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A� CERTIFICATE OF LIABILITY INSURANCE DABne/2D1�e 1
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 Me 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 certl0cale does not confer rights to the certificate holder In lieu of such Mohnsemenl(s).
PaooucEA.AME: Kristen LaPlante
George H. Friedlander Company vxoxE
1566 Kanawha Blvd. E. „ 321-254-84]] FVD .0,:321-98&0209 I
Charleston VUV 25311 E� nese, kdstenlaDlante®hledlandercomoanv.com
IXSURENSIAFFORpXeeOVERAGE NAILS
INSURER A: Travelers Indemnity Co 25658
.so. RA om I wsuRM B: Charter Oak Fire Insurance 25615
Ranger Construction INsuRER c: Travelers Procell S Casualty 25874 1
Industries, Inc.
1200 Ellice Way INSURER o:
Winter Garden FL 33411 I INWREA E:
INSURER F' I
COVERAGES CERTIFICATE NUMBER: 502630373 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
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a %WNYERCKLOENEMLWBILITY CO,tMOB21]-15 41112018 4Hrzo20 EACH OCCURRENCE S1.W0.000
CWMBJ/AOE 1000UR PR.ISFS IEe rcn 1 15500,000
X Co-4etlwl Lao MEDENP(Amale Wcal) 1510.000
PER
GENLAGGREGATE LIMn APPDEa PER
GENERALAGGREGA E� 152.000.000
PIXICY O hCi LOC PRODUCTS-COMPpPAGG 152.000.000
OTHER IS
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41112019 4Hn02o EACXOCGURRENCE 55,000.000
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B w Ep CO ENSATION U841L1188782-19-250 4I1I0018 V1I2020 IX I FEE<TInP �aH
AND EMPLOYEpS'WBM1RY YIN
ANYPROPRIETORNARTNEATIECUTVE O NIA EL EACH AO MNT 51.000.000
OFFICERMFMBERE%LLU's
(Na w1my I.NH1 SL.OIS.E FA EMPLOYEE 51.000.000
Wmba
5momm,
CRIPTION OF OPERATIONSWIM EL DISEASE Malay LIMIT $1,000000
DESCRIPTION OFOPERATONSILOLATONSIWHICUS WORD 101, Aossimal Rnamn. scM1eOUM, may buNehee H men cpw Ie nqulmel
Per Project Aggregate applies when required by written contract.
The City of Sebastian Is an Additional Insured when required by written contract Win respect to work Performed for Mom by the Named Insured and at the
speciftetl pproleet. Should any of the above described policies be cancelled before the expiration date thereof, the Issuing Insurer Will mail 30 days Milan notice
to the cc i6cate holder, but failure to do a0 shell impose no obligation Or liability of any kind upon the insurer, Its agents or representatives.
Project: Annual Paving; RCI No. 3205504
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Sebastian
Aures Mann Street oREPREsaur4mE
Sebastian F t et
2958
I
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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ack"Y INJURY (Pwacl6nl) 5
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41112019 4Hn02o EACXOCGURRENCE 55,000.000
AOGREWTE fb.000.0Do
B w Ep CO ENSATION U841L1188782-19-250 4I1I0018 V1I2020 IX I FEE<TInP �aH
AND EMPLOYEpS'WBM1RY YIN
ANYPROPRIETORNARTNEATIECUTVE O NIA EL EACH AO MNT 51.000.000
OFFICERMFMBERE%LLU's
(Na w1my I.NH1 SL.OIS.E FA EMPLOYEE 51.000.000
Wmba
5momm,
CRIPTION OF OPERATIONSWIM EL DISEASE Malay LIMIT $1,000000
DESCRIPTION OFOPERATONSILOLATONSIWHICUS WORD 101, Aossimal Rnamn. scM1eOUM, may buNehee H men cpw Ie nqulmel
Per Project Aggregate applies when required by written contract.
The City of Sebastian Is an Additional Insured when required by written contract Win respect to work Performed for Mom by the Named Insured and at the
speciftetl pproleet. Should any of the above described policies be cancelled before the expiration date thereof, the Issuing Insurer Will mail 30 days Milan notice
to the cc i6cate holder, but failure to do a0 shell impose no obligation Or liability of any kind upon the insurer, Its agents or representatives.
Project: Annual Paving; RCI No. 3205504
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Sebastian
Aures Mann Street oREPREsaur4mE
Sebastian F t et
2958
I
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD