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SUBST-5 OP ID: JK <br /> ACORD` CERTIFICATE OF LIABILITY INSURANCE <br /> FDATE 09126/20/ YY) <br /> `—� osr2sr2o1 s <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. If 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 REACT Ryan M.Weaver <br /> Ryan Weaver Insurance, Inc. PHOS T72-567A930we No): 772-567-4931CenterState Bank Bldg. c No E <br /> 855 21 st Street-2nd Floor E-MAL <br /> Vero Beach, FL 32960 ADDRESS: <br /> Jaime Klekamp INSURERS)AFFORDING COVERAGE NAIC e <br /> INSURER A:Markel Insurance Company 38970 <br /> INSURED Substance Abuse Council of IRC INSURER B:Philadelphia Insurance Co. <br /> Inc. <br /> 1507 20th Street INSURER C <br /> Vero Beach, FL 32960 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 MLI LILY XP LIMITS <br /> LTR POLICY NUMBER MMIDD MM1DDiYYYY <br /> A X COMMERCIAL GENERAL LIABILITY j EACH OCCURRENCE i 1,000,00 <br /> CLAIMS-MADE OCCUR 8502SS334680-6 01/25/2016 01/25/2017 UAMA ED PREMISES Ea occurrence $ <br /> 100,00 <br /> A X Sexual Molestatio 01/25/2016 01/25!2017 MED EXP(Any one person) S 5,00 <br /> A X Prof. Liability 01/25/2016 01/25/2017 PERSONAL&ADV INJURY S 1,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,00 <br /> X POLICY ❑PJECTRO- ❑ <br /> LOC PRODUCTS-COMP/OP AGG $ 3,000,00 <br /> OTHER S <br /> AUTOMOBILE LIABILITY COMEaB accidNED SINGLE LIMIT i 1,000,00 <br /> ent <br /> A ANY AUTO 8502SS334680-6 01/2512016 01/25/2017 BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS AUTOS <br /> X HIRED AUTOS PROPERTY DAMAGE $ <br /> NON-OWNED t <br /> X AUTOS per acciden <br /> S <br /> X UMBRELLA LAB X OCCUR EACH OCCURRENCE S 1,000,00 <br /> A EXCESS LIAB CLAIMS-MADE 602SS334681 01/25/2016 01125/2017 AGGREGATE s 1,000,00 <br /> X I DED RETENTIONS 10000 $ <br /> WORKERS COMPENSATIONPEIR <br /> H <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETORIPARTNERIE)(ECUTIVEF—] N I A E.L.EACH ACCIDENT i <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> B &0 PHSD1102689 01/25/2016 01/25/2017 Dir&Off 1,000,00 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached F more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> IRCCOMM <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Indian River County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Board of County Commissioners <br /> 1801 27th Street Bldg A AUTHORIZED REPRESENTATIVE <br /> Vero Beach,FL 32960 - <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />