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CERTIFICATE OF LIABILITY INSURANCE DA� '�"' 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). c PRODUCER CONTACT Aon Risk Services Northeast, Inc. NAME. New York NY Office PHONE (800)(866) 283-7122 aC No.): (800) 363-0105 a 199 water Street E-MAIL o New York NY 10038-3551 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Lloyds Syndicate No. 623 AA1126623 Fal Ck Southeast II Corp. INSURER B: Liberty Mutual Fire Ins CO 23035 dba All County Ambulance 4227 St Lucie Blvd INSURER C: American Guarantee & Liability Ins Co 26247 Fort Pierce FL 334946 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570051471012 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. Limits shown are as requested ILTR TYPE OF INSURANCE ANS SWVD POLICY NUMBER POLICY DDEFF POLICY EXP LIMITS A GENERAL LIABILITY W14 671 Ol 1 10/01/2013 10/01/2014 EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGEPREMISESPR MISESEa occurrence) $100,000 CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) $25,000 PERSONAL&ADV INJURY Included r GENERAL AGGREGATE $5,000,000 PRODUCTS-COMPIOP AGG $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO-ET nLOC Professional Liability $5,000,0000 B AUTOMOBILE LIABILITY As2-631-510005-023 10/01/2013 10/01/2014 COMBINED SINGLE LIMIT $5,000,000 "-map, ANY AUTO BODILY INJURY(Per person) Z X ALL OWNED SCHEDULED BODILY INJURY(Per accident) d AUTOS AUTOS NON-OWNED PROPERTY DAMAGE AUTOS V HIRED AUTOS Per accident d C X UMB RELLA LIAB X OCCUR UMB541577000 10/01/2013 10/01/2014 EACH OCCURRENCE $10,000,000 U EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION WORKERS COMPENSATION AND WC STATU-I OTH EMPLOYERS'LIABILITY YIN TORY LIMITS IER ANY PROPRIETOR I PARTNER I EXECUTIVE E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) am CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County Fire Rescue AUTHORIZED REPRESENTATIVE Attn: Brian Burkeen 4225 43rd Avenue �f /�/� �T Vero Beach FL 32967 USA (y/ �cJsL[ eP4 c/I cJ 4111 5J ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 140