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ACORD 25 (2010/05) IN. 025 omnnct 01 The. AC fQrl name anet Innen arc rnnietnrnrl © 1988-2010 ACORD CORPORATION. All rights reserved mar4e of Ar:(1Rrl !II CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)5/28/2015 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 Lassiter -Ware Insurance of Tampa Bay 1300 N. Westshore Blvd Suite 110 Tampa FL 33607 CONTACT Debra Linkous NAME: PHONI, .E#): (800) 845-8937 FAX No): (888)883-8680 E-MAIL ADDRESS;DebraL@lassiter-ware.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A .Philadelphia Indemnity Ins. 18058. INSURED The Arc of Indian River County Inc. 1375 16th Avenue Vero Beach FL 32960 INSURERB:WeSCO Insurance Company 25011 INSURERC. INSURERD. INSURER E . INSURERF: COVERAGES CERTIFICATE NUMBER:15-16 All Lines 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMI DIYYYY) POLICY (MM/DDIYYYY) LIMITS A GENERAL }{ LIABILITY COMMERCIAL GENERAL LIABILITY PHPK1313678 3/30/2015 3/30/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED FRCP (Any one person) S 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JE� n LOC PRODUCTS - COMP/OP AGG S 3 , 000 , 000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALLOWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS PHPK1313678 3/30/2015 3/30/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ Hired/borrowed S A UMBRELLA LIAB EXCESS LIAB _ OCCUR - CLAIMS -MADE PHUB494457 3/30/2015 3/30/2016 EACH OCCURRENCE S AGGREGATE S DED X RETENTON$ 10,000 S B WORKERS COMPENSATION,WC AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A FITWC338262015 6/1/2015 6/1/2016 STATU- TORY I NITS OTH- ER E.L. EACH ACCIDENT $ 2 000 , ,000 E.L. DISEASE - EA EMPLOYEE S 2,000,000 E.L. DISEASE - POLICY LIMIT S 2 , 000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) I CERTIFICATE HOLDER CANCELLATION Indian River County Fire Rescue 4225 43rd AVenue Vero Beach, FL 32967 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 Mike Shea/CHELSE_ :. -" 1 4,4\ ACORD 25 (2010/05) IN. 025 omnnct 01 The. AC fQrl name anet Innen arc rnnietnrnrl © 1988-2010 ACORD CORPORATION. All rights reserved mar4e of Ar:(1Rrl !II