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'�C �� VEHICLE OR EQUIPMENT CERTIFICATE
<br />�•OF INSURANCE °AT``""'°°`yy"''
<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 />Tills form is usod to rrport covaragos providod to a sfrtgle specific vehicle or equipmont. Do not use this form to report Iiabllity coverage
<br />provided to multiple vehiclDs undor;t Single policy. UsD ACORD 25 for that purpose.
<br />PRCOUCER
<br />w�"(C'''C'�°`"' ROBERT RANFVJ STATE FARr,q INS URAfJCE NAN.s: ROBERT RANF11r
<br />PNON[
<br />":^-"`-" 700-7 E, A9ERF11TT I,,LANI] CSti'JY ��� E■I .32'I-4aG-5760 q c No} S21 -4.5f -5b53 �_
<br />iviERRITT ISLAND, FL 32953 PaooUCS
<br />ER RO£iLRT(7q,ROBERTRANEWCOM '–
<br />INSUREO
<br />TECH SY8TCr,1',, INC.
<br />1801 N WICKHAM, RD
<br />MELBOURNE FL 32935
<br />utsL KIF' I ION OF VEHICLE OR EQUIPMENT
<br />YEAR MAK-,,r MANUFACTURER
<br />MOD -
<br />18 FORD F315 0
<br />OFSCRIPTION -
<br />_.._. - NAIC n
<br />ulsuRcRA; State Farm Mutual Aulomotxle lnsurarxe Company 2317$
<br />INSURER B;
<br />INSURER C: ••
<br />MSURFR n- -"—
<br />INSURER F.
<br />BOGY TYPE VL141CLE IDENTIFICATION NUMBER
<br />PICKUP1FTS 3811JEC05289
<br />VLHICLF,.TQU1PMLNT VALUE SERIAL NUMBER
<br />S
<br />COVERAGES CERTIFICATE NUMBER:
<br />THIS IS TO CERTIFY THAI"T1{E POLICY{IESj OF INSURANCE LISTED BFLUV.rHASNAVE BEEN ISSUED TO THE INS REVISION UNANEDMBOVE FOR'111E PUI_I(,Y
<br />PEF2IUD{S) INDICATED, NO ANY REQUfRI-HENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT LATH RESPECT TO
<br />0MICH THIS CERTIFICATE hfAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICY{IES} DESCRIBED HEREIN IS'ARE SUBJECT TO
<br />ALL THE TERMS EXCLUSIONS ANO CONDITIONS OF SUCH POLICY(lij$),
<br />TYPE OF INSURANCE POLICY NUI/RER
<br />VEHICLE LIABILITY
<br />A I Y I 1439 2031-AO.1-59
<br />POLICY EFFECTIVE POLICY LXPIRATTON
<br />DATE (MMODIYYYY) DATE (MH.MO,YYYYI
<br />07101t2010 I 0110112020
<br />POLICY EFFFCTIV17 POLICY ExPIRAT/ON
<br />)AT[ (141"OmYYYY) DATE JM"D1YYYY)
<br />07;0112.019 01/0112020
<br />07x0112019 01/01/2020
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<br />ccr.,evl�t}yIN �: L,rAH s 2.00Q000
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<br />LACHOC: VRI''.NCE ;
<br />GENERAL AGC?EG.ATE
<br />GENERAL LUkaIIjTY
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<br />TYPO OF IN SURANCB
<br />POJCY NUMOLk
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<br />439 2091-AO1.59
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<br />439 2081-Aa1-59
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<br />POLICY EFFECTIVE POLICY LXPIRATTON
<br />DATE (MMODIYYYY) DATE (MH.MO,YYYYI
<br />07101t2010 I 0110112020
<br />POLICY EFFFCTIV17 POLICY ExPIRAT/ON
<br />)AT[ (141"OmYYYY) DATE JM"D1YYYY)
<br />07;0112.019 01/0112020
<br />07x0112019 01/01/2020
<br />L1Mfr5
<br />ccr.,evl�t}yIN �: L,rAH s 2.00Q000
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<br />GENERAL AGC?EG.ATE
<br />LIMIT
<br />DEC)
<br />urea
<br />DED
<br />LIMIT
<br />DED
<br />RE MAP KS INCLUDING SPCCtAl CONDITIONS 1 OTHFR COVERA('ES) (Attncn ACORD 101, Ad NlUj ,i l RemmUp eyclludulo, It
<br />I>acr la n!ynirvd)
<br />ADDITIONAL INTEREST
<br />Select ono of the following: CANCELLATION
<br />RIeaU9nicnal lrYerrl dr,alt.)d L,iv N Mr,cud—:1 . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES FSC CANCELLED
<br />A •c-' uc•1 has b� . IJ -Io piiiry(r,;) *,tid rcrn;i ny ro(:y nuTt:+r.Tisi. BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
<br />4 �n .•x,IFrnlllr9 to oda Lac. adC.limJi irtgti+il devaiboa G 1c.
<br />c 1a Ihr. pa ctilie DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />VE3{ICLEl EQUIPMENT INT LREST: LCASEU ----
<br />FINANCED DESCRIPI ION OF THE ADDrnONAL INTEREST
<br />7iAME AND ADDRGSS OF gpURTONAL I14TEREST
<br />Indian River County ADDITTQNAL INSURED LOSS PAYEE
<br />1801 271h Street LENDEWS, LOSS PAYEE
<br />Veto Beach, FL 32960-3388 LOAN I LEAsF NUMOC.R
<br />ACORD 23 (2016103) The ACORD name and logo are registered. ky) Iv -2015
<br />marks of ACOROORD CORPORATION. All rights reserved.
<br />1(M)q?5T 741`V9. 3 0Y.;ti.241r,
<br />uMrTS 1 DEOUCTIOLE
<br />❑ ACJ
<br />❑ AUNEEDAMT
<br />S
<br />0
<br />❑ sT.,TEO AMI
<br />S 500
<br />GQ ALV
<br />❑ A1.3R1FQMAT
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<br />❑
<br />❑ STATEDAMT
<br />S 500
<br />❑ FCs
<br />❑ sT,;Tr.aauT
<br />❑
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<br />LIMIT
<br />DEC)
<br />urea
<br />DED
<br />LIMIT
<br />DED
<br />RE MAP KS INCLUDING SPCCtAl CONDITIONS 1 OTHFR COVERA('ES) (Attncn ACORD 101, Ad NlUj ,i l RemmUp eyclludulo, It
<br />I>acr la n!ynirvd)
<br />ADDITIONAL INTEREST
<br />Select ono of the following: CANCELLATION
<br />RIeaU9nicnal lrYerrl dr,alt.)d L,iv N Mr,cud—:1 . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES FSC CANCELLED
<br />A •c-' uc•1 has b� . IJ -Io piiiry(r,;) *,tid rcrn;i ny ro(:y nuTt:+r.Tisi. BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
<br />4 �n .•x,IFrnlllr9 to oda Lac. adC.limJi irtgti+il devaiboa G 1c.
<br />c 1a Ihr. pa ctilie DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />VE3{ICLEl EQUIPMENT INT LREST: LCASEU ----
<br />FINANCED DESCRIPI ION OF THE ADDrnONAL INTEREST
<br />7iAME AND ADDRGSS OF gpURTONAL I14TEREST
<br />Indian River County ADDITTQNAL INSURED LOSS PAYEE
<br />1801 271h Street LENDEWS, LOSS PAYEE
<br />Veto Beach, FL 32960-3388 LOAN I LEAsF NUMOC.R
<br />ACORD 23 (2016103) The ACORD name and logo are registered. ky) Iv -2015
<br />marks of ACOROORD CORPORATION. All rights reserved.
<br />1(M)q?5T 741`V9. 3 0Y.;ti.241r,
<br />
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