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A0 Client#: 720027 ARCINDIA ACORDn. CERTIFICATE OF LIABILITY INSURANCE D5/24/2/DD/YYYY) 5!24/2021 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh & McLennan Agency Bouchard Region 101 N. Starcrest Drive CONTACT NAME: PHONE 727 447-6481 AIC No Ext : IF A/ C, No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC AClearwater, FL 33765 INSURER A: Florida Insurance Trust 999999 INSURED The Arc of Indian River County, Inc. 1375 16th Avenue INSURERS! Century Surety 36951 INSURER C: INSURER D: Vero Beach, FL 32960 INSURER E: INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY ❑ JECT FILOC OTHER: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MhVDD/YY POLICY EXP MWODNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Y FITGL338262021 6/01/2021 06/01/2027RR'EM CH�OECCURRENCE s1000000 e S1 OOO OOO IS�(Any HIENTED'.. D EXrson) S10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY ❑ JECT FILOC OTHER: GENERAL AGGREGATE s3,000,000 PRODUCTS - COMP/OP AGG $3,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X NON -OWNED AUTOS ONLY FITAU338262021 6/01/2021 06/01/2022 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S S B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE FITXS338262021 6/01/2021 06/01/202 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) 11 yes, describe under DESCRIPTION OF OPERATIONS below N / A FITWC338262021 6/01/2021 06/01/202 X PER TATUT DTH• E.L. EACH ACCIDENT s2,000,000 E.L. DISEASE - EA EMPLOYEE s2 OOO OOO E.L. DISEASE -POLICY LIMIT 52,000,000 A Prof Liab / Abuse FITGL338262021 6/01/2021 06/01/202 $1,000,000 / $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) If required by written contract, Certificate Holder is an additional insured with respect to General Liability, subject to the terms, conditions and exclusions of the policies. Additional insured with respect to General Liability includes ongoing and completed operations. For Informational Purposes I.HIVI.CLLHI IL)N 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of -I The ACORD name and logo are registered marks of ACORD #S8317333/M8317244 RCAXM