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MIDDIYYYY) (M CERTIFICATE OF LIABILITY INSURANCE DATE oa1DATE (M 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 ) . CONTACT PRODUCER NAMEO Waddell Insurance Group PH NE A1, N 772 231 -1313 FAx 772 231 . 1314 3599 Indian River Dr East E-MAIL Vero Beach FL 32963. 1507 INSURER SI AFFORDING COVERAGE _ NAIC # INSURERA : Southern Owners Insurance Company INSURED INSURER B : Indian River County Bar Association Inc INSURER C : PO Box 896 INSURER D : --- Vero Beach FL 32961 . 0896 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 . INSR TYPE OF INSURANCE ADDLIWczR SUER POLICY NUMBER POLICY EFF POLICY EXPLTIR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 +000+ 000 A X DAMAGE TO a oNTEDen $ 300 , 000 _ COMMERCIAL GENERAL LIABILITY �— _ CLAIMS -MADEx❑ OCCUR BINDER20120501 05101112 05101113 MED EXP (Any oneperson) $ 10, 000_ x PERSONAL & ADV INJURY $ 1 , 000 , 000 _J _ GENERAL AGGREGATE $ 3 , 000 ,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO s3 , 000 , 000 POLICY PRO LOC $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY ( Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per nrc dent) UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB _ CLAIMSMADEAGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH - FR AND EMPLOYERS' LIABILITY Y / N ANY PROPR IETOR/PARTNER/EXE CUT E . L . EACH ACCIDENT $ IVI� OFFICER/MEMBER EXCLUDED? N I A ( Mandatory in NH ) E . L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E . L . DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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 , May 5, 2012 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 _ Vero Beach , FL 32960-3388 AUTHORIZED REPRESENTATIVE � ,•� , < GLC> �� Email : bdebraal@ircgove . com `?may► © 1988-2010 ACORD CORPORATION . All rights reserved . ACORD 25 ( 2010105 ) The ACORD name and logo are registered marks of ACORD