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A� �DF CERTIFICATE OF LIABILITY INSURANCE °A1 CERTIFICATE MAY BE ISSUED OR -MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1lrotnon /01/2017 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(§), 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, certainpolicies may require an endorsement A statement on this certificate. does not confer rights to the certificate holder in lieu of such endorsenw s . PRODUCERO SWeFa= Joe Raley insurance Agency ®- 1676 US Highway 1W-im a Sebastian FL, 32958 NAME: Tina - PHON.NEs .FXt1� 772-589-4300 Fgtc No e MeuL �llRES3: INSURER(S) AFFORDING COVERAGE NAIC A INSURER A: State.Farm Mutual Automobile Insurance Company 25178 INSURED Sembier & Serrtbler 6945 48th St Vero Beach FL 32967 INSURER B : INSURER C : INSURER D INSURER E: INSURER F: 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. POUCY EFF -T POLaYYCYc arP ?LTR TYPE OF INSURANCE AOD a ' POLICY NUMOER I MMIDD LIMITS ACCORDANCE WITH THE POLICY PROVISIONS. COMMERCIAL GENERAL LIABILITY A ED REPRES E 1801 27th St Vero Beach FL, 32960 EACH OCCURRENCE $ PPREMMISES(Ea otcurrenrz S CLAIMS -MADE OCCUR MED EXP (Any one person) S ' PERSONAL 8 ADV INJURY S GEN•L AGGREGATE LIMIT APPLIES PEP.: __ GENERAL AGGREGATEPRO- � 5 ]II j POLICY LOC J EC ; .PRODUCTS .-COMP/OPAGG 1$ S I OTHER: i AUTOMoaa.ELIABILITY Y j 1006709616591 08/06/2017102116/2018 Eesoa ams LEUMrr s ANY AUTO k i BODILY INJURY (Per person) S 2,000 QDD OWNED SCHEDULED AUTOS ONLY I AUTOS BODILY INJURY (Per acddert) $ 2,000.000 HRED NON AUTOS ONLY f AUTOS ONLYPROPERTY DAMAGE - $ 1,000,000 Per 000dont a I I UMBRELLA UAB OCCUR I EACH OCCURRENCE $ T EXCESS Like CLAIMS -MADE i AGGREGATE S _ DED RETENTIONS $ E WORNERSCDMPENSATION - PER OTH- AND EMPLOYERS•LIABIUTY YIN 1 ATUTE ER E.L. EACH ACCIDENT S ANY PROPRIETORIPARTNER/EXECUTFVE 1 OFFICER/MEMBER EXCLUDED? NIA " E.L. DISEASE - EA EMPLOYE 5 (Mandatory In NHI If ya, descnbe under 1 EL DISEASE •POLICY LIMIT $ DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AddlUanai Remarks SchodWe, may be attached S more spat* to raQ lrad) Additional Insured Endorsement on Policy for SOUTHERN MANAGEMENT LLC 6945 49th St Vero Beach FL 32967 Additional Insured Endorsement on Policy for INDIAN RIVER COUNTY UTILITIES 1801 27th Street Vero Beach FI 32960 w �aoo-cv r� Ftt.UrcU 1.Vtt KA I IUN. All rights reserved. ACORD 25, (2016103) The ACORD name and logo are re tered marks of ACORD' IM1486 132649.12 0316-2016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' Indian River County Utilities Department ACCORDANCE WITH THE POLICY PROVISIONS. Department of UUfitySelvice A ED REPRES E 1801 27th St Vero Beach FL, 32960 w �aoo-cv r� Ftt.UrcU 1.Vtt KA I IUN. All rights reserved. ACORD 25, (2016103) The ACORD name and logo are re tered marks of ACORD' IM1486 132649.12 0316-2016