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r - A�ROeO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/O7R7/207YYYV) 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 IS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT,If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or 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). d PRODUCER CONTACT � Aon Risk Services Central, Inc NAME: PHONE (866) 283-7122 FAX 800-363.0105 y Philadelphia PA office INC.No.E.q: One Liberty Place E-MNL c 1650 Market Street ADDRESS. _ Suite 1000 Philadelphia PA 19103 USA INSVRER(S)AFFORDING COVERAGE NAIL P INSURED INSURER A: Zurich American Ins Co 16535 Parkson Corporation A Division of Lexa International INSURER e: American Zurich Ills CO 40142 185 International Drive INSURER C: Portsmouth NH 03801 USA INSURER O: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:570063173283 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 Limits shown are as requested LTR TYPE OF INSURANCE IN WVO POLICY NUMBER MWDDYYY /i' MM/DDYYY LIMITS A MX COMMERCIAL GENERAL LIABILITY GLO EACH OCCURRENCE S1,000.005 CLAIMS-MADE OX OCCUR PREMISES(Es o<cunence KtNILU61'000'000 MED EXP(Anyone person) 610,000 PERSONAL&AOV INJURY 51,000,000 m GEN'L AGGREGATELaLOC IIMIT APPLIES PER: GENERAL AGGREGATE POLICY O 51,000,000 X JECT PRODUCTS COMP/OPAGG 51,000,000 n OTHER: p 0 A AUTOMOBILE LIABILITY BAP 6516296-25 06/01/2016 06/01/2017 comeNED SINGLE LIMIT '^ Eaacddem 61,000,000 X ANY AUTO BODILY INJURY(Per person) O OWNED AUTOS ONLY AUTOS 2 SCHEDULED BODILY INJURY(Per occldem) .O. HIRED AUTOS NON-OWNED PROPERTY DAMAGE U ONLY AUTOS ONLY Par aCtide nl t C) UMBRELLA LIAB OCCUR EACH OCCURRENCE U EX'ESS L'. CLAIMS-MADE AGGREGATE DEO RETENTION e WORKERS COMPENSATION AND wc67560 824 06/01/2016 06 O1 2017PER EMPLOYERS'LIABILITY YIN AOS X STATUTE ORH W A ANY PROPRIETOR(PARTNERI EXECUTIVE E.L.I:ACH ACCIDENT 51,000,000 OFFICEMEMBER EkCtU0ED7 NIA wC651613126 06/01/1016 06/01/2017 (Mend.tory In NH) MA E.l.DISEASE-EA EMPLOYEE S1,000,000 II yes,de.cnba under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 61,000,000- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORO 101,Addlllonsl Remarks Schedule.may 6e.n.cbed It more space Is required) Indian River Board of County Commissioners is included as an Additional insured on the above General Liability and Automobile Liability policies with respect to the liability assumed only under a valid contract with the Insured for claims resulting from the actions of the insured A waiver of subrogation in favor of Elie Certificate Holder applies General Liability and Automobile Liability Insurance coverage listed here 15 Primary, Non-contributory t0 any insurance maintained by the Certi fl Cd to Holder This extension of coveragge is contingent upon requirement of same in executed contract with insured p nor to a loss 30 ? ` Day Notice of Cancellation will be given co the certificate holder where required by written contract or agreement via endorsement numbers. u CA 812 A CW, U GL 1446 A CW, WC 99 06 33 L CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POLICY PROVISIONS. Indian River Board Of County Commissioners AUTHORIZED REPRESENTATIVE Attn Purchasing � p L1 1800 Bee.�P�ith Street (^ vero Beach FL 32960 USA 01988.2015 ACORO CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD