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ACORD DATE (MWDD/YYYY) <br /> TM. CERTIFICATE OF LIABILITY INSURANCE 08/211/2009 <br /> PRODUCER Phone: (772) 5623369 Fax (772) 5623466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HILB ROGAL & HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2045 14TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P0BOX 130 ALTER THE VERAGE AFFO IES BELOW. <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY <br /> MORGAN & EKLUND, INC. INSURER B: HARTFORD CASUALTY INSURANCE COMPANY <br /> P.O. BOX 1420 INSURER C: <br /> WABASSO FL 329704420 <br /> INSURER D: <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 <br /> OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br /> OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- <br /> INSRIADD1 POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR IN TYPE OF INSURANCE POLICY NUMBER DATE MM DATE MM LIMITS <br /> GENERAL LIABILITY 21 UUN UT4009 K3 10/25/08 10/25/09 EACH OCCURRENCE $ 11000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 <br /> PREMISES (Ea oxurence) <br /> CLAIMS MADE 51 OCCUR MED. EXP (Any one person) $ 10,000 <br /> A PERSONAL & ADV INJURY $ 17000,000 <br /> GENERAL AGGREGATE $ 21000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 210002000 <br /> POLICY JPECRO- <br /> T LOC <br /> AUTOMOBILE LIABILITY 21 UUN UT4009 K3 10/25/011 10/25/09 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 11000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> A <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE y <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY 21 RHU UT3893 K3 10/25/08 10/25/09 EACH OCCURRENCE $ 19000,000 <br /> X OCCUR II CLAIMS MADE AGGREGATE $ 19000,000 <br /> B $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 101000 y <br /> VOC STATII OTHER <br /> WORKERS COMPENSATION AND TORY UMITS <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT b <br /> ANY PROPRIETORIPARTNERIEXECURVE <br /> OFACERIMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $ <br /> Ifyes, <br /> LPROeSIONr E.L. DISEASE-POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> EMPLOYEE BENEFITS LIMIT 1000000 <br /> CERTIFICATE HOLDER SHOWN BELOW IS HEREBY LISTED AS ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY POLICY. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br /> DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br /> INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS AGENTS OR REPRESENTATIVES. <br /> 1801 27TH STREET AUTHORIZED REPRESENTATIVE <br /> VERO BEACH, FL 32960 <br /> Attention: MR.MICHAEL O'BRIEN, PSM,CFM ge . Thi <br /> ACORD 26 (2001108) Certificate # 122668 © ACORD CORPORATION 1988 <br />