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GIFFO-3 OP ID:AS ,acoRO CERTIFICATE OF LIABILITY INSURANCE 71-0;M17/2016M/DDfYYYY) 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 NAME: Allison Showers Ryan Weaver Insurance,Inc. PHONE 772-567-4930 FAX No 772-567-4931 CenterState Bank Bldg. aC No Ext: ): 855 21st Street-2nd Floor E-MAIL Vero Beach,FL 32960 ADDRESS: Allison Showers INSURER(S) AFFORDING COVERAGE NAIL k INSURER A:Philadelphia Insurance Co. INSURED Gifford Florida Youth INSURER B: Orchestra,Inc. 8 Vista Gardens Trail#102 INSURER C: Vero Beach, FL 32962 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDU UB POLICY EFF POLICY EXP OMITS LTR POLICY NUMBER MM/DD/YYYY MM/DDlYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE T ENTED CLAIMS-MADE Fj�]OCCUR X I'IPHPK1558674 09/29/2016 09/29/2017 PREMISES Ea occurrenceS 100,00 MED EXP(Any one person) $ 5,00 PERSONAL 8 ADV INJURY S 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000.00 X POLICY 1 PRO JECT F—] LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABLITY COMBINED SINGLE LIMIT S Ea .,dent) A ANY AUTO PHPK1558674 09/29/2016 09/29/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED rXBODILY INJURY(Peraccidartt) S AUTOS AUTOS HIRED AUTOS L NON-OWNED PROPERTY DAMAGE $ AUTOSi, Per accident Hired/Non Owned S 1,000,00 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _ DED I I RETENTIONS $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT f I i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is Additional Insured for the General Liability Policy per attached endorsement Sexual or Physical Abuse or Molestation coverage: $1,000,000 each abusive conduct limit/$1,000,000 aggregate limit CERTIFICATE HOLDER CANCELLATION IRCBLDG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Indian River County 1800 27th Street AUTHORIZED REPRESENTATIVE Beach, FL 32960 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD