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HomeMy WebLinkAbout2017-010SEAGRAPE TRAIL BEACH PARK LICENSE AGREEMENT Indian River County ("County") hereby authorizes the Baytrce Condominium Association and its affiliates, agents, representatives and contractors (collectively "Licensee") to use the established beach access point at Scagrape 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 thc 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 safcty by County staff. 2) Licensee shall (a) keep the gates to the Park securely locked at all times except when opened for thc 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 thc 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 thc 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 othcr Park features or County property resulting from Licensee's performance of the dune stabilization projects, or this License Agreement. Any A. County Leased Automobiles B. Non -Owned Automobiles C. Hired Automobiles D. Owned Automobiles such damage shall be repaired to thc 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 thc insurance required under this section, and until such insurance has been approved by thc 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 arc 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 bc an additional named insured on this insurance on this insurance with respect to all claims arising out of the operations or work to bc 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 • 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 thc beginning of the lease, to thc 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 BAYTREE CONDOMINIUM ASSOCIATION 01Gtl lfs 1,)14 ti 'l l y r Signed: Date: Printed Name and Title: 1 0 )1114 i"-).))0)'1 A ��j r� Iii ��►'t. ,>) jc, i INDIAN RIVER COUNTY Signed: COUNTY Printed Name a Date: 417/i 7 Tin $1 cwvt atn-k dwr 1 APPROVED AS TO FOrt fi AND LEGAL SUEEI ; J1CX Y//1.i.// �`_ WILLIAM K DE RAAL DEPUTY COUNTY ATTORNEY A`ORCP CERTIFICATE OF LIABILITY INSURANCE OP ID: MK 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 15 WAIVED, subject to the terms and conditions of the pollcy, certaln policies may require an endorsement. A statement on this certificate does not confer rights to the certlficate holder in lieu of such endorsement(s). PRODUCER Stuart Insurance, Inc. 3070 S W Mapp Palm City, FL 34990 Joseph E. Coons, CPCU. CIC. CONTACT NAME; Joseph E Coons PHONE 772-286-4334 _INC No Eat). EMAIL ADDRESS: Jcoons@stuartinsurance.net FAX No): 772-286-9389 PRODUCER GUETB-1 CUSTOMER ID r!; INSURED Guettler brothers Construction LLC Ben G. Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURER(5) AFFORDING COVERAGE INSURER A : Westfield Insurance INSURER B: INSURER C : NAIC 24112 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES INDICATED, NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE PERTAIN, POLICIES, AIN DR VJ BO LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN REDUCED POLICY NUMBER ISSUED TO CONTRACT THE POLICIES BY EFF (MM DOY/YYYY) THE INSURED OR OTHER DOCUMENT DESCRIBED PAID CLAIMS, LICY EXP (MM/OOIYYYY1 NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS INSR LTR TYPE OF INSURANCE A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 1,000,000 PREMISES(Ea CTTE $ 500,000 MED EXP (Any one person) $ 10,000 X X GEN'L Contractual PERSONAL 8 ADV INJURY $ 1,000,000 INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER PC' ICY X ECT PRO- PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE X X X X LIABILITY I ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDA'UTOS 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 J $ 10,000 $ A X UMBRELLA LIAR X OCCUR EXCESS LIAB I i CLAIMS -MADE X X TRA7630158 06/30/2016 06/30/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ $ $ WORKERS AND ANY OFFICER/MEMBER (Mandatory 11 yes, DESCRIPTION COMPENSATION EMPLOYERS' LIABILITY N / A WC STATU• 10TH - TORY LIMITS . ER PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? I E L EACH ACCIDENT $ In NH) describe under OF OPERATIONS below E DISEASE • EA EMPLOYEE! $ $ E DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD 101, Additional Remarks Schedule, It more space Is required) GRADING OF LAND * Blanket Aqddition I In ured in regards to General Liabilityand Automobile Liaebili BlankC t Waiver of Subro ation for GeneraLiability, 30 day notice et cancellation (10 day for non-payment) applies. r.FPTIFIr ATC unr rCo _ LATION IRCBD-1 Indian River County 1800 27th Street Vero Beach, FL 32960 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2009/09) AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD O ACR CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/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(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 Ileu of such endorsement(s). PRODUCER Bouchard insurance for WBS P,O.Box 6090 Clearwater, FL 33758-6090 COATACT NAME: PHONE INC No Extl, (866 ) 283-3600 ext. 623 E-MAIL ADDRESS: FAX (A/C, Nof: INSURER(S) AFFORDING COVERAGE NAIC p INSURER A : American Zurich Insurance Company 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 : 40142 INSURER E INSURER F 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 CF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIR TYPE OF INSURANCE AODL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP DfY (MM/DYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MAGE [ J OCCUR -"PRM�ET"O RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY } PRO- -- _) JECT )LOC PRODUCTS - COMP/OP AGG $ i OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO - BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS) INJURY BODILY (Per acatlent $ HIRED AUTOS NON -OWNED AUTOS (PPROPERTY E accident)MAGE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY OTH- X STATUTE ER A OFFICERfM£MBER EXCLUDE07 ECUTIVE YIN N / A WC 90-00-818-05 12/31/201 12/31/2016 E.L. EACH ACCIDENT $ 1,000 000 (Mandatory In NH) If describe E L. DISEASE - EA EMPLOYEE $ 1,000,000 yes, DESCRIPRIPTIONION OFOF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/31/2015 12/31/2016 Client# 050682 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is requi ed) Coverage is provided for Guettler Brothers Construction LLC only those co -employees 4401 While Way Dairy Road of, but not subcontractors Fon Pierce, FL 34947 to: Indian River County 1800 27th Street Vero Beach, FL 32960 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 (20141011 CO 1988-2014 ACORD CORPORATION. Ali rights reserved, The ACORD name and logo are registered marks of ACORD OP ID: MK Ac -ORO" 4......,- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/09/2017 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(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 Stuart Insurance, Inc. 3070 S W Mapp Palm City, FL 34990 Joseph E. Coons, CPCU. CIC. NAME CT Joseph E Coons {NC. No, Ext): 772-2864334 FAX No): 772-286-9389 E-MAIL coons stuartinsurance.net PRODUCER CUSTOMER ID #: GUETB-1 INSURER(S) AFFORDING COVERAGE NAIL # INSURED Guettler Brothers Construction LLC Ben G. Guettler P.O. Box 12271 Fort Pierce, FL 34979-2271 INSURER A:WestfieidInsurance 24112 INSURERS: INSURER C: 06/30/2016 INSURER D : EACH OCCURRENCE INSURER E : DAMAGISEES (TOEa RENTEDoccurrence) PREM INSURER F : COVERAGES 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR MD POLICY NUMBER POLICY EFF IMMIDD/YYYY) POLICY EXP LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR TRA7630158 06/30/2016 ,JMMIDDM(YY► 06/30/2017 EACH OCCURRENCE $ 1,000,000 DAMAGISEES (TOEa RENTEDoccurrence) PREM $ , 500 000 CLAIMS-MADE MED EXP (My one person) $ 10,000 X Contractual PERSONAL & ADV INJURY $ 1,000,000 X INCLUDES XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: POLICY 15-C iNi I- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 7 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRA7630158 06/30/2016 06/30/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (PER ACCIDENT) $ X X PIP $ 10,000 $ A X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE 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/EXECUTIVEn OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, desaibe under DESCRIPTION OF OPERATIONS Y! N I I N /A WC STATU- OTH- TORY LIMITS ER E L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF ERATDONS 1 L CATIONS 1 V HICLES (Attach ACORD 101, Additional Remarks Schedule,11 more space le required) GGLRAD�tIyyNGnO BLAND * gg anket Additional Insured in regards to General General andAu omobile Liability. BlanKet Waiver of Subrogation for CERTIFICATE HOLDER CANCELLATION BAYTC-2 Baytree Condominium Association, Inc 8400 N. AIA 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 E ,f- ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AR b•CERTIFICATE OF LIABILITY INSURANCE TE DA02/09/2017 ) 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(ies) 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; PHONEFAX AIC, No. Est): (866) 293-3600 ext. 623 (MC, No): AIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA : American Zurich Insurance Company 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 : CLAIMS -MADE INSURER F : OCCUR COVERAGES CERTIFICATE NUMBER:16FL079902691 • 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 8Y 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 INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM!DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 3 MED EXP (Any one person) $ PERSONAL & ADV INJURY 3 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PEft LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) 3 BODILY INJURY (Per accident)$ PROPERTY DAMAGE (Per accident) $ $ UMBRELLALIAB EXCESS LIAR ^ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ OED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY Q�CERIMEMBERREXCLUDED?ECUTIVE (Mandatory in NH) DEd PTI DESCRIPTION OF OPERATIONS below Y / N N1A WC 90-00-818-06 12/31/2016 12/31/2017 X PER STATUTE 1OTH- ER 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# 050882 DESCRIPTION OF OPERATIONS / LOCATIONS !VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage is provided for Guenter Brothers Construction LLC 4401 only those co -employees White Way Dairy Road of, but not subcontractors Fort Pierce, FL 34947 to: CERTIFICATE HOLDER CANCELLATION 1 Baytree Condominium Association Inc 8400 N AIA 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 © 1988-2015 ACORD CORPORATION. All rights reserved.