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1, <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />`---- <br />DATE (M MIDDlYYYY) <br />3/27/2015 <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). <br />PRODUCER <br />Arthur J Gallagher Risk Management Services, Inc. <br />8333 NW 53rd Street <br />Suite 600 <br />Miami FL 33166 <br />CONTACT <br />NAME: <br />PHONE FAX <br />(AIC No_ Ext) (A/C. No): <br />ADDRESS <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A. Underwriters at Lloyd's London <br />15792 <br />INSURED <br />DIOCESE OF PALM BEACH/ CATHOLIC CHARITIES OF THE <br />DIOCESE OF PALM BEACH, INC <br />9995 N MILITARY TRAIL <br />PALM BEACH GARDEN FL 33410 <br />INSURERB.LM Insurance Corporation <br />33600 <br />INSURER C. <br />/1/2016 <br />INSURER D. <br />52,000,000 <br />INSURER E . <br />SlnGuded <br />INSURER F . <br />30863872 <br />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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DDIYYYY) <br />POLICY EXP <br />(MMIDDIYYYY) <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />BP1006814 <br />4/1/2015 <br />/1/2016 <br />EACH OCCURRENCE <br />52,000,000 <br />DAMAGE RENTED <br />PREM SESO(Ea occurrence) <br />SlnGuded <br />CLAIMS -MADE <br />X <br />OCCUR <br />MED EXP (Any one person) <br />SNiI <br />PERSONAL R. ADV INJURY <br />52,000,000 <br />GENERAL AGGREGATE <br />52,000,000 <br />GEN'L <br />X <br />AGGREGATE <br />POLICY <br />OTHER. <br />LIMIT APPLIES <br />JERCT <br />PER: <br />LOC <br />PRODUCTS - COMP/OP AGG <br />52,000,000 <br />S <br />A <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />AUTOS NED <br />HIRED AUTOS <br />X <br />u <br />SCHEDULED <br />TS <br />NON -OWNED <br />AUTOS <br />BP1006814 <br />4/1/2015 <br />4/1/2016 <br />COMBINED SINGLE LIMIT <br />(Ea awdent) <br />5 2,000,000 <br />BODILY INJURY (Per person) <br />5 <br />BODILY INJURY (Per accident) <br />S <br />PROPERTY DAMAGE <br />(Per accident) <br />5 <br />5 <br />UMBRELLA LIAB <br />EXCESS LIAB <br />_ <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />S <br />5 <br />DED 1 RETENTIONS <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED <br />(Mandatory in NH) <br />If yes, descnbe under <br />DESCRIPTION OF OPERATIONS below <br />YIN <br />NIA <br />EW565N289881015 <br />4/1/2015 <br />4/1/2016 <br />X <br />PEROTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT 5500,000 <br />E.L. DISEASE - EA EMPLOYEE 5500,000 <br />E.L. DISEASE - POLICY LIMIT 5500,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) <br />Limits shown for insurer A and B are inclusive of defense and insured retention. <br />THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SOLELY WITH RESPECT <br />TO LIABILITY COVERAGE AS EVIDENCED HEREIN AS REQUIRED BY WRITTEN AGREEMENT FOR LIABILITY ARISING OUT <br />BY THE OPERATIONS OF THE NAMED INSURED IN CONNECTION WITH A GRANT <br />CERTIFICATE HOLDER <br />CANCELLATION <br />INDIAN RIVER COUNTY COMMISSIONERS <br />1800 27TH STREET <br />VERO BEACH FL 32960 USA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />q°d4' <br />ACORD 25 (2014/01) <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />