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F � TM CERTIFIC ' TE OF LIABILITY INSUR? ' `10E 06/29/2010 jrPRODUCER ( 3 52 ) 796 - 1451 FAX k3S2) 799 - 5986 THIS CERTIFICATE 10 ISSUED AS A MATTER OF INFORMATION Kill ingsworth Agency , Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 19259 Cortez Blvd , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, P . 0 . Box 1750 Brooksville , FL 34605 - 1750 INSURERS AFFORDING COVERAGE NAIC # INSURED A . Thomas Const . Inc . INSURER A: American Vehicle Insurance Company PO BOX 3285 INSURER 8: Fort Pierce , FL 34948 INSURER C. INSURER D. INSURER E: COVERAGES 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 . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . rA DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE IM nATE IMMIDDffY1 GENERAL LIABILITY GLOS2101439500 09/ 12 /2009 09/ 12/ 2010 EACH OCCURRENCE $ 190009000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1001000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 59000 x X $ 250 PD deductible PERSONAL 8 ADV INJURY $ 11000 , 000 GENERAL AGGREGATE $ 290009000 GEN' L AGGREGATE LIMIT APPLIES PER: PRODUC7S . COMP/OP AGG S 290009000 POLICY M PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR FICLAIMS MADE AGGREGATE $ S S DEDUCTIBLE RETENTION $ $ WC STATU- WORKERS - WORKERS COMPENSATION AND TQRY EMPLOYERS' LIABILITY E . L . EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E . L. DISEASE - EA EMPLOYE $ If yes, describe under E. L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDE4 BY EIJDORSEMENT 1 SPECIAL PROVISIONS emits shown are those in effect as of policy inception date . ertificate holder is listed as additional insured in reference to General Liability . id # 2010045 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Indian River County Purchasing Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1800 27th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE Vicki Parrish /CLARE ACORD 25 (2001 /08 ) ©ACORD CORPORATION 1988