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ROl1TH 'A np In- AS CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 10!24!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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or 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 772-567-4930 Ryan Weaver Insurance, Inc. CenterState Bank Bldg. 855 21 st Street - 2nd Floor C ACT Ryan M. Weaver PHONE 772-5674930 FAX772.5674931 (A1C, No, Ext): (A1C, No): X -MA Vero Beach, FL 32960 72467337 Ryan M. Weaver INSURERS AFFORDING COVERAGE NAIC II INSURER A, Auto Owners Insurance Co. 18988 INSURED Southern Management, LLC Beth Sembler INSURER 8: 6945 49th St INSURER C: INSURER D: Vero Beach, FL 32967 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMRER- REVISION NIIMRFR- 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. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X 72467337 11/22/2017 11%22/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED$ 300,ence)000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY —JELQT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUT OSONLY AUTOS AUTO ONLY ATOS ONLY Ea act cin SINGLE LIMIT $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ C� �Rd Yt AMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE4 S AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIM�MBER EXCLUDED? (Mandatory n NNFFi1)) If ye, describe under DESsCRIPTION OF OPERATIONS below NIA PER OTH- TLITE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is Additional Insured for the General Liability policy perform 55373 - Blanket Additional Insured nrerrrrrArC unr nCe rANr CI I ATInN ACORD 25 (2016103) O 1988-2015 ACORD CORPVRATIUN. An rights reserved. The ACORD name and logo are registered marks of ACORD 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 Utilities 1801 27th Street Vero Beach, FL 32960 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) O 1988-2015 ACORD CORPVRATIUN. An rights reserved. The ACORD name and logo are registered marks of ACORD