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ATE ALCOR" CERTIFICATE OF LIABILITY INSURANCE D03 / 26 IDDIY/ 20133 03 / 26 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 the certificate holder is an ADDITIONAL INSURED , the policy(les) must 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 certificate does not confer rights to the certificate holder in lieu of such endorsement( s). PRODUCER 1 - 305 - 592 - 6080 CONTACT NAME : Arthur J . Gallagher Risk Management Services , Inc . PHONE FAX AIC No Ext): AIC No): 8200 N . W . 41st Street E-MAIL ADDRESS : Suite 200 Miami , FL 33166 INSURERS AFFORDING COVERAGE NAIC If INSURERA : UNDERWRITERS AT LLOYDS LONDON 15792 INSURED INSURER B : LM INS CORP 33600 DIOCESE OF PALM BEACH / CATHOLIC CHARITIES OF THE DIOCESE OF PALM BEACH , INC . INSURER C : 9995 N . MILITARY TRAIL INSURER D : PALM BEACH GARDEN , FL 33410 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER : 32663670 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . INSR ADDLTYPE OF INSURANCE INSR SUER POLICY NUMBER MM DDIIYYY POLICY EFF POLICY EXP LTR MM DD/YYri LIMITS A GENERAL LIABILITY PK1006812 04 / 01 / 1 04 / 01 / 14 EACH OCCURRENCE $ 1 , 000 , 000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ Included CLAIMS-MADE FX-1 OCCUR MED EXP (Any one person) $ Nil PERSONAL & ADV INJURY $ 110000000 GENERAL AGGREGATE $ 1 , 0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 X POLICY IJECT F7] PRO LOC $ A AUTOMOBILE LIABILITY PK1006812 04 / 01 / 13 / 0 / 4 COMBINED SINGLE LIMIT 1 , 000 , 000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION EW565N289881 - 013 04 / 01 / 1 T 04 / 01 / 14 X WC RY IMIT STCER AND EMPLOYERS' LIABILITY Y / N MIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E . L. EACH ACCIDENT $ 5000000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E. L. DISEASE - EA EMPLOYE $ 500 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space is required) Limits shown for insurer A are inclusive of defense and insured retention . THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SOLELY WITH RESPECT TO LIABILITY COVERAGE AS EVIDENCED HEREIN AS REQUIRED BY WRITTEN AGREEMENT FOR LIABILITY ARISING OUT BY THE OPERATIONS OF THE NAMED INSURED IN CONNECTION WITH A GRANT . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE INDIAN RIVER COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1800 27TH STREET AUTHORIZED REPRESENTATIVE k VERO BEACH , FL 32960k.-. ;r?�r� USA © 1988=2010 ACORD CORPORATION . All rights reserved . ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD satyamia 32663670