance, Inc. S W Mapp Palm City, FL 34990 Joseph EE Coons, CPCU. CIC. p CONTACT Joseph E Coons PHONE r"3070 (c No, E,�1.772-286-4334 (AJC, No): 772-286-9389 E-MAIL ADDRESS:!coons@stuartinsurance.net PRODUCER GUETB-1 CUSTOMER ID 0: iNSURER(S) AFFORDING COVERAGE NAIC 0 INSURED Guottler Brothers Construction LLC Ben G, Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURERA:Westfield Insurance 24112 INSURERS: INSURER C EACH OCCURRENCE INSURER 0 : 1,000,000 INSURER E : X INSURER F : LIABILITY X VERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL RSR TYPE OF INSURANCE ADM_ /NSR &UDR WVD POLICY NUMBER POLICY -Err— IMMIDOIYYYY) POLICY EXP (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X OCCUR TRA7630158 06130/2016 0613012017 NTED-- PRE Anee) PREMISES (O Ea occurre $ 500,000 CLAIMS-MADE MED EXP (Any one person) $ 10,000 X Contractual PERSONALBALA/ INJURY S 1,000,000 X GEM. INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY X JEG LOC PRODUCTS - COMP/OP AGG $ 2,000,000 5 A AUTOMOBILE X_ X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRA7630158 06130/2016 06130/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per acddent) $ PROPERTY DAMAGE (PER ACCIDENT) PIP $ 10,000 A X UMBRELLA LIAR EXCESS UAB ^CUR CLAIMS -MADE TRA7630158 06/30/2016 0613012017. EACH OCCURRENCE $ 5,000,000 AGGREGATE S 5,000,000 DEDUCTIBLE— RETENTION $ S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/ NTORY ANY PROPRIETORJPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? T 1 (Mandatory In NH) gym, desanbe under DESCRIPTION OF OPERATIONS below N IA VAC STAT LI- OTH- LIMITS , ER EL. EACH ACCIDENT $ El. DISEASE - EA EMPLOYEE $ -- E.L. DISEASE - POLICY UMIT 5 DESCRIPTION OP PERA NS 1 LOCATIONS / VEHICLES (Mach ACORD 101, Addtllonal Remarks Schedule If more space Is required) GRADING OF LA ' Blanket Additional Insured In regards to General lability apd Automobile liability. lanket Waiver of S�7brogation for ener�1 Liability. CERTIFICATE HOLDER CANCE TION SEAOA-3 Sea Oaks Property Owners Assoc. Inc 8811 Hwy AIA Vero Beach, FL 32963-4041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009109) (>1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and Togo are registered marks of ACORD `---1 a ACORD CERTIFICATE OF LIABILITY INSURANCE iiss......y. DATE (MMlDDlYYW) 01/31/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Bouchard Insurance for WBS P.O.BOX 6090 Clearwater, FL 33758-6090 CONTACT NAME: PHONE293-3600 ext. 623 FAX CANo. Est): (866) Mat): • . E ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: American Zurich Insurance Company 40142 INSURED Workforce Business Services, Inc. AIL Emp: Guettler Brothers Construction LLC 1401 Manatee Ave. West Ste 600 Bradenton, FL 34205-6708 INSURER B : INSURER C: EACH OCCURRENCE INSURER D DAMAGE PREM SESO(EaENTED occurrence) INSURER E : INSURER F : CLAIMS -MADE l 1 OCCUR BER:16FL079902691 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE "knot_ INSt INSD suBR VD WVD POLICY NUMBER POLICY Ef F (MMIDDIYYYY) POLICY EXP (MMJODIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE PREM SESO(EaENTED occurrence) $ CLAIMS -MADE l 1 OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE S GEN'I AGGREGATE POLICY; OTHER: LIMIT APPLIES /ECT PER: LOC PRODUCTS-COMPIOPAGG $ 5 AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT 1ga accident) BODILY INJURY (Per person) $ 5 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANYPROPRIETOR EXCL DEED ECUTIVE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN NIA WC 90-00-818-06 12/31/2016 12/31/2017 X STATUTE ER ERFICCERIMEMBER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/31/2016 12/31/2017 Client# 050682 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Elmore apace la required) Guettler Brothers Construction LLC Coverage Is provided for only Lose co -employees 4401 White Way Dalry Road or, but not subcontractors Fort Pierce, FL 34947 to: CERTIFICATE HOLDER CANCELLATION Sea Oaks Property Owners Association, Inc 8811 Highway A1A Vero Beach, FL 32963 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE }}}yNTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD