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FALCUSA-01 CHOUDHARIAV ACRD CERTIFICATE OF LIABILITY INSURANCE DAT D/YYY1� 1 / /20/220/2016 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(les) 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 Willis of Seattle, Inc. C/o 26 Century Blvd P.O. Box 305191 NAME CT Willis Towers Watson Certificate Center PHONE (877 945-7378 FAX r AIC No EI: ) AIC No):1888 467'2378 E'MAILss: certificates@willis.com Nashville, TN 37230-5191 10/01/2015 10/01/2016 INSURER S) AFFORDING COVERAGE NAIC 0 INSURER Coverys Specialty Insurance Company 16686 MED EXP (Any one person) $ 5,00 INSURED INSURER Steadfast Insurance Company 26387 INSURER C: Feick Southeast II, Corp. d/b/a All County Ambulance INSURER D: 4227 St. Lucie Blvd Fort Pierce, FL 34946 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE IN POLICY NUMBER MM UCDY EFF MM/IDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X Products -Claims Made 5-10013 10/01/2015 10/01/2016 EACH OCCURRENCE S 1,000,000. I TO 13 pREMISEs Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ Include GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO-' JECT F—]LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COM PIOP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS FNON-OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY I DAMAGE $ Pera.Z S B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE LIMB 6414770-02 10/01/2015 10/01/2016 EACH OCCURRENCE $ 15,000,00 AGGREGATE $ 15,000,00 DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PEROTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Indian River County Fire Department 422543rd Avenue 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 r �ltili U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 111