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10 .' 09 ; 03 THU 08 : 59 FAX 7722314413 FELTEI` & ASSOCIATES Q.I001 <br /> ' DATE ?AMtDVffmI <br /> ACORIQ CERTIFICATE OF LIABILITY INSURANCE 10/08/2003 <br /> — 2825 FAX (772) 231 -4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> P�DucEa ( 772 ) 231 <br /> Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER . THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 2911 Cardinal Drive (32963 ) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> P . O . Bax 3485 <br /> Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAI( ;¢ <br /> INSURED Substance Abuse Council— Indian River County INSURER A; Colony Insurance <br /> 2501 27th Ave Ste A - 7 INSURER B: Progressive Express __, 1019 '• <br /> Vere Beach , FL 32960 INSUREPC: Conmrce & Industry_ Insurance <br /> INSURER D: <br /> COVERAGES — -- - <br /> THE POLICIES OF INSURANCE L:STE'D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IPiDICATED NOT'NITHS TAND!N1 <br /> ANY REQUIREMENT , TERGA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> N(AY PERTAW, THE INSURANCE AFFORDED eY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSI'DNS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOLICED BY PAID CCWMS . <br /> INSR DD' TYPe OF INSURANCE POLICY NUMBER I �"LICY EFFECTIVE POULY EXPIRATION LIMITS _ <br /> ,,,� 1lATE 7LIL1/D j ( . <br /> GFI�ERALLIABILtTY MP714134 04/01/2003 04/01/ 2004 EACHOCCURRENCL -- 5 I , OUo , 000 <br /> X COMMERCIAL GENERAL LIABIUTY DAMAGE 70 REN � 5 5D OO <br /> RCpA1Gcc [E TEO •� � <br /> CLAIMS MADE a OCCUR MED EXP IAr:y one person) <br /> A PERSONAL & ADV INJURY S 19000 , 000 <br /> GENERALAGwRrdGATE 5 210DO300 <br /> GEN'L !M'vGREG«TEI.IrA17APPll?=S PER: PRODUCTS - COMPIOPAGG I$ EXCLUDED <br /> POLICY JEC r, LOC - - -- <br /> j AUTOMOSILELIABILITY CA044377463 02/05 /2003 02/05/2004 COMBINED SINGLELIAIT i <br /> ANY AUTO (Ea accident) 1 , 1000 , 00 <br /> AV. OWNED AUTOS EODILY INJURY S <br /> (Per perscnl <br /> X sCNCDULEO ALnos <br /> B <br /> KIREC AUTOS 80DILYINJURY <br /> (Por 8G0dentj <br /> MOAT-OWNED AUTOS —moi <br /> PROPERTY DAUAGE I s <br /> — (Per awdent) � <br /> GARAGE LIAB:LIYY _-- AUTO GNLY . EA ACCIDENT <br /> ANY AUTO OTh+ERTHAN FA ACC S —_ <br /> AUTO ONLY: AGG S <br /> – ---- <br /> j EXMS•'UMBRELLA LIABILITY EACH OCCURREI•iCr b -- <br /> OCCUR CLAIMS MADE AGGREGATE S <br /> S <br /> I DEDGGTIBLE <br /> 5 <br /> RETENTION S <br /> s <br /> WC3148705 01 10 2003 03 / 10/2004 wesTAru. orH• <br /> WORKERS COMPENSATION AND / / — <br /> EMPLOYERS' LIASILITY E•L. EACH AXPQF;NT S XOO , OI <br /> C ANYPROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUKO? E.L. DISEASE , EA EMPLOYEES 100 00 <br /> It yye�s, desabe under i EJ . DISEAs= - POLICY LIMITS S0010 <br /> SPECULL PROVISIONS bMOW ' <br /> OTHER I <br /> f <br /> I � <br /> DPW CRIPTION OF CKRA TIONS ( LOCATIONS / Y_HIOLES : EXCLUSIONS ADDED BY ENOORSEMENT I SPEGAL PR.7VMKM <br /> ERTIFICATE HOLDER NAMED BELOW IS LISTED AS ' ADDITIONAL INSURED ' AS RESPECTS TO GENERAL LIABILITY AND <br /> UTOMOSILE LIABILITY POLICIES LISTED ABOVE . <br /> = 30 days notice of cancellation applies to Workers CoMensation only" <br /> TIFICA - HOLDER _ _ CANCF 71r�JN <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLMIPS BE CD.NCELLED BEFORE THE <br /> EXPAATION DATE THEREOF, THE ISSUJJG INSURER WILL. ENDFAVOR TO MAIL <br /> ,� ITT <br /> _ DAYS WREN NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE LEFT, <br /> Indian River County , Florida <br /> Attn : Beth Jordan , Risk Manager BUT PAlLURF TO hWLSUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 25th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRRFSENI ATIVES <br /> Vero Beach , FL 32960 - 3365 AUTHORIZEDREPftSENTATIVE <br /> Kenneth D . Felten , LUTCF/ L-B <br /> ACORD 25 (2001108) tACORD CORPORATION 1988 <br />