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DATE ( MM/DD/YYYY) ACOR " CERTIFICATE OF LIABILITY INSURANCE 04/ 14/2011 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 CONTACT NAME KAREN BEARD SURETY AGENCY, LLC PHOFAX Ext): 828-236- 1000 (AC, No). 828-236- 1001 552-B NEW HAW CREEK ROAD AD_D_RES_ S:__ _ ASHEVILLE , NC 28805 INSURER( S) AFFORDING COVERAGE NAIC # 828-236 -1000 FAX 828 -236-1001 INSURER A : CHARTER OAK FIRE INS . CO . INSURED INSURER B : TRAVELERS INDEMNITY COMPANY DICKERSON FLORIDA , INC . INSURER C : TRAVELERS PROPERTY CASUALTY CO. OF AMERICA P . O . BOX 910 INSURER D: FT . PIERCE , FL 34954-0910 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER : 100011 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS , INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER ( MM/DDNYYY) . (MM/DD/YYYY) LIMITS B GENERAL LIABILITY 8280B629 07/01 /201007/01 /2011 _ EACH OCCURRENCE $ 110009000 X COMMERCIAL GENERAL LIABILITY PREMISES (( ETO a occu ence) $ 300 , 000 CLAIMS-MADE X OCCUR X MED EXP (Any one person; $ 10 , 000 PERSONAL & ADV INJURY $ 11000 , 000 GENERAL AGGREGATE $ 21000 , 000 GEN ' L AGGREGATE LIMIT APPLIES PER : PRODUCTS - COMP/OP AGG $ 21000 , 000 PRO- — _ . - _.. . ..- -- --- --- - - -- - - - -._- . _ POLICY X JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - - C 82808630 07/01 /2010 07/01 /2011 . (Ea accident) $ 1 , 000 , 000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED - -- --- - - - - - - - -- - - - --- - - -- - - - - AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON-OWNED (P Oac accident) AMAGE $ - AUTOS C X UMBRELLA LAB X OCCUR 828OB654 07/01 /201007/01 /2011 EACH OCCURRENCE $ 3 , 0001000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 31000 , 000 DED RETENTION $ $ TH- A AND EMPLOYERS' LIABILITY WORKERS COMPENSATION Y / N 8280B549 07/01 /201007/01 /2011 , . . _ TORYLIMITS OER ANY PROPRIETOR/PARTNER/EXECUTIVE N / A E. L. EACH ACCIDENT $ 500 , 000 OFFICER/MEMBER EXCLUDED? -- - _ - - ( Mandatory in NH ) E . L. DISEASE - EA EMPLOYEE $ 500 , 000 If yes, describe under - I - - - DESCRIPTION OF OPERATIONS below _ - - E. L. DISEASE - POLICY LIMIT $ 500 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space is required) INDIAN RIVER COUNTY IS AN ADDITIONAL INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF , THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT , FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY , ITS AGENTS OR REPRESENTATIVES . CERTIFICATE HOLDER CANCELLATION INDIAN RIVER COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED 1800 27TH STREET ACCORDANCE WITH THE POLICY P ISIONS . VERO BEACH , FL 32960 AUTHORIZED REPRESENTATIVE R BEARD © 1988-2010 ACORD CORPORATION . All rights reserved . ACORD 25 ( 2010/05) The ACORD name and logo are registered marks of ACORD