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ACoko CERTIFICATE OF LIABILITY INSURANCE OPID S DAM (MMDDM'W) PRODUCER AXIS - - 1 04 / 30 / 08 Thomas E Corkhill Ins Agcy , LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P . O . Box 538891 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 20 South Bumby Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Orlando FL 32853 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone : 407 - 898 - 6891 Fax : 407 - 898 - 8813 INSURED INSURERS AFFORDING COVERAGE NAIC # INSURER A: eritlgeftsld Em Layers ins . co . : Hartford asurenee/ 10701 AXIS ( dba ) Advanced Xerographic INSURER Bxpana iii 01391 I85 T Sy rives , Inc . INSURER C: Auto —Owners Insurance 6851 TPC Drive 18988 Orlando FL 32822 INSURER D' COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY DATE MMAl01W DATE MMIDDM' LIMITS B X X COMMERCIAL GENERAL LIABILITY 121SBQBQ0017 I 06 / 27 / 07 06/27 / EACH OCCURRENCE $ 1 , 0001000 CLAIMS MADE OCCUR 06 PREMISES (Ea accurence) $ 300 , 000 MED EXP IAny one Persm) $ 10 , 000 PERSONALE ADV IWURV $ 1 , 000 , 000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2 , 000r OOO POLICY IX j�ECT LOC PRODUCTS - COMP/OP AGG $ 2 r OOO , OOO AU JMOBILE LIABILITY C X X ANY AUTO4376090300 COMBINED SINGLE LIMIT ALL OWNED AUTOS 06 / 27 / 07 06/ 27 / 08 (Ea acFdonl) $ 1000000 SCHEDULED AUTOS - BODILY INJURY X HIREDAUTOS I (Per person) S X NON-OWNED AUi05 BODILY INJURY (Per acadwt) $ PROPERTY DAMAGE GARAGE LIABILITY (Per acddent) $ ANYAUTO AUTO ONLY . EA ACCIDENT $ OTHER THAN EA ACC S EXCESSNMBRELILA LIABILITY AUTO ONLY AGG $ B — X X OCCUR � CLAIMSMADE I21XHQY1846206 / 27 / 07EACH OCCURRENCE $ 1 , 000 , 000 1 06/ 27 / 08 AGGREGATE 81 , 000 , 000 DEDUCTIBLE S X RETENTION $ 10 r 000 I $ WORKERS COMPENSATION AND $ A EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE 196 - 04491 06 /27 / 07 Y' TORY LIMBS ER OFFICEMMEMBER EXCLUDED? O6I27 � OB EL EACH ACCIDENT $ 500000 Byes, desmbe untler SPECIAL PROVISIONS below - E.L. DISEASE - EA EMPLOYEE $ 500000 OTHER E.L. DISEASE - POLICYLIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCADONS I VEHICLES I EXO WSIONS ADDED BY ENDMWMENT I SPECIAL PROVISIONS Certificate holder is added as additional insured with respect to the General Liability , Auto Liability and Umbrella Liability as required by contract . A Waiver of Subrogation in favor of the General Liability applies , CERTIFICATE HOLDER CANCELLATION INDIUTI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Indian River County Utilities IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1801 27th Street REPRESENTATIVES. Vero Beach FL 32960 AUTHORIZED REPRESENTATIVE ACORD 25 (2001 !08) Scott Corkhill AAI #AO54965 © ACORD CORPORATION 1988