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- DATE (MM/DD/Yl'YY) ACORD TM. CERTIFICATE OF LIABILITY INSURANCE 01 /29/2009 PRODUCER Phone: (772) 562-3369 Fax: (772) 562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HILB ROGAL 8r HOBBS OF FLORIDA, INC . - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2045 14TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 130 VERO BEACH FL 32961 INSURERS AFFORDING COVERAGE NAIC # I - INSURER A: Westport Insurance Corp INSURED SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC . INSURER 8 : Westport Insurance Corp 1151 19TH STREET INSURER C : Guarantee Insurance Co VERO BEACH FL 32960 INSURER D: _ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT , TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR TYPE OF INSURANCE DATE MMIDOryY DATE MM/DD/YY $ 1 ,000 , 000 GENERAL LIABILITY WCP120009370300 01125/09 01125/10 EACH OCCURRENCE _-_ —_ DAMAGE TO RENTED $ 1 ()01000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) CLAIMS MADE I ' � OCCUR MED. EXP (Any one person) $ -- 5 , 000 PERSONAL & ADV INJURY $ 1 ,000 , 000 : - A - -- _ GENERAL AGGREGATE $ 3 ,000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: '1 PRODUCTS-COMP/OP AGG. $ 31000 , 000 r - --- PRO- F-1 LOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ -_ , I (Ea accident) --_ —_.. -- - - ANY AUTO BODILY INJURY ALL OWNED AUTOS (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) , NON -OWNED AUTOS - PROPERTY DAMAGE $ --- - -- ----- ---' (Per accident) AUTO ONLY - EA ACCIDENT GARAGE LIABILITY $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ 1 ,000 , 000 EXCESS I UMBRELLA LIABILITY WUM120009370700 01 /25/09 01 /25/10 AGGREGATE $ _ 1 , 000 , 000 X OCCUR I CLAIMS MADE - -- $ DEDUCTIBLE — I RETENTION $ 10,000 $ X WC STATU- OTHER ! WORKERS COMPENSATION AND GWGCI O0002483-109 01110/09 01 /10/10 TORY LIMITS — -- - EMPLOYERS' LIABILITY E.L. EACH ACCIDENT — $ — 100 ,000 C ANY PROPRIETORIPARTNERIEXECUTIVE E. L. DISEASE-EA EMPLOYEE $ _ 100 ,000 OFFICERIMEMBER EXCLUDED? It yes, describe under E. L. DISEASE-POLICY LIMIT $ 500 ,000 ' SPECIAL PROVISIONS below O11 THER : PROFESSIONAL LIABILITY i WCP120009370300 01 /25/09 01125/10 $ 1 , 000 , 000 - PER INCIDENT 1 $ 310001000 - AGGREGATE A i I NO DEDUCTIBLE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS z� :,. CERTIFICATEHOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE SSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO T CERTIFI ATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPO NO OBLIG ION OR LIABILI F ANY KIND UPON THE INSURER, ITS AGENTS OR REP SENTATIV INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS AUTHORIZED RE- PRE ENT 1801 -27TH ST, BLDG A VERO BEACH , FL 32960 Attention : © ACORD CORPORATION 1988 ACORD 25 ( 2001 /08 ) Certificate # 118910