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AW b CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 0212612015 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 Marsh USA Inc. 1560 Sawgrass Corporate Pkwy, Suite 300 Sunrise, FL 33323 Attn: FtLauderdale.CertRequest@marsh 518790-Cas-GAWUP-15-16 CONTACT NAME: FAX (ac Nr o Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A . Philadelphia Indemnity Insurance Company 18058 INSURED Redlands Christian Migrant Association Attn: Martin Call 402 W. Main Street Immokalee, FL 34142 INSURER B : PHPK1298699 INSURER C . 03/01/2016 INSURER D . $ 1,000,000 INSURER E . $ 1,000,000 INSURER F : COVERAGES CERTIFICATE NUMBER: ATL -003117043-09 • 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 LTRINSR TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POUCY EFF (MM/DD/YYYYUMM/DD/YYYY) POUCY EXP UMITS A GENERAL X UABIUTY COMMERCIAL GENERAL LIABILITY PHPK1298699 03/01/2015 03/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 CLAIMS MADE X OCCURMED EXP (Any one person) $ 5,000 X PROFESSIONAL LIABILITY/E80 PERSONAL & ADV INJURY $ 1,000,000 X SEXUAL/PHY ABUSE VICARIOUS GENERAL AGGREGATE $. 3,000,000 GEN'L AGGREGATE LIMIT APPLIES POLICY n PRO - X JECT PER: LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ A AUTOMOBILE X X UABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUTOS NON -OWNED AUTOS PHPK1298699 OWNED: COMP/COLL. 500/1000 HIRED: COMP/COLL. 500/1000 03/01/2015 03/01/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP $ 10000 UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A WC STATU- I TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Ref: RCMA Whispering Pines CDC,10076 Esperanza Circle, Fellsmere, FL 32948 Indian River County, a political subdivision of the State of Florida Is induded as additional insured where required by written contract with respect to general liability CERTIFICATE HOLDER CANCELLATION Indian River County 1800 27th Street Vero Beach, FL 32960 l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Juan Hernandez %.440-0c--%.440-0c--X6,/+7 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD