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AC40 CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDIYYYY) `. 09/30/2016 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(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). PRODUCER CONTACT Statewide Condominium Insurance NAME: ReVlII Gaskin 1425 20th Street PHONFAX No Ext: (772) 567-1700 No):(772) 562-7100 E-MAIL Vero Beach FL 32960 ADDRESS: coi®statewidecondo.com INSURERS AFFORDING COVERAGE MAIC i INSURERA:GL: Philadelphia Indemnity INSURED INSURERB:Auto: Philadelphia Indemnity Pelican Island Audubon Society, Inc. INSURERC:tlmb: Philadelphia Indemnity PO Box 1833 INSURER D Vero Beach PL 32961 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:cert ID 27351 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 ADDL SUBR I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE wvpPOLICY NUMBER WDD MMIDDNYYY LIMITS A E..COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR 07/15/2016 07/15/2017 PREM SES AMAGE ToRENTED ence S 100,000 X GMERAL LIABILITY MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 PXE11L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY❑ PO- JET ;7 LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 1,000,000 B ANY AUTO PHPK1341198 07/15/2016 07/15/2017 BODILY INJURY(Per person) S ALLOWNED '. X SCHEDULED UTOSULED AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ MIRED AUTOS AUTOS Per acddent $ C UMBRELLA UAB % OCCUR PRUB515977 07/15/2016107/15/2017 EACH OCCURRENCE $ 5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILRYY/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDEXCLUDED? N f A - (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ I If yes.descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S S 1 S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Indian River County is listed as an additional insured with respects to the above policies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Page 1 of 1