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ACORO`� DATE(MM!DD(YYYY) �- CERTIFICATE OF LIABILITY INSURANCE 07/14,2017 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 T T CONTRACTBETWEEN THE ISSUING INSURERS BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A 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: Kevin Gaskin Statewide Condominium Insurance ! 1425 20th Street ANC Nck,t U; (772) 567-1700 [AI_CNo]: (772) 562-7100 E-MAIL ADDRESS__ coi@statewidecondo,com Vero Beach FL 32960 __INSURER(S)AFFORDING COVERAGE 1 NAIC S INSURERA:GL: Philadelphia Indemnity _ _ INSURED INSURER B:Auto: Philadelphia Indemnity Pelican Island Audubon Society, Inc. INSURER C:Umb: Philadelphia Indemnity i PO Box 1833 INSURER D: Vero Beach FL 32961 INSURERE: __ _ i INSURER F: • COVERAGES CERTIFICATE NUMBER:Cert ID 29366 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. _ INSRi I INSD:WBR; 1 POLICY EFF ' POLICY EXP LIMITS LTR' TYPE OF INSURANCE i INSD WVD' POLICY NUMBER 1 IMMIDDIYYYY)I(MMIDDIYYYY)1 A 1 X i COMMERCIAL GENERAL LIABILITY - 1 EACH OCCURRENCE I s 1,000,000 :DAMAGE TO RENTED CLAIMS-MADE X iOCCUR . '07/15/2017107/15/2018.PRE_MISES(Ea occurrence) !S 100,000 X ': GENERAL LIABILITY ' d_MEDEXP(Any one person) S 5,000 _ ?ERSONA..L R.ADV INJURY iS 1,000,000 _ EN'L AGGREGATE LIMIT APPLIES PER. _ GENERAL AGGREGATE _S 2,000,000 X POLICY! ? ;JPE IOC ?PRODUCTS-COM?JOP.AGO 5 2,000,000 _ --OTHER:-- --- S COMBINED SINGLE LIMIT i c i AUTOMOBILE LIABILITY (Ea accident) 1,000,000 B PHPKi34i ANY AUTO i98 X07/15/2017107/15/2018;EODILYINJURY(Perperson) S I ---- -- .ALL OWNED -SCHEDULED - - i BODILY IN JURY(Per accident);S • AUTOS ''X`I AUTOS i 1 - PROPERTY DAMAGE - t,JON-OWNED' i 5 I HIRED AUTOS 'AUTOS ,(?er accident)• _ (: i I UMBRELLA LIAB 1 X :OCCUR • PHUB515977 :07/15/2017107/15/20161 EACH OCCURRENCE S 5,000,000 • EXCESS LIAB ?CLAIMS-MADE. I i AGGREGATE ':DEO ! i RETENTION S '" WORKERS COMPENSATIONSTATUTE i O�H- €AND EMPLOYERS'LIABILITY YIN% 'ANY PRooRIETORIPAR-rJERJEXECUTIVEI ` E L.EACH ACCIDENT S i OFFICERIMEMBER EXCLUDED? i N I A I 1(Mandatory in NH) 6.L.DISEASE-EA EMPLOYEE S If yes, e under I • ` DESCRIPTION OF OPERATIONS below 1 ? :'E.L.DISEASE-POLICY LIMIT?S • S I S DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES IACORD 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 general liability policy CERTIFICATE HOLDER CANCELLATION 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 Indian River County Human Services 1800 27th Street AUTHORIZED REPRESENTATIVE Vero Beach FL 32960 j�2tS- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Pace 1 of 1