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SEP -24- 2003 WED 02 ; 52 PM WM , DAY , INC , <br /> FAX N0 , 772 546 5772 P , 02 <br /> Florift uft"ratim <br /> r y Ulf ftSumrs u 1Rmrv1 rd 7wti�skr . <br /> W, `D' U " EPndtal, Jr. , (ltmmun , $lift i •il5. <'fnrer <br /> rtdJnigitJalrort i�' SNl�laiil SJnCR' �A7rJ (ix;ggt Sa�dck t , tirce C,'Ir�.rhxur, P.ticrr<rt <br /> 1� 0, R4xc (>♦t • 1 .;1k�1R+��1, 1I, 33t?01 "04)88 ■ sr n :,srrn�n�ri )n�f+ht�� r Jorn � t NAA,v , torlrtand <br /> fclgyh��to IRiS3) S �ErOf►0 or P It ic-?82 •7f4k • ]Tax ( 841) bf,l} 1 S) �R � �"rtyu" �'ckti, lY. ls�� rlrnur <br /> ..""»• —� _-.�•.,,. ..._ _ ._�_ ttlr . 1< trl'ar^r� r, rlfr• <br /> Certificate of insurance <br /> RE : 0520 - 25864 <br /> ISSUED TO : Indian River county Board of County Commissioners <br /> 1840 25th St <br /> vero Beach , FL 32960 -3365 <br /> This is to certify that Bpy zirj ..CI1flLaf,,.Indian foyer County, _ p �� 3p �/erQ Beaoht � X964, <br /> being subject to the provisions of the Florida Workers' Compensation Law, has secured the payment of any <br /> +A' O -kT �s ' compensation benefits due by Insuring their risk with the Florida Retail Federation Self Insurers Fund . <br /> POLICY NUMBER : Q520 23A54 Statutory Limits— State of Florida <br /> Employers Liability <br /> EFFECTIVE DATE <br /> ; .Septem�Li3, 2003. $ 500, 000 ( Each Accident) <br /> EXPIRATION DATE : Se . . a $ 500, 000 ( Disease - - Each Employee ) <br /> pk tuber 13 , 2004 $ 5001000 ( Disease- - Policy Limit ) <br /> This certificate Is not a policy and of itself does not afford any insurance. Nothing contained In this <br /> certificate shall be construed as extending coverage not afforded by the policy shown above or affording <br /> Insurance to any Insured not named above . <br /> The policy of insurance listed above has been issued to the named Insured for the policy period indicated . <br /> Notwithstanding any requirement, term or condition of any contract or other document to which this certificate <br /> may pertain , the Insurance made available by the described policy in this certificate is subject to only the <br /> terms , exclusions and conditions of such policy . Paid claims may have reduced the shown limits . <br /> If the policy described above Is cancelled before the expiration date indicated , the Issuing company will <br /> attempt to mail 30 days ' written notice to the certificate holder named above . However, the Issuing company, <br /> its agents or representatives accept no obligation or liability of any kind for failure to mail such notice , <br /> Date 09/24/2003 <br /> u ^,nit consulting , Inc . , Admini .9trator <br /> riorida Retail Federation self Insurera Fund <br />