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10 ' 09 ; 03 THU 08 : 59 FAX 7722114413 FELTEN & ASSOCIATES Z001 <br /> • . w — - DATE IMMMOMMI <br /> ACUI4L , CERTIFICATE OF LIABILITY INSURANCE 10/08/2003 <br /> FkODVCER ( 772 ) 231- 282 $ FAX ( 772) 231 -4413 THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION <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 ) ALTERTHECOVERAGE AFFORDS 6Y THE POLICIES BELOW. <br /> r <br /> P . O . Bax 3485 <br /> Vero Reach , FL 32964 - 3458 INSURERS AFFORDING COVERAGE NA1C ;# <br /> wsuRED Substance Abuse Council O Indian River County INSURER A: Colony Insurance <br /> 2501 27th Ave Ste A - 7 INSURER B: Progressive Express 10193 <br /> Vera Beach , FL 32960 INSUREM C: Commerce & Industry_ Insurance <br /> INSUR5R D : <br /> 1 NS'JRER E: -� <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LSTED BELOW 14AVE BEEN ISSUED TO THI INSURED NAMED ABOVE FOR THE POLICY PERIOD IPSOICATED NQTWITH57ANL!N <br /> ANY REGUIF%ENENT, TERM OR CONDITION OF ANY CONTRk• T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERT?,UJ, THE INSURANCE AFFORDED 8Y THE POI.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSI 'DNS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE L11W, TS SHOWN MAY HAVE HEEN REbUCED BY PAID CLAIMS , — <br /> INSR OD' I POLICY EFFECTIVE POLICY EXPIRATION — LIMITS <br /> LTATYPCOFINSURANCE , POLICY NUMBER aATC� /AltdtD <br /> GU41ERALUABILIY MP71413 �F 04 /01/2003 04/01/2004 EACH OCCURRENCE -- S I, � Q0Q , 000 <br /> QALL4GE TO RENTED \ S 50 , 000 <br /> X COMMERCIAL GENERAL LIABILITY l A t C� E <br /> CLAIk1S MADE a OCCUR M•ED EXP (Ar.Y one person) S �— 5 , 00 - <br /> A PERSONAL & ADV INJURY S �. 110001000 <br /> GENERALAGG�FGATE S Z r OD0 , 00 <br /> uEN'LA<riREGAI"EL. NAI7APPLIES PER: <br /> 1 PRDDuc7s COMP1oPAGG # EXCLUDE <br /> POLICY JEC r, L� — <br /> j AUTONOIi1LELIABlLTTT CA044377463 0Z/05 /2003 02/05/2404 COMBINEDSINGLELIMIT S <br /> ANY AUTO (Ee nGcidert} — _ ]. , 000 , 00 <br /> AL', OWNED AUTOS BODILY INJURY s <br /> (Per perscn; <br /> B X SCHEDULED AUTOS <br /> HIREC AUTOS BOOILYINJURY <br /> I {?erocOdent± <br /> MON-OWNED AUTOS <br /> — _ PROPERTY DAMAGE 6 <br /> (Per acddwiO <br /> GAl�GELVvBIU,Y4, AUTOCNLY . EAACCIDENT <br /> 0 GT)-I RTHAN EA ACC 5 <br /> AUTO QXLY: ACG S <br /> -''—� EACH OCCURR9NCE S <br /> RELLA LIABILITY -� <br /> CLAM6 MADE AGGREGATE s _ <br /> I 5 <br /> 5 <br /> IBLE <br /> , S <br /> ION <br /> jWttQRKP.;Z3SATICN ANDIrIC3148705 01/10/2003 01/ 10/2004 ^CSTATU• PR <br /> 0TH• <br /> EMPLOYERSUASLITY El. EACH ASCIQp %T S 200 , 01 <br /> C• ANY pR pRIET ER EXCLUDED? C'JTIVE I E1. DISEASE • EA EMPLOYE S 1000000 <br /> It yest describe under i El . DISEAS: - POLICY LIMIT 5 50010!22 <br /> SPECIAL PROVISIONS Wow <br /> OTHER k <br /> II I <br /> I <br /> DESCRIPTICN OF CfCAA rIONS I LOCATIONS l Vlt410LES ; EXCLUSIONS ADDED BY EN0WEMbNT I SPECIAL PAWL310N9 <br /> ERTIFICATE HOLDER NAMED BELOW IS LISTED AS ' ADDITIONAL INSURED ' AS RESPECTS TO GENERAL LIABILITY AND <br /> UTOP708ILE LIABILITY POLICIES LISPED ABOVt . <br /> ., = 30 days notice of cancellation applies to Workers Compensation only" <br /> CERTIFICATE HQLDER _. CANC TION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CD.NCELLED BEFORE THE <br /> EXPLRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Indian River <br /> I� ITT <br /> _ DAYS WREN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF'. , <br /> County , Florida <br /> Attn : Beth Jordan , Risk Manager BUT FAILURE TO MIULSUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 154D 25th Street OF ANY HIND UPON THB INSURER, ITS AGENTS OR REPRRSENTS` <br /> 'ATWE <br /> Vero Beach , FL 32960 - 3365 AUTHORIZED P.EPRE:ENTATIVE <br /> _ Kenneth D . Felten , LUTCF; LB <br /> ACORN 25 (?.001 /08) �DACORD CORPORATION 1988 <br />