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fs'Ft; -- Ib- 20A 'I hU 0314 P19 AJC PRM UN ] i FAX N0. 40 "13550742 P , 05 <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID It DATE (UWDDKYYY) <br /> TNDIA2dA D4 15 0@ <br /> PRODUCER THIS CERTIFICATE IS ISSUED A$ A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> A . J . Gallagher & Co - Orlaudo HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 7380 Sand Lake) Rd , Suite 390 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Orlando FL 32819 <br /> Paosie : 407 = 370 - 2320 Faxr407 - 370 - 3057 INSURERS AFFORDING COVERAGE NAIC11 <br /> INSURED NSURFRP.; Oei[ed riauoaa^ 'Yoxuraaw Ca . •..r . ` <br /> Indian River BOCC iINSURER La: <br /> Beth Jordan Risk Manager INSURER CI _ <br /> 1.840 25th 0 a INSURER D, <br /> Vero Beach FL 32960 — <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW hAVE BEEN IGSUMD TO THE INSURED NAMED ABOVE FOR THE POLI.1' PERIOD INDICATED, NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM DR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY GE ISSUED OR <br /> MAY PERTA,N, THE INSURANCE AFFORDED BY THE POLIC ES OEECP.IBED HEREIN IS SUEdECT TC ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES . AGOREOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> RRKVDT� —��iOLttP FF �TI TICC�ESC ) t4 <br /> IRLTR NSRC TYPE OF INSURANCE POLICY NUM6Ek 1 DATE MMIA K DATk fMMVDOKYLIMNS <br /> a LI GENERAL LLgBILITY � EAC N OCCURRENCE 5 <br /> K COMMEFaALGENERALL"iLrY 080065469 10 / 01 / 03 I 10 / 01 / 04 <br /> l CLAUS MADE IXC OCCUR M1113 2KP tmy one Pmon) I S <br /> 9000000 X0 $ 100 , 000 I PERSONAL & ACV INJURY SSir <br /> GENERAL AGGREGATE $ 1000000 <br /> OEM, <br /> " AGGREI3ATELIMIT APPLIES PER; I PRODUCTS - GOMP/OPAGG 5 1nG111diYLCJ <br /> POLICY 7JEG LOC i <br /> AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT a <br /> ANY AUTO 'PHIS INSUIRANW �, tea accident) <br /> ALI, OWNED AUTOS ( TITS FILORIDA humusluffn LAS _ <br /> PERSONS INSURED � BODILY INJURY <br /> SCHEDULEOAt1TOS F1F►F.I,IB (Peroeroen) S I <br /> ~ HIREDAUTOS CARRIEM DO NQT HAVOTFT PRO ICUN <br /> NON-CWNEDAUTO5 Of THE FLORIDA INS ANt t(aDiLY tctdertlRY b <br /> r I ACT TO THE EXTENT AMT MKT op I - • • -• — <br /> _ . RECOVERY FOR THE O GATIO" OF PROPERTY DAMAGE b <br /> I � {PeraeC.oent) � <br /> GARAGE LIMUTY AUTO ONLY • EA ACCIDENT S <br /> ANY AUTO OTTER THAN EA ACC 5 <br /> AUrD ONLY! AGG 5 <br /> EXC&SSIUMBRELLA LIABILITY I EACH OC URRENCE E <br /> OCCUR G CLAIMS MADE I AGGREGATE .� <br /> DEDJCTIfILE I �_... g . <br /> RETENTION S 6 <br /> WORKERLS COMPENSATION AND STATU, Ir3T <br /> EMPLOYERS' LIABILITY TORY [VrTSJ_ I E <br /> ANY PRCIPRIETORIPARTNER/EXEGUTNE E.L. EACH ACCIDENT I S <br /> OFFICEFUMEMBER EXCLUDEDY III E.L. D15EASE • EA EMPLOYEE s <br /> KyC� tlexvl6E• tpltlL+f <br /> SPEGIIAL PROVISIONS gnaw E,L, DISEASE • POLICY LIMI r S <br /> OTHER <br /> A PROPERTY COVERAGE CPDD654691p / 01 / 03 10 / 01 / 04 real & $ 1 , 080 , 000 <br /> $ 900K XS BOOKpersonal incl sir <br /> DESCRIPTION DF OPERAT)ONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENOOR6EMENT I SPECIAL PRDVM5 S <br /> Ae proof of insurance for Indian giver . County SOCC regarding their <br /> lease / purchaze of equipment &S shown asp schedule Gent to ATUG dated 04 / 14 / 04 . <br /> Certificate Holder is loss payee in relation to the list of items . <br /> CERTIFICATE HOLDER CANCELLATION <br /> BSFSBQU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE YHEREOF, THE ISSUING INSURER WL: , ENDEAVOR TO MAIL DAYS WRI'TTr; N <br /> NOTICO TO THE CEIRTIFIDATIE HOLDER NAMED TO THE Lin, BUT FAILURE TO DO 80 SMALL <br /> REFS Equipment Leaning IMPOSE NO ORLION OR LIAW Y O <br /> ICATF ANY KIND UPON YHA INSURER. ITS AGENTS 0 <br /> 4333 Edgewood Rd , Suite 400 , <br /> Cedar Rapids 21. 52499 ROPRESEPn'ATIVL:S, <br /> FAU1,10RIZEDROPMENTATIVEhard M . Terlecki , CPCi7 , ARM <br /> ACORD 26 (2009/D8) ACORD CORPORATION 998E <br />