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CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY) <br /> 106106/2013 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S ), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed . If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy , certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). 1 <br /> PRODUCER CONTACT <br /> Waddell Insurance Group PHONE 772 231 -1313 FAX No <br /> Nn Py4s 772 231 -1314 <br /> 3599 Indian River Dr East 'MAIL <br /> Vero Beach FL 32963.1507 INSURER S AFFORDING COVERAGE NAIC p <br /> INSURER : Mount Vernon Fire Insurance Company <br /> INSURED <br /> INSURER <br /> Indian River County Bar Association Inc I E C <br /> PO Box 896 I ER . <br /> Vero Beach FL 32961 -0896 I u ER : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF . POLICY EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 ,0001000 <br /> A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 <br /> CLAIMS-MADE FX OCCUR CL2643052 06129/2013 07/01 /2013 MED EXP (Any oneperson) $ 1 ,000 <br /> X PERSONAL & ADV INJURY $ 1 ,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included <br /> POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Fa accident) <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS AUTOS <br /> NON OWNED PROPERTY DAMAGE $ <br /> HIREDAUTOS AUTOS (Par accidant) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ <br /> I .WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIV� E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N / A t <br /> (Mandatory In NH) E . DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ ! <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, If more space Is required) <br /> Certificateholder listed as additional insured in respects to Special Event: Softball game, June 29, 2013 at Vero Beach Sports Village <br /> CERTIFICATE HOLDER CANCELLATION <br /> VerOtOWn, LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> C/O Nancy Gollnick, Vero Beach Sports Village ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 2887 /J_ <br /> Vero Beach , FL 32961 AUTHORIZED REPRESENTATIVE 1 �, �- t GLC> <br /> Email : ngolinick@milb.com �lCr Ir•Vl7�i�y <br /> © 1988-2010 ACORD CORPORATION . All rights reserved" <br /> ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />