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CERTIFICATE OF LIABILITY INSURANCEDATE (MMIDD/YYYY) 06/06/2013 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 CONTACT NAMF Waddell Insurance Group PHONE 772 231 -1313 FAX 772 231 -1314 3599 Indian River Dr East -MAIL Vero Beach FL 32963-1507 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A : Mount Vernon Insurance Company INSURED INSURER Indian River County Bar Association Inc I RE C : PO Box 896 INSURER : Vero Beach FL 32961 -0896 INSURER : INSURER : 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL SUBR C POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 ,0001000 A X COMMERCIAL GENERAL LIABILITY DAMAGES ( RENTED $ 100,000 CLAIMS-MADE XX OCCUR CL2643052 06/29/2013 07/01 /2013 MED EXP (Any oneperson) $ 1 ,000 X PERSONAL & ADV INJURY $ 1 ,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (dent) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED HIRED AUTOS AUTOS (Per am*dAnt) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ RDEEXCESS LIAR H CLAIMS-MADE AGGREGATE $ D RETENTION $ WORKERS COMPENSATION I .Al STATU- OTHAll - AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVI� E. L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E. L. DISEASE - EA EMPLOYE $ Ifes, describe under DE CRIPTION F PERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space is required) Certificateholder listed as additional insured in respects to Special Event: Softball game, June 29, 2013 at Vero Beach Sports Village CERTIFICATE HOLDER CANCELLATION Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C/o William DeBraal, Deputy County Attorney ACCORDANCE WITH THE POLICY PROVISIONS. 1801 27th Street /J Vero Beach, FL 32960-3388 AUTHORIZED REPRESENTATIVE 1--��, GLC> _- Email : bdebraal@ircgove.com © 1988-2010 ACORD CORPORATION. All rights reserved , ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD I _