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� c <br /> ACORDOP ID GATE (MMrDWYYYY) <br /> ,„ CERTIFICATE OF LIABILITY INSURANCE 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 Mill 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 NAIC # <br /> INSURED INSURER A: Continental casualty company <br /> INSURER 8: <br /> Indian River Memorial Hospital INSURERC: <br /> Gregg Morgan - <br /> 1000 36tH Street INSURER D: <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 r <br /> SR - POLICY EFFECTIVE POLICY EXPIUMN <br /> TYPE OF INSURANCE POLICY NUMBER DATE (MWDDrM DATE (MM/DDrM UMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S — <br /> COMMERCIAL. GENERAL LIABILITY PREMISES Es occurence f <br /> CLAIMS MADE F ] OCCUR MED EXP (Any one person) $ <br /> PERSONAL d ADV INJURY S <br /> GENERAL AGGREGATE $ <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S <br /> POLICYF'j M LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Fa acddenl) S <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) f <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Peraccldent) $ <br /> PROPERTY DAMAGE S <br /> (Peracddent) <br /> rAAUTOEA <br /> LIABILITY AUTO ONLY - EA ACCIDENT S <br /> OTHF�t THAN ACC $ <br /> AUTO ONLY: AGG S <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR EICLAIMS MADE AGGREGATE f <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION S $ <br /> WORKERS COMPENSATION AMD X TORY LIMITS I I FR <br /> FP <br /> A EMPLOYERS' LIABILITY W- 128588438 01 / 01 / 04 01 / 01/ 05 E.L. EACH ACCIDENT S $ 100001000 <br /> ANY PROPRIETORIPARTNERIEXECUTNE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOY - $ $ 110001000 <br /> a � E.L. DISEASE - POLICY LIMIT $ 1 0 0 0 x 0 0 0 <br /> under <br /> SPECIAL PROVISIONS below $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I 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 THERE-OF, 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 TATIVFS. <br /> Vero Beach FL 32960 Aur IZEDR£PRE TA VE <br /> ZwooiACORD 25 (2001108) © ACORD CORPORATION 1988 <br />