10/04/2016 (4) - Laserfiche WebLink

Home Browse Search

'4 L'rCERTIFICATE OF LIABILITY INSURANCE D09/01/20 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 6) PRODUCER David Hedges Insurance Agency, Inc. THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION 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. LIMITS A INSURERS AFFORDING COVERAGE NAIC # INSURED Carter Associates, Inc. 1708 21st Street Vero Beach, FL 32960 INSURER A State Farm Florida Insurance Company 10739 10739 INSURER B: State Farrn Mutual Automobile Insurance Company 25178 25178 INSURER C: State Farm Fire and Casualty Company 25143 25143 INSURER D: INSURER E: X COMMERCIAL GENERAL LIABILITY 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. INSADD' LTR INS TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DDNYYY) LIMITS A X GENERALUABILITY 98-K1-9130-8 08/17/2016 08/17/2017 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS MADE I OCCUR MED EXP (Any one person) $ 5,000 X HIRED AUTO PERSONAL& ADV INJURY $ 1,000,000 X NON -OWNED AUTOS GENERAL AGGREGATE $ 2,000,000 AGGREGATE GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X JEC7 LOC B X AUTOMOBILE LIABILITY C65 -8875-F30-59 06/30/0216 12130/2016 ANY AUTO 159-0221-00639M 04/0612016 10/06/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS 202.4978 -E14 -59U 05114/2016 11/1412016 X SCHEDULEDAUTOS 213 -6940 -BIO -690 08/10/2016 02110/2017 BODILY INJURY $ 2323100-B23S9K 08/23/2016 02/23/2017 (Per person) BODILY INJURY $ HIRED AUTOS 235-7463-01559H 09/15/2016 03/1512017 NON-OWNEDAUTOS 684-0332-B27.59F 08/27/2016 02/27/2017 (Per accident) PROPERTY DAMAGE 8313539 -E10 -59N 05110/2016 11110/2016 843 -0510 -B10 -59R 08/10/2016 02110/2017 $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO F1 EA ACC $ OTHER THAN AUTO ONLY, AGG $ A EXCESS/UMBRELLA LIABILITY 98-K1-9131-0 EACH OCCURRENCE $ 5,000,000 X OCCUR I—] CLAIMS MADE AGGREGATE $ 08/17/2016 08/17/2017 $ DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATION AND WC STAN OTH X EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 98BT-K4655F TORY LIMITS ER OFFICER/MEMBER EXCLUDED? ❑ 01/01/2016 01/01/2017 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) if describe under E.L. DISEASE - POLICY LIMIT I $ 1,000,000 yes, OTHER EMR 860 01/01/2016 01/01/2017 DESCRIPTION OF OPERATIONS I 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 INDIAN RIVER COUNTY 1801 27TH ST, BUILDING A VERO BEACH, FL 32960 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 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 AL,UKL) Aa IZUUVIUI / ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.3 04-06-2009 179