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A CERTIFICATE OF LIABILITY INSURANCE F8DATE/5 (MM/DDffYYY)/2013 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> 'RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> LOW. 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 CONTANAME: Debra Linkous <br /> Lassiter-Ware Insurance of Leesburg PHGNE (800)845-8437 (A X,No:(888)883-8680 <br /> 1317 Citizens Blvd. ADE-MADREIL .debral@lassiter-ware-com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> Leesburg FL 34748 INSURER AHanover American Ins. Co. 36064 <br /> INSURED INSURERB:Hanover Insurance Company <br /> SunUp ARC, Inc. INSURERC:WeSCO Insurance CompanV 25011 <br /> 1375 16th Avenue INSURER D: <br /> INSURER E: <br /> Vero Beach FL 32960 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:13-14 A11 Lines Master 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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR. r PE OF INSURANCE POLICY NUMBER -1,11DD. MMIDDA YYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 100,000 <br /> A CLAIMS-MADE a OCCUR RZJ793597103 3/30/2013 /30/2014 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Included <br /> X POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY EO MBIINdEeDt SINGLE LIMIT $ 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNEDSCHEDULED <br /> AUTOS AUTOS ZJ765766103 3/30/2013 /30/2014 BODILY INJURY(Per accident) $ <br /> X X NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS Per accident $ <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1'000'-000 <br /> DED RETENTION$ HJ793604303 3/30/2013 /30/2014 $ <br /> C WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> TORY LIMITS I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1 000 000 <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) P11007920013059 6/1/2013 6/1/2014 <br /> E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 <br /> A Professional Liability RZJ793597103 /30/2013 /30/2014 $1,000,000/$3,000,000 <br /> Abuse & Molestation <br /> $1,000,00053,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Indian River County Fire Rescue ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 4225 43rd AVenue <br /> Vero Beach, FL 32967 AUTHORIZED REPRESENTATIVE <br /> Doug Childers/DEBRAL r <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025(201005).01 The ACORD name and logo are registered marks of ACORD 80 <br />