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till-IV <br /> ACID RD CERTIFICATE OF LIABILITY INSURANCE DATE (MM OD <br /> 11/0212006 rn <br /> PHILBRODUCER Phone: (772) 562-3369Fax:FLORIDA, INC. - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 2045 14TH <br /> 8 HOBBS OF IDAINC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 204514TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P O BOX AC ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: AUTO-OWNERS INSURANCE COMPANY + <br /> INDIAN RIVER COUNTY HEALTHY START, INC. (INSURER B: HARTFORD UNDERWRITERS INSURANCE C _OMPNY - - - <br /> 1603 10TH AVE. <br /> -- <br /> VERO BEACH FL 32960 INSURER C: UNITED STATES LIABILITY INSURANCE COMPANY <br /> INSURER D: <br /> COVERAGES ' INSURER E: - -- - - <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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> (NSR ADDTYPEDFINSURANCE - - - ---- -- -- - <br /> LTR (NSR POLICY NUMBER PDTE1 MEFFECTIVE pnA= ia PIRATON LIMITS <br /> MND pgiE MM1VDp <br /> GENERAL LIABILITYpATE NDO100554443 . 08108106 08106107 EACH OCCURRENCE _ g ___ _ 1 ,000, 000 <br /> COMMERCIAL GENERAL LIABILITY - MMAGETORENE! - -- -- <br /> PREMISES (Fa uJ t 50,000 <br /> LGEgLA�G_GREGATE <br /> LAIMS MADE OCCUR - -- - <br /> MED EXP (Any one person) $ _ 5,000 <br /> C <br /> PERSONAL BADV INJURY �$ 1 ,000,000 <br /> GENERAL AGGREGATE $ 1 ,000,000 <br /> LIMBAPPLIES PER: PRODUCTS-COMP/OP ACG. $PR0. 1 ,000,000 <br /> JECT LOC <br /> AUTOMOBILE LIABIUTY <br /> ANYAUTO COMBINED SINGLE LIMIT <br /> (Ea amldent) S <br /> ALL OWNED AUTOS ------ — <br /> URY <br /> SCHEDULED Al1T0S (Per person) g <br /> 7jHIREDAUTOS [BODILY <br /> - - - <br /> —1111 BODILY INJURY " $ <br /> yI NON-OWNED AUTOS (Per amldent) <br /> PROPERTY DAMAGE -�- -- - <br /> (Per accident) E <br /> I GARAGE LUIBILITY <br /> � <br /> AUTO ONLY - EA ACCIDENT � $ <br /> ANY AUTO I <br /> AUTOOTHER <br /> ONLY. EA ACC ' E <br /> AUTO ONLY: --'- _- - - <br /> AGG $ <br /> EXCESS ! UMBRELLA LI ABILITY <br /> OCCUR CLAIMS MADE EACH OCCURRENCE $ -- <br /> ❑ AGGREGATE g <br /> DEDUCTIBLE $$ <br /> RETENTION E ----- -- <br /> WORKER$ COMPENSATION AND I 21LYEC GD77�u we srgTLL <br /> R <br /> Dn , $ <br /> EMPLOYERS' LWBILTfY I i 05/03/06 00/03/07 TDRYDMRS <br /> B ANY PROPDETORNARTNERIIXECIIfNE I E.L. EACH ACCIDENT S 100,000 <br /> OFFICERNIEMBER EXCLUDED? _ <br /> Irp., "se"wunser ' E.L. DISEASE-EA EMPLOYEE $_ 100,000 <br /> SPECIAL PapvralpNa Mlox: E.L. DISEASE-POLICY LIMIT $ 500,000 <br /> C OTHER: DIRECTORS AND OFFICERS ND01005544G 08/06/06 08/08/07 $1 ,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERITIFICATE HOLDER NAMED AS AN ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AS PER POLICY FORM AND <br /> PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br /> INDIAN RIVER COUNTY ITS AGENTS OR REPRESENTATIVES. <br /> 1840 25TH STREET <br /> VERO BEACH FL 32960 AUTHORIZED REPRESENTATIVE L <br /> Attention: 978-1798 MARIANNE MASTERSON Idney a�a� <br /> ACORD 25 (2001108) Certificate # 99876 © ACORD CORPORATION 1988 <br />