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DATE(MWDDIYYYY) <br /> RO° CERTIFICA'" OF LIABILITY INSURM E °RKcoN 1F 03/05/10 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Kearns Agency of Florida Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P O Box 1849 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Jensen Beach FL 34958 <br /> Phone: 772-334-5822 Fax:772-334-0940 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A Owners Insurance Company <br /> INSURER B: Auto Ovners Insurance company <br /> INSURER C' southern Ovner9 meurance Co. 10190 <br /> R K Contractors Inc. <br /> 2860 Fort Pierce E�Z+34R45-4446 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDRIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN LTR NSR TYPE OF INSURANCE <br /> POLICY NUMBER DATE MMrDDNYYY DATE MWDDlYYYY LIMBS <br /> i EACH OCCURRENCE $1,000,000 <br /> GENERAL LIABILITY <br /> A ]( ][ COMMERCIAL GENERAL LIABILITY 72698658 <br /> 10/03/09 10/03/10 PREMISE rent-) s300,000 <br /> CLAIMS MADE ®OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL BADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s3,000,000 <br /> R POLICY PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> B ANY AUTO 95-434-709-00 10/03/09 10/03/10 (Eaaccrdent) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> $ SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> X NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY <br /> I AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EACH OCCURRENCE <br /> EXCESS I UMBRELLA LIABILIT'Y' S <br /> OCCUR El CLAIMS MADE j AGGREGATE $ <br /> $ <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> F'A <br /> ERS COMPENSATION 7E.L.DISEASE-EAF-MPLOYE <br /> ER <br /> MPLOYERS'LIABILITY Y 1 N <br /> ROPRIETORIPARTNERIEXECUENT S <br /> ERIMEMBER EXCLUDED? YEE $ <br /> atory in NH) <br /> H yes,describe under LICY LIMIT S <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> The certificate holder is also listed as an additional insured in regards to <br /> the General Liability only. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> Indian River BOCC AUTHORIZED REPRESENTATIVE <br /> 1800 27th Street Lawrence E. Kearns <br /> Vero Beach FL 32960 <br /> ACORD 25(2009101) ©1988-2009 ACORD C TION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> 2000/Z000z XVA 91 :TT OTOZ/80/CO <br />