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JAGUAR INS <br />215 S FEDERAL HWY 203 <br />STUART, FL 34994 <br />1-772-781-8076 <br />Certificate of Insurance <br />PR©GREll/UE6 <br />Polity number: 01928049-2 <br />Underwritten by <br />Progressive Express Ins Company <br />August 27, 2015 <br />Page 1 of 1 <br />Certificate Holder Insured Agent <br />Additional Insured KERNS CONSTRUCTION JAGUAR INS <br />INDIAN RIVER COUNTY OFFICE OF 1601 SW HARBOUR ISLE 215 S FEDERAL HWY 203 <br />MANAGEMENT AND BUDGET-PURCHASI PORT SAINT LUCI, FL 34986 STUART, FL 34994 <br />NG DIVISON 1800 27TH ST <br />VERO BEACH, FL 32960 <br />This document certifies that insurance policies identified below have been issued by the designated insurer to the insured <br />named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon <br />the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. <br />The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and <br />conditions of these policies. <br />Policy Effective Date: Nov 5, 2014 Policy Expiration Date: Nov 5, 2015 <br />Insurance coverage(s) Limits <br />Bodily Injury/Property Damage $1,000,000 Combined Single Limit <br />Uninsured Motorist $100,000 CSL Non -Stacked • <br />Personal Injury Protection $10,000 w/$0 Ded :Named Insured Only <br />Description of LocationNehicles/Special Items <br />Scheduled autos only <br />2006 JEEP LIBERTY 1 J4GK58K66W 153204 <br />Medical Payments $5,000 <br />Comprehensive $1,000 Ded <br />Collision $1,000 Ded <br />Certificate number <br />239151TH049 <br />Please be advised that additional insureds and Toss payees will be notified in the event of a mid-term <br />cancellation. <br />/c=91c-- <br />Form 5241 (10/02) <br />