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CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY) 0410512012 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 NAMEi Waddell Insurance Group PHONE 772 231 - 1313 FAX 772 231 . 1314 3599 Indian River Dr East EMAIL Vero Beach FL 32963. 1507 INSURERS AFFORDING COVERAGE _ _ NAIC # INSURER A : 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE S 150001000 DAMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY $ 300 , 000 _ _ CLAIMS-MADE C] OCCUR BINDER20120501 05101112 05101113 MED EXP (Any oneperson ) $ 102000 X PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 3 , 000, 000 GEN' L AGGREGATE LIMIT APPLIES PER . PRODUCTS - COMP/OP AGG s3 , 000 , 000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) ANY AUTO BODILY INJURY ( Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS ( Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S _ EXCESS LIAB CLAIMS-MADE AGGREGATE _ $ DED I I RETENTION $ STATU $ WORKERS COMPENSATION WC EYIMLTS J-IMII OTH - AND EMPLOYERS' LIABILITY YIN I � . . ANY PROPRIETOR/PARTNER/EXECUTIV . -� E , L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? LJ N I A ( Mandatory in NH) E . L. DISEASE - EA EMPLOYE $ If yes , describe under T RIPTION 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 Verotown , LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CIO Nancy Gollnick, Vero Beach Sports Village ACCORDANCE WITH THE POLICY PROVISIONS . PO Box 2887 _ Vero Beach , FL 32961 AUTHORIZED REPRESENTATIVE t < GLC > Email : ngollnick@milb .com z ' Aw ' 41� ' © 1988-2010 ACORD CORPORATION . All rights reserved . ACORD 25 ( 2010/05) The ACORD name and logo are registered marks of ACORD