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11 / 11 / 04 THU 13 . 20 FAX 3213634523 J W Edens Agency Z002 CERTIFICATE OF LIABILITY INSURANCE <br /> DATE 11 /DD/YYYYa <br /> rRER ( ,321) 38:3 - 4554 11/11/2004 <br /> Edens a C( FAx C321) 383 - 4523 THISISSUED AS A MATTER OF INFORMATION <br /> aLLpany , .Inc . ONLY AND CONFERS No RIGHTS UPON THE CERTIFICATE <br /> Box 278 HOLDER, THIS CERTII 'ICATE DOES NOT AMEND, EXTEND OR <br /> sville , FL 32781 -0278 ALTER THE COVERA NE AFFORDED BY THE POLICIES BELOW. <br /> INSURED Watauga Drapany T e INSURERS AFFORDING COVERAGE NAIC # <br /> 4275 Caprl�n Road INSURER A: FCCT Insurance Company 10178 <br /> Titusvillla INSURER JS; Zurich <br /> FL 327806554 INSURER C; <br /> INSURER D: <br /> INSURER E: <br /> THE POLICIES OF {INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH13 POLICY PERIOD INOtCATED. NOTWaTHSTANDIN <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T> NS CERTIFICATE MAY BE ISSUES OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS , I_XCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> iNSR DD' TYPE Of INSURANCE <br /> POLICY NUMBER POLICY EFFECTIVE P EXPIRATION <br /> GENERAL LIABILITY ` LaMITS <br /> COMMERCIAL GENERAL LIABILITY EAC H OCCURRENCE $ <br /> CLAINKS MADE a OCCUR OMIAGE TO RE E $ <br /> MEC) EXP (Anyone person) $ <br /> PERSONAL & ADV INJURY $ <br /> 3EN'L AGGREGATE LIMIT APPLIES PER; OUERAL AGGREGATE 5 <br /> POLICY PRC.JECT LOC PRODUCTS • COMP/OPAGG IS <br /> AUTOMOBILE LWBtLITy <br /> ANY AUTO CON BINDISWGLELIMIT $ <br /> ALL OWNED AUTOS <br /> SCHEOULED AUTOS ROD LY INJURY <br /> HIRED AUTOS O'er Ix(wn) S <br /> NON-OVVNECPAUTOS D; , YJ J RY <br /> � s <br /> ofyYJent) <br /> �— PROa ERTY DAMAGE $ <br /> GARAGE LIABILITY t) <br /> ANY AUTO AUTO ONLY - EA ACCIOENT $ <br /> OTHER THAN EAACC S <br /> EXCESSA}aIISRELIALIABILITY AUTO ONLY: AGG S <br /> OCCUR F1 CLAIMS MADE EACH OCCURRENCE $ <br /> AGGFSGATE S <br /> DEDUCTIBLE: y <br /> RETENTIONWORKES S <br /> EMPLOYESRS� B <br /> COMPENSATION AND 20737 -001 01/01/7004 01/01/2005CTI} S <br /> IVC STATU• X <br /> A ANY PROPRIETORTARTNER+EXECUTNE <br /> OFFICER/MEMBER EXCLUDED? E.L. EACH ACL. 10ENT S SUU , UU <br /> I yyas, AL WbePRO Under E.L. DISEASE • EA EMPLOYE ' $ ._ _ 500 00 <br /> SPECIAL PROVISIONS below <br /> E .L. DISEASE - POLICY LIMIT $ 504 r DO <br /> B <br /> ulider ' s Risk SEE POLICY INFO BELOW 08/18/2004 08/18/2005 $ 10(1 , 000 Property Coverage per <br /> Policy - $ 1000 Deductible <br /> DESCRIPTION OF OPEI'�ATIONS I LOCATIONS / VEHICLl I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> SHOULD ANY OF TFIE ABOVE DE.S„RIBED POLICIES BE CANCELLED FORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUINO INSURER WILL ENDEAVOR TO MAIL <br /> Indian Ri Ve r' County 10 DAYS WRITTEN NOTICE T9 ) THE CIRTIFICATE HOLDER NAMED TO THE LEFT, <br /> Board of County ComM ss i one rs BUT FAILURE TO MAIL SUCH NOTI;E SHALL, IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 25th street OF ANY KIND UPON THE INSURER, ITS AGENITS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 <br /> AUTHORIZED Ri°PRBSENTATIVE <br /> Timoth Field " f <br /> ACORD 25 (2004108) t� <br /> ©ACORD CORPORATION 1998 <br />