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ACC)R" CERTIFICATE OF LIABILITY INSURANCE 3/22/2016 <br /> DATE `. �D",rrr' <br /> 0 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. 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. H 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 Phone. (772)492-8187 Fax: (772)492-8192 CONTACTTrusted Insurance Professionals,LLC <br /> TRUSTED INSURANCE PROFESSIONALS,LLC NP1K <br /> 87 ROYAL PALM POINTE AP Exi: (772)492-8187 AF C (772)492-8192 <br /> E MAIL <br /> VERO BEACH FL 32960 ADDRESS: <br /> INSURER(S) AFFORDING COVERAGE NAIC t <br /> INSURER A : Underwriters at Lloyd's of London <br /> INSURED <br /> INDIAN RIVER HEALTHY START COALITION,INC. INSURER B <br /> 333 17TH STREET SUITE 2R INSURER C <br /> VERO BEACH FL 32960 INSURER D. <br /> INSURER E -. <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 4013 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 TYPE OF INSURANCE ADm 1 SLOB POLICY NUMBER POLICY EFF POLICY Exp LIMITS <br /> I R Ww <br /> A GENERAL LIABILITY ME0150540115 11/04/15 11/04/16 EACH OCCURRENCE S 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 50,000 <br /> _ PREMISES(Ea o wence) <br /> i CLAIMS-MADE X OCCUR MED.EXP(Any one person) $ 5,000 <br /> PERSONAL 3 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LMR APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,000 <br /> POLICY 1 JEa LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea WCOOM) $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OW NED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) E <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS (per accident) <br /> $ <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS I" CLAMS-MADE AGGREGATE $ <br /> : H <br /> -1 DED i RETENTIONS WC $ <br /> WORKERS COMPENSATION TORY LILL <br /> TORY LIER $ <br /> AND EMPLOYERS' LUB<n'Y <br /> ANY PROPRTORIPARTNER(EXECUTNE YIN <br /> M'eE.L.EACH ACCIDENT $ <br /> OFFICERMEMBER EXCLUDED? MIA <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> (W��in <br /> H yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS bebw <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) <br /> POLICY INCLUDES:HIRED NON OWNED AUTO LIABILITY$1,000,000,PROFESSIONAL LIABILITY$3,000,000,SEXUAL ABUSEIMISCONDUCT 53,000,000 <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIAN RIVER HEALTHY START COALITION,INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 333 17TH STREET SUITE 2R THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> VERO BEACH,FL 32960 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESEMATiVE <br /> Attention: <br /> Jacqueline K. Savell <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />