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2017-037C15
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10/26/2017 9:21:33 AM
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• <br /> _____,...-1 THELE-1 OP ID:SC <br /> ACOR Or DATE(MMIDD/YYYY) <br /> . <br /> CERTIFICATE OF LIABILITY INSURANCE 09/26/2017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER 772-231-2022 COONNTACT Mary Campbell <br /> Vero Insurance,Inc. PHONE7722312022 FAX 772-231-7444 <br /> - - <br /> 3339 Cardinal Drive (A/C,No,Ext): (A/c,No): <br /> Vero Beach,FL 32963 E-MAIL <br /> Mary Campbell ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Sentinel Insurance Company • 11000 <br /> INSURED The Learning Alliance The Hartford 19682 <br /> Nick Thomas INSURER B <br /> PO Box 643446 INSURER C:National Liability&Fire 20052 <br /> Vero Beach,FL 32964 <br /> • 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 I TYPE OF INSURANCE IADDL SUER POLICY NUMBER POLICY EFF POLICY EXP I LIMITS <br /> LTR IINSO'WV() IMM/DD/YYYY1 (MM/DO/YYYYI <br /> A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S 2,000,000 <br /> CLAIMS-MADE OCCUR 21SBMBW9966 12/31/2016 12/31/2017 DAMAGE TO RENTED 1,000,000 <br /> PREMISES/Ea occurrence) S <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY S 2,000,000 <br /> I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICY 5' LOC I PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: I $ <br /> C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> _LEL] Se t S <br /> ANY AUTO 73APR350788 05/16/2017 05/16/2018 BODILY INJURY(Per.erson 5 <br /> OWNED X SCHEDULED <br /> AURTEO�S ONLY AUTNOSSW E I BODILYOINJURY Per accident S <br /> AUTOS ONLY AUTOS ONL� Pea EaiRdentDAMAGE 5 <br /> I I I $ <br /> A X UMBRELLA LIAB OCCUR I EACH OCCURRENCE 5 1,000,000 <br /> EXCESS LIAB CLAIMS-MADE 21SBMBW9966 12/31/2016 12/31/2017 AGGREGATE 5 <br /> DED I X I RETENTIONS 10000 I s <br /> B WORKERS COMPENSATION XI STATUTOTH- <br /> ER <br /> E I I <br /> AND EMPLOYERS'LIABILITY Y/N <br /> 21WECAP3088 09/09/2017 09/09/2018 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 5 <br /> Q(=FICER/MEMBER EXCLUDED? N I A I 1,000,000 <br /> (Mandatory m NFi) E.L.DISEASE-EA EMPLOYEE $ <br /> If Yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> • <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE Indian River County ACCORDANCE IWITH ON DTHE EPOLICY PROVISIONS. WILL BE DELIVERED IN <br /> Risk Management Division <br /> 1800 27th Street <br /> Vero Beach,FL 32960 AUTHORIZED REPRESENTATIVE <br /> Mary Campbell <br /> 1 <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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