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10 ' 09 ; 03 THU 08 : 59 FAX 7722314413 FELTEN & ASSOCIATES @1001 <br /> •B.CORD, CERTIFICATE OF LIABILITY INSURANCE 10/08/200 <br /> PRODUCER ( 772) Z31- 2828 FAX ( 772 ) 231 -4413 THIS CERTIFICATE IS ISSUED AS A MATTER 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 ) ALTER THE COVERAGE AFFORDS Y THE POLIC-IES BELOW. <br /> P . O . Box 3488 <br /> Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE MAIC <br /> INSURED Su stance Abuse Council— oF Indian River County INsuRERA: Colony Insurance <br /> 2501 27th Ave Ste A - 7 IN3URER5: Progressive Express 1019 °• <br /> Vero Beach , FL 32960 IN3uREP C: Commerce & Industry Insurance <br /> INSURER D: <br /> I i !NISUREF E.- <br /> L -- — <br /> COVERAGES <br /> THE POLICIES OF INSURANCE I-STE'a 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTAiTHSTAND!Ni <br /> ANY REQUIREA(ENT, TERGA OR CONDITION OF ANY CONTRk• T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE. MAY 3E ISSUED OR <br /> MAY PERTAt4j THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIDNS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOU ;ED BY PAID CIAIMS • _ <br /> INSR DD' TYPe OF INSURANCE POLICY NUMBER POLItEY EFF6CTIYE POLICY EXPIRATION LIMITS �_ v <br /> AAT_ lAiWFFE YYiDATE INIMMOnM <br /> GENERAL UABILITY MP 714134 04/01/2003 04/01/2004 EACH OCCURRENCE 5 11000 , 00 <br /> X COMMERCIAL GENEP.AL LIABILITY DAMAGE TO %E.NTED 501000 <br /> _ <br /> c c r- <br /> CLAIMS MADE a OCCUR MED EXP (Aq one person) S _ S , 00 <br /> A PER$ONAL & ADV INJURY S 190001000 <br /> GENERALAGviRFGATE S Z , OOO , OO <br /> rjANOY <br /> REGATEUr.11TAPPLtESPPRODUCTS - COW10PAGG 3 EXCLUDEICY JfiCJ L�EULEUABILITY CA044377463 02 /05 /2003 0x/05/2004 CCMBINEOSINGLELMIT <br /> S <br /> (Ee accidcr-1) 1 000 00 AUTO -- 1 <br /> AL!, OWNED AUTOS ECOILY INJURY S <br /> X SCHEDULED AUTOS (Per FefSCni <br /> B I HiREC AUTOS BODILY INJURY +— <br /> ! <br /> ft'if BcpdE:At) I <br /> MON-OWNED AUTOS <br /> PROPERTY DAMAGE <br /> (Per dCCJdent) S <br /> GARAGE LABtLIYY AUTO ONLY • EA ACCIDENT j $ <br /> MOW <br /> ANY AUTO OT)sERTHAN FA ACC S <br /> Au'roonLv: AcG s <br /> j EXCE+SRIMBRELI A LMAILITY EACH OCCURRENCE S <br /> OCCUR CLAIMS MADE AGGREGATE s _ <br /> I S <br /> 1 DEDUCTIB.E FT I <br /> RETENTION S _ <br /> WORIt&RS COMPENSATION AND WC3148705 01/10/2003 01/ 10/2004 nC STAT Us OTN• <br /> EMPLOYERTUASILITY EI. EACHA�COENT S 7.0010 ( <br /> C ANY PROPPJETOMPARTwER)EXEC'JTIVE <br /> OFFICERNAEMBER EXCLUVIM? j E.L. DISEASE , EA EMPLOYEES 100 , 00 <br /> D Yes, describe under <br /> SPECIAL PROVISIONS Wow El . DISEAs: - POLICY LIMIT s 500 , 0 <br /> OTHER j <br /> DdEMPTICN OF OPERATIONS I LOCATIONS I VEHICLES r EXCLUSIONS ADDED BY ENUORSPMENT J SPECIAL PROVISIONS <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 barkers Compensation only" <br /> CERTIFIC&mEC- HOLDER CANCFLLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE• <br /> EXPIRATION DATE THEREOF, THE ISSU;NG INSURER WILL ENDEAVOR TO MAIL <br /> Indian River County , Florida 10' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Attn • Beth Jordan , Risk Manager Bur FAILURE TO MAJLSUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 25th Street OF ANY KIND UPON THE INSURE R, ITS AGENTS OR REPR�ESENIATWES, <br /> Vero Beach , FL 32960 - 336S AUTrIORIZED P.EPRESENTATIVE <br /> Kenneth D . Felten , LtITCF / LB /be f <br /> ACORD 25 (2001108) <br /> iDACORD CORPORATION 1988 <br />