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u r M <br /> ACORD,,, CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMOD/YYYY) <br /> INDIA - 1 11 / 04 / 04 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF IN FORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Florida Hospital Assoc Ins Svc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1675 Terrell Hill Rd . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Marietta GA 30067 <br /> Phone : 800 - 476 - 7601 Fax : 770 - 850 - 0988 INSURERS AFFORDING COVERAGE N= # <br /> INSURED INSURER A: Continental casualty Company <br /> INSURER B: <br /> Indian River Memorial Hospital <br /> Greg Morgan INSURER C: <br /> 1000 36th Street INSURER 11, <br /> Vero Beach FL 32960 <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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY DATE MM/FE TIVE POLICY EXPIRATION <br /> D DATE MMI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE f <br /> COMMERCIAL GENERAL LIABILITY VAMPREMISES Ea oceurence $ <br /> CLAIMS MADE OCCUR MED EXP <br /> (Any one person) S <br /> PERSONAL a ADV INJURY f <br /> GENERAL AGGREGATE f <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG f <br /> 1 "1POLICY Z'c LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT f <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) f <br /> HIRED AUTOS <br /> BODILY INJURY f <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE f <br /> (Peraoddent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC f <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABLITY EACH OCCURRENCE f <br /> OCCUR CLAIMS MADE AGGREGATE f <br /> S <br /> DEDUCTIBLE <br /> f <br /> RETENTION s f <br /> WORKERS COMPENSATION AND X TORY LIMITS ER _ <br /> A EMPLOYERS' LIABILITY yq- 7 2 8 5 8 8 4 3 8 01 / 01 / 04 <br /> ANY PROPRIETORIPARTNER/EXECUTNE 01 / 01/ 05 E.L. EACH ACCIDENT f $ 1 or0 0 0 f 0 0 0 <br /> If yyeeFss#C�be E�CLUDEDT E.L. DISEASE • EA EMPLO $ $ 1F0001000 <br /> SPECIALPROVISIONS below E.L, DISEASE • POLICY LIMIT S $ 1 , 000 , 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Proof of coverage for above Named Insured , <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIANC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO So SHALL <br /> Indian River County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1840 25th Street REPRE TATIV.ES. <br /> Vero Beach FL 32960 AUT <br /> IZEDMPRE TA VE <br /> ACORD 25 (2001 /08) _ © ACORD CORPORATION 1988 <br />