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I COAST=4 OP ID : DP '4`64� _F 4c"M " CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DO/YYYY) 12/12/11 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(ies) 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 772.567 -7774 C NTA T Professional Ins Advisors LLC NAME: PHONE FAX 1875 43rd Avenue 772 -567-0166Non M . AIC No Vero Beach , FL 32960 •MAIL Cynthia O'Connell Dampier ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A ; Mid -Continent Casualty Co INSURED Coastal Automotive Equipment INSURER B : Travelers 10647 983 12th St Vero Beach , FL 32960 INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER : 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, LTR TYPE OF INSURANCE NS& Wyn UB POLICY NUMBER MM%DD/YYYY MPOICY EFF M! Y P LIMITS GENERAL LIABILITY EACH OCCURRENCE E 19000 , 00 A X COMMERCIAL GENERAL LIABILITY X 04GL000834600 08/15111 08/15/12 DAMAGE TO RENTEU` PREMISES Es occurrence E 100 ,00 CLAIMS•MADE FRI OCCUR MED EXP (Any one person) E stool PERSONAL & ADV INJURY E 11000100 GENERAL AGGREGATE E 29000900 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG E 1 ,000,00 17 POLICY El PROJFCj LOC E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident E _ 11000,00 B X ANY AUTO BA-4A036960 08115/11 08/15/12 BODILY INJURY (Per person) E ALL OWNED SCHEDULED BODILY INJURY Per accident E AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident E E UMBRELLA LIAB OCCUR EACH OCCURRENCE E EXCESS LIAR CLAIMS•MADE AGGREGATE E DED RETENTION E E WORKERS COMPENSATIONWC STATU• 0TH- AND EMPLOYERS' LIABILITY Y / NLIMI ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT E OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory In NH) E.L. DISEASE . EA EMPLOYEE E Ifes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT E DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RFP #2012018/County Transit Fleet Equipment Certificate Holder is named as an Additional Insured under the General Liability policy. Endorsement to follow from carrier. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. Office of Mgmt & Budget AUTH D REPRESENTATIVE 1800 27th St Cy thi O'Conn Iam ler Vero Beach , FL 32960 4 •� 19884010 ACORD CORPOR TION . All rights reserved . ACORD 25 (2010/05 ) The ACORD name and logo are registered marks of ACORD