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ACORD CERTIFICATEOF LIABILITY INSURANCE DATE (MMIDDr7 m <br /> ry 0910112009 <br /> PRO°Ila THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> David Hedges Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2601 20th Street Suite B HOLDER. THIS CEW*ICATE DOES NOT AMENR EXTEND OR <br /> Vero Beach, FL 32950 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> aINSURERS AFFORDING COVERAGE NAIL 0- <br /> 131 RFD -- — INSURER A: S* M Femf Flarldo Imturanae Company 107" <br /> Carter Associates, Inc. INSURER B: a3GIL Farm Mutuel AtdomoWle h *Unmoe Comprny 25179 <br /> 1708 21 St Street INSURER G, Stab Fenn Fier and CAUXA r Cnmpaely Z51S3 <br /> 29 <br /> Vero Beach, FL 360 . -- <br /> INSURER D; - - <br /> INSURER E- ^ <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED , NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OFSCRISED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREOATF LIMITS SHOWN MAY HAVE BEEN REDUC£O BY PAID CLAIMS. <br /> INSR ADVrL PMPCTwUMWR POLICY EFFECTIVE PUUCTF7LPFAl1Pr+ L rT� <br /> A GENERALLIABILJTV 98- 1C1A130-8 08117109 08!'17110IJAWA(iE TU RENTED <br /> �+ aCURRENCE S 1000,000.00 <br /> X COMMERCIAL OENERAL LTA6IUIY <br /> I PREMAES� ocGnenee S _ <br /> CLAIMS MADE IX OCCUR _MED EXP (Any ana parmn) f _ 5,000 .00 <br /> _ PERSONAL & ADV INJURY S 10001000 .00 <br /> OENERAL AGGREGATH S 270007000 . 00 <br /> GENL AMgFmGATEUMTT APPLIE& PER: MBG S 2,000y0O0.00 <br /> X POLICYX P O•j T F7 LOC - <br /> a AUTOMoeaELIATiILtTY I I8 2950-FT3mM 06/ t3I09 W13MO COUMNED SINGLE LIW s 1 000 000.00 <br /> ANY AUTO (E4 °=�h) <br /> X ALL OWNED AUMS <br /> 80D1LY rtWRY S <br /> X 5CHEDULED AUTOS (POT Peen) <br /> X WREO AUTOS BODILY INJURY <br /> X NON•OAnVEO AUTOS (Pur w=jdgnl) S <br /> PROPERTY DAMAGE S <br /> (Per ee:e�do�n) <br /> GARAGEUABILIIY AUTO ONLY . EA ACCIDENT S <br /> ANY AUTO EA ACC S <br /> OTHER THAN _ <br /> AUTOONLY: AGO S <br /> A EXCFSWUMBRELLAUASTUT/ 984(191314 09/17/09 08117110 FACHOOCURRENCEbd A 300007000.00 <br /> 7X OCCUR CLAIMS MADE AGGREGATE mm S <br /> S <br /> DEDUCTIBLE 3 <br /> RETENTION S S <br /> WORKERS X C STATU• DTH- <br /> (; COMPENSATION W <br /> 98-T2-X281 -� 01101 /09 01 /01110Q:zr_ LIMrrS <br /> ENIPLOYERS' LIARILITr <br /> ANY PROI'RtI2TORIPARTWFR/EXCCUTIVL- _ E.L, EAGHACCIDENT S 1 , 000, 000.00 <br /> OFFICER/MEMBER EXCLUDED ) ,EL. DISEASE • EA EMPLOYEE S 13000. 000 .00 <br /> If a. aeacrlec 'Indo" E.L. DISEASE - FVLOCY I mm S 1 ,000,000.00 <br /> SPECIAL PR'OViSgNS trWn.. <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICL ro 1 CMW MMS A0W-D QY CRDORSEMITNT I SPECIAL. PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> ADDITIONAL INSURED_ SHOULD ANY OFTNEASOVEDESCRIGMPMMWfSBECANCEL.LEDQerofMTHS EXPIRATION <br /> Indian River County DATE THEREOF, THE ISWI14C INSURER IMILL ENDEAVOR 110 MAIL 30 DAYS WRITTEN <br /> 11301 27th St, BI[tg. A NOTICE TO THE CERTIFICATE HOLDER NALIED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br /> Vero Beach, FL 32960 OP60C NO ODUrATIO" OR LIABXJTY OF ANY KIND ITvou THE INSURER• " AGENTS OR <br /> Fax 778-9391 Im ; ATFM <br /> ACORD 25 (2009108) 1 CORPORATION 1988 <br />