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Date : 11 /18 / 04 Time : 10 : 18 AM To : 978 - 1798
<br /> Page : 001 - 002
<br /> C• ERTIFICAT OF LIABILITY INSURANCE' 11/1MM'DD.YYYY)
<br /> PRODUCER (�7z ) 2 -2$ a qX "(7 ;J2 , 2�"'33 Y/OS/2004
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> 2911 Cardinal Drive ( 32963 ) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> P . O . Box 3488 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> IL—Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAIL #
<br /> INsuRED Su stance A use Council o Inc i an River t`ounty iNS1 =Ea A: Colony Insurance
<br /> 2501 27th Ave Ste A- 7 F Progressive Express 10193
<br /> Vero Beach , FL 32960 NAL >-e , a Commerce & Industtly Insurance
<br /> I N sit F-E E ,
<br /> VERAQFS
<br /> THE POiICIES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TriE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDICATED, NOTWITHSTANDIN
<br /> ANY REQUIREMENT, TERM OR CONDITION Or ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF CAT"E iMAY BE ISSUED OR
<br /> MAY PERTAIN , THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIC
<br /> POLICIES AGGREGATE LIMITS SHO'AN MAY 1AVE BEEN REDUCED BY PAID CLAIMS . e;JS AND CONDITIONS OF SUCH
<br /> lNSR ADD TYPECFINSURANCE POLICY NUMBER POLICYEFFECTfVE POLICY EXPIRATION
<br /> LIMITS
<br /> LEIW�UILITY MP714134 04/01/2004 04/0112005 .;C I IaF
<br /> ,IAL- �E� .TGfi - 1 , QQQ , QQ
<br /> � ArtA ,t H 50 , 00� :� r A_� E
<br /> A ti+E� 5 00
<br /> pFy4cNAL & 41' f N, _ -+ r 11000100
<br /> u DdFFfi+i. AGC , s1-I _ " 2 , 000 , 00
<br /> G .N . A33F r„-ELiv I AF" _ . -5 PERn: =� r:r EXCLUDE
<br /> ONF `OFA-z, �,
<br /> ILS kTo I _ ..
<br /> AUTOMOBILE LIABILITY CA0443 77464 02105/2004
<br /> ANY A., 1 02105 /2005 1VE%iN .�. I
<br /> EC NG;. E L. Lh7 ..
<br /> � _� acri �7e� t` ! �'
<br /> 1 , 000 , 00
<br /> ALL �AWNrC' A11T 1S
<br /> 61-CY -YIN , ;RY
<br /> B X �:_J-hDiiLEC� Aii - _ '
<br /> hItiEL� AUhB
<br /> FOL i IN, . ' RY
<br /> N (!N -CIJ'1NL . ' Al '� TOS
<br /> F5 a� .diYe rltl
<br /> GARAGELIASLITY I +--
<br /> A . iOON ' Y - -AACC CENT
<br /> �iT a r T IAN EA 4�
<br /> A._ U Of. : Y'.
<br /> EXCESSUMBRELLA LIABILItt --' --
<br /> EA::H
<br /> A��r,FE-GA?� 5
<br /> GED QCT 10L E . . . ._-
<br /> NETENTION S $
<br /> R
<br /> WORKERS COMPENSATION AND K3442796 01/10/2004 01/10/2005 `•ti'c �TA- L
<br /> EMPLOYERS' LIABILITY — c
<br /> �I� � Fn� � EI ,�N, ,� � � I,ExE�� � �E I
<br /> E. '�_, EAC'a Al - IE!•1? $ IOC , OG
<br /> rl Fi "FF MF �MF3Ea Fh �!I ?EC . _ �-�
<br /> des, 1 XPO? JrICI& E ' Di ^.EA 'c` EA EVIF, "rE,- S 1002410
<br /> OErPE`✓iSION _, belmn
<br /> OTHER
<br /> E .L. r ,ISEASE POU,' CVi ' v . ._. , y SQQ.,. tU -
<br /> DESCRIPTION OF OPERATIONS / LOCATIONS J V!: wXCLES ; EXCLUSIONS ARCED BY ENDG -t5EME.NT / SPECIAL PROVISIONS
<br /> Indian River County is also an additional insured pEr business liability coverage .
<br /> CA
<br /> W=iffirw TE DERCA FIL I Ar,
<br /> --
<br /> SHOULD ANY OF fHE ABOVE DESCRIBED POUCIE^a BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THL'9EOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL.
<br /> 10 DAYS WRITTEN N. T! CE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
<br /> The Board of County Commissioners
<br /> Attn : Marion BUT FAILURE TO MAIL SUCH tt OTICE SHALL IMPOSE NO OBLIGAT,
<br /> ION 1$ 40 25th street OF; LIABILITY
<br /> OFANYKINDUPON THE INSURER, ITS AGENT SORREPRESENTATIVES.
<br /> Vero &.ach , FL 3296.0 AUTHORIZED REPRESENTATIVE
<br /> Kenneth D . Felten , LUTCF LB
<br /> ACORD 25 (2001 ;08) FAX : 97 ; - 1798 cACORD CORPORATION 1986
<br />
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