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SU BST -5 <br />OP ID: JS <br />'A'c�t' CERTIFICATE OF LIABILITY INSURANCE <br />4,.........---- <br />DATE <br />02!1112014 <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 <br />Ryan Weaver Insurance, Inc. <br />CenterState Bank Bldg. <br />855 21st Street - 2nd Floor <br />Vero Beach, FL. 32960 <br />Ryan M. Weaver <br />CONTACT <br />PHONE FAX <br />MIC, No, Ext): (AIC, No): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC 8 <br />INSURER A : Markel <br />38970 <br />INSURED Substance Abuse Council of IRC <br />1507 20th Street <br />Vero Beach, FL 32960 <br />INSURER 0: Bridgefield Employers Ins Co <br />8502SS3346804 <br />" <br />INSURER C: Philadelphia Insurance Co. <br />01/15/2015 <br />INSURER D : <br />$ 1,000,000 <br />INSURER E : <br />$ 100,000 <br />INSURER F : <br />COVERAGES <br />CERTIFICATE NUMBER: <br />• <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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDDIYYYY) <br />POLICY EXP <br />(MMIDDIYYYY) <br />LIMITS <br />A <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />8502SS3346804 <br />" <br />01/25/2014 <br />01/15/2015 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGETO RENTED <br />PREMISES {Ea occurrence) <br />$ 100,000 <br />CLAIMS -MADE L X I OCCUR <br />MED EXP (Any one person) <br />$ 5,000 <br />X <br />Sexual Molestatio <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />X <br />Professional Liab <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />—7 POLICY F PRO- <br />JECT LOC <br />PRODUCTS- COMP/OP AGG <br />$ 3,000,000 <br />Emp Ben. <br />$ 1,000,000 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />XNON-OWNED <br />SCHEDULED <br />AUTOS <br />AUTOS <br />8502SS3346804 <br />01/25/2014 <br />01/25/2015 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />JPER ACCIDENT) <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESSLIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />4602SS3346813 <br />01/25/2014 <br />01/25/2015 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ <br />DED X RETENTION $ 10000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />YIN <br />N 1 A <br />196-24851 <br />01/10/2014 <br />01/10/2015 <br />WC STATU- <br />TORY LIMITS <br />OTH- <br />ER <br />E L. EACH ACCIDENT <br />$ 1,000,000 <br />E L DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E L. DISEASE- POLICY LIMIT <br />$ 1,000,000 <br />C <br />D&O <br />PHSD908536 <br />01/25/2014 <br />01/25/2015 <br />Dir & Off 1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHCLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Board of County Commissioners <br />1801 27th St St, Bldg A <br />Vero Beach, FL 32960 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2010105) <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />