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CERTIFICATE OF LIABILITY INSURANCE 09�22E(MM/ D/YYYY) /2014 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. i 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 Waddell & Williams Insurance Group 3599 Indian River Dr East Vero Beach FL 32963-1507 CONTACT NAME: NE (A/c, Nn Fxt)•(772) 231-1313 FAX Nol E-MAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC # INSURER A. Southern Owners Insurance Company LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Junior League of Indian River Inc PO Box 274 Vero Beach FL 32961 INSURER B . 72556055 , IPERSONAL INSURER C . 08/03/2015 INSURER D . S 1,000,000 INSURER E. $ 50,000 INSURER F . S 5,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW;HAVE BEEN ISSUED TO THEINSURED 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY1 POLICY EXP fMM/DD/YYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 72556055 , IPERSONAL 08/03/2014 08/03/2015 EACH OCCURRENCE S 1,000,000 DAMAGE RENTED PREM SESO(Ea occurssn $ 50,000 MED EXP (Any one person) S 5,000 CLAIMS -MADE X OCCUR & ADV INJURY S 1,000,000 GENERAL AGGREGATE s 2,000,000 PRODUCTS - COMP/OP AGG S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: —1 POLICY n PR? Ti LOC S A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — X _ SCHEDULED AUTOS NON -OWNED AUTOS 72556055 1 08/03/2014 08/03/2015 COMBINED SINGLE LIMIT (Fa accident) S 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PERTY DAMAGE PROPERTY S S UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ S DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVtN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N / A WC STATU- Tf1RY I NITS OTH- FR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Civic organization CANCELLATION Indian River County 4675 28th Court Vero Beach, FL 32967 I 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 z,�,"-�`"VGam'GLC> L• ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD