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ACOR/�®DATE CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 8/24/2018 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(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 Nicole TOwsle CPCU NAME: y Frank H. Furman, Inc. IONE (954)943-5050 FAx PF(9541942-6310 AIC No Ext): AIC 4o): 1314 East Atlantic Blvd. E-MAIL ADDRESS: nicolet@furmaninsurance.com INSURER(S) AFFORDING COVERAGE NAIC ft P. 0. Box 1927 INSURERA:Ironshore Specialty Ins 25445 Pompano Beach FL 33061 INSURED INSURERB:MAPFRE Ins Co FL 34932 The Roof Authority, Inc; The Roof Authority West INSURERC:FRSA Self Insurers Fund/Evanston 35378 INSURERD:AGCS Marine Insurance Company 22837 6771 North Old Dixie Hwy INSURER E: Ft Pierce FL 34946 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2018 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. INSRADDL LTR TYPE OF INSURANCE INSO SUBR WVQ POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXIT MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE OX OCCUR DAMAGE TO RENTED 100, 000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 X RCS00272-03 1/1/2018 1/1/2019 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a ECT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 Employee Benefits Liability $ 1,000,000 OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT EOaaBINEDI $ 1,000,000 B ANY AUTO, BODILY INJURY (Per person)A OX SCHEDULED BODILY INJURY(Per accident) S Ix AUU TOSS AUTOS X 5204070001763 1/1/2018 1/1/2019 HIRED AUTOS - X AUTOSWNED PROPERTY DAMAGE S Per accident Underinsured motorist S 1,000, 000 UMBRELLA LIAR OCCUR 7 EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION $ PER OTH- AND E=MPLOYERS' LIABILITY ,, / N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � N / A E.L. EACH ACCIDENT $ 1, 000, 000 C (Mandatory in NH) If yes, describe under 870-040106 1/1/2018 1/1/2019 E.L. DISEASE - EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT i $ 1,000,000 D Property/Installation SML93055423 1/1/2018 1/1/2019 Any one Installation Limit 100,000 Deduct: 2%; 2,500min.25K max DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if is more space required) Indian River County is included as additional insured for General Liability and Auto Liability as required by written contract. CERTIFICATE HOLDER Indian River County 1800 27th Street Vero Beach, FL 32960 L.AIN1.,tLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rk DeJong/NTG— ©1988-2014 ACORD CORPORATION. ed. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD All rights resery I NS025 (201401)