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JUN- 14 -2031901+10N ) 12 : 19 han P. 00/ 00/0/ 04 <br /> Av O&Dru CERTIFICATE OF LIABILITY INSURANCE D4 / 2LIATE M/aaf <br /> 00 / 20 / 2010010 <br /> PRODUCER ( 321 ) 984 -- 3270 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> COBE & WALLS INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> MOLDER, THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> P O BOX 411355 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> MELBOURNE FL 32941 - 1355 INSURERS AFFORDING COVERAGE NAIC it <br /> INSURED I INSURER A: OLD DOMINION INSURANCE CO <br /> L B OF BREVARA , LLC INSURER B : <br /> ADDRESS N ' MAIL , INC . INSURER C'. <br /> 404 E . New Haven Ave . wsURERn <br /> Melbourne FL 32935 - INSURFRr: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED . NOTWITHSTANDING ANY <br /> REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , <br /> THE INSURANCE AFFORDED BY THE POLICIE=S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES . <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ``ADD' L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR fINSR0 TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDrI DATE MMIpptYr LIMITS <br /> A GENERAL LIABILITY nPG71683 06/ 25 / 2010 06 / 25 / 2011 EACHOCr,URRENCE $ 1 . 000 , 000 <br /> AMA tl (J�♦j�try � t^u <br /> COMMGRGIAL GCNF. RAL LIABILITY PREMISES (Es occurrence $ 300 , 000 <br /> CLAIMS MADE 7x OCCUR / / / / MED fXP jAny one peraonl $ 15 , 000 <br /> PERSONAL & ADV INJURY $ 1 r 000 r 000 <br /> GENERAL AGGRFC,ATG $ 210001, 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - rOMPIOP AGO $ 21000 , 000 <br /> POLICY CR 7 LOC / I I / HRDBH I F OOO 0 000 <br /> AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT 5 <br /> ANY AUTO ( E5 aCcidnOI ) <br /> ALL OWNED AUTOS / / / / BODILY INJURY <br /> (Per pemon) $ <br /> SOI�ICOVLGD AUTOS <br /> HIREDAUTOS / / / / BODILY INJURY <br /> NON-OWNED AUTOS ( Per accidenl ) <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY , F,A ACCIDENT <br /> ANY AUTO / / / / OTHER THAN EA ACC a <br /> AI.ITO ONLY: - AGG 5 <br /> BXCGSSIUM9RELLA LIABILITY / / / / 'ACH OCCURRENCE $ <br /> OCCUR F7 CLAIMS MADE AGGREGATE S <br /> DEDUCTIBLE <br /> RETL- NTION S 1, y <br /> A WORKERS COMPENSATION AND 06 / 25 / 2010 06 / 25 / 2011 X TORY MIT; UER <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIEiOR/PARTNERIEXECUTIVE <br /> E L EACH ACCIDENT $ 100 , 000 <br /> OFFICER/MEMBER EXCLUDED? / / / / E . DISEASE - EA EMPLOYEE $ 104 , 000 <br /> If yen , deecr ibe under 5 O O , 0 0 0 <br /> SPFCIAL PROVISIONS hair E. L. DISEASE - POLICY LIMIT ! $ <br /> p OTHER Employee nishonasty HPG71683 06 / 25 / 2010 06/ 25 / 2011. Limit 500000 <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> ( — ( ) — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCF.LLEa BEPORE THE <br /> Attn : Risk Management 1 DATE THFRCOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> OLIV DAYS RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> Ind an River County FAE T OSOSHALL IM E LIGATIONORL ILITYOF ANY KIND UPON THE <br /> 1901 2 '7th Street INITSAGFNTSOR FP E TIVES- <br /> AU EPRESEN A <br /> Vera Beach M 32960 - <br /> AGORD 25 (2001108 ) c ACORO CORPORATION 1988 <br />