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60 <br />CERTIFICATE OF INSURANCE <br />BLOOMINGTON, ILLINOIS <br />This is to certify that the Company indicated above has the following insurance in force: <br />POLICY MORTGAGEE <br />POLICY EXPIRATION LOAN NUMBER <br />NUMBER_ 79-0394907-0 _DATE 8 /2,183—(IF APPLICABLE) <br />NAME AND ADDRESS OF PARTY TO WHOM NAME AND ADDRESS OF <br />CERTIFICATE IS ISSUED OTHER INTERESTED PARTY <br />F 7 r <br />Board of County Commissioners ADDITIONAL INSURED: <br />of Indian River County Indian River County <br />1840 25th Street 1840 25th Street <br />Vero Beach, F1 32960 Vero Beach, F1 32960 <br />L J L J <br />LOCATION OF UNIT (IF DIFFERENT THAN SHOWN ABOVE) <br />NAMEOF William B. & Minerva Herrick <br />INSURED <br />(ASSOCIATION) <br />ADDRESS P.O. Box 6501 Vero Beach, F1 32960 _ <br />LOCATION OF PREMISES: (IF DIFFERENT THAN SHOWN ABOVE) <br />No.1 3620 1st Street, S.W., Vero Beach, F1 32960 <br />No. 2 <br />No. 3 <br />No. 4 <br />Premises described above and with respect to those coverages and kindsof property for which a specific limit of liability is shown below ar, <br />subject to all of the terms of the original policy available at the Office of the AssociationorNamedlnsured including forms and endorsement <br />made a part thereof: <br />--- __--- Ll LIABILITY — <br />COVERAGE_ eiag I cI coy _ emv.nLota No_ .PPuc.+utc <br />A. Budding(s) ' xyu,uuu <br />SECTION B.Pe""'Property --------S-70,000-S -- ---$$- ---- - <br />I Add!. Cov- (Specify by Narne) <br />PROPERTY S 5 3 S <br />COVERAGE -- ------ $ ---- — S -- S ----- S <br />-- <br />3-- <br />SECTION - COVERAGE - LIMIT OF LIABILITY- <br />_— S300,00.0_ aggrege� <br />C Bodily nd Persoal Inl iy and P ope ty D mye L at Iny $300,000 each -occurrence <br />D. Premises Medical Payments $ <br />each Verson S ' each acC rdent <br />LIABILITY - - ---- OIIO---- --- <br />COVERAGE <br />THIS CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE A . ! { 1 Y NOR <br />NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE AFFORDED BY THE Pp ��+�••r� <br />. rh (,rice Insurance Agency, Inc. <br />Smile A. Oak Plaza <br />Vcm tie,ich. t of ida 32tki(1 <br />11hnne U11. ;tLYt :kl-I1lM, <br />Agent -_ State Farm 8/20/82 <br />Sipnaturx of Auth—iz.d Ypr►santative Tith• Dete - - - <br />F <br />