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A�O CERTIFICATE OF LIABILITY INSURANCE °oE(MMID 09/01/2016 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION David Hedges Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2601 20th Street Suite B HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AVero Beach, FL. 32960 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A State Farm Florida Insurance Company 10739 10739 Carter Associates,Inc. INSURER B: State Farm Mutual Automobile Insurance Company 25178 25178 1708 21st Street INSURER C:State Farm Fire and Casualty Company 25143 25143 Vero Beach,FL 32960 INSURER D: INSURER E. COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD POLICY EFFECTIVE POLICY EXPIRATION LTR INS TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YYYY) DATE(MM/DD/YYYY) LIMITS A X GENERALLIABILITY 98-K1-9130-8 08/17/2016 08/17/2017 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY -MAFI IJ occurrence $ CLAIMS MADE FKOCCUR MED EXP(Any one person) S 5,000 X HIRED AUTO PERSONAL 8 ADV INJURY $ 1,000,000 X NON-OWNED AUTOS GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 X POLICY n JET n LOCI S B X AUTOMOBILE LIABILITY C65-8875-F30.59 06/30/0216 12/30/2016 COMBINED SINGLE LIMIT ANY AUTO 159-0221-006-59M 04/06/2016 10/06/2016 (Ea accident) $ 1'000'000 ALLOWNEDAUTOS 202-4978-E14-59U 05/14/2016 11/14/2016 213.6940-610-590 08/10/2016 02J70/2017 BODILY INJURY $ X SCHEDULED AUTOS (Per person) 2323100-623-59K 08123/2016 02123/2017 HIRED AUTOS 235.7463-C15-59H 09/15/2016 03/15/2017 BODILY INJURY NON-OWNED AUTOS (Per accident) $ 684332-827-59F 08/27/2016 02/27/2017 8313539-E10-59N 05/10/2016 11/10/2016 PROPERTY DAMAGE 843.4510-B10-59R 08/10/2016 02/10/2017 (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY' AGG $ A EXCESS/UMBRELLA LIABILITY 98-K1-9131-0 EACH OCCURRENCE S 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 08/17/2016 08/17/2017 $ DEDUCTIBLE $ RETENTION $ S WORKERS COMPENSATION AND WC STATU- OTH- C EMPLOYERS'LIABILITY Y/N 98BT-K465-5F X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ 01/01/2016 01/01/2017 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 f yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 RPrrlAl PROVISIONS below OTHER EMR .860 01/01/2016 01/01/2017 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ADDITIONAL INSURED: INDIAN RIVER COUNTY, 1801 27TH ST, BUILDING A,VERO BEACH, FL 32960 THIS POLICY ENDORSED BY FE6671 WAIVER OF SUBROGATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION INDIAN RIVER COUNTY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 1801 27TH ST, BUILDING A VERO BEACH, FL 32960 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE DAVID E HEDGES ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.3 04-06-2009