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DATE (MMIDD/YYYY) <br /> AC mCERTIFICATE O F LIABILITY INSURANCE 09 <br /> SoIsCERTIFICATE <br /> IISSUED AS A MATTER OF INFORMATION <br /> PRODUCER (352) 787. 3441 ) <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Lassiter - Ware Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 1317 Citizens 81 vd . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Leesburg , FL 34748 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> Penny Garrett <br /> INSURED Indian River County Healthy Start Coalition In INSURERA: Mount Vernon Fire Insurance Co 26522 <br /> 1615 10th Avenue INSURER B: <br /> Vero Beach , FL 32960 - 6231 INSURER C: <br /> INSURER D: <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 /> R DD' POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> INS <br /> TYPE OF INSURANCE POLICY NUMBERDATE iMMIDDNYI <br /> NM <br /> GENERAL LIABILITY NPP2103140A 05/01/2009 05/01/2010 EACH OCCURRENCE $ 11000 . OO <br /> DAMAGE TO RENTED $ 100 , 00 <br /> X COMMERCIAL GENERAL LIABILITY <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ 5000C <br /> PERSONAL & ADV INJURY $ Exc7 ude <br /> A X <br /> GENERAL AGGREGATE $ 2 , OOO , OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Excl ude <br /> POLICY <br /> PRO- <br /> COMM <br /> RO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIREDAUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT $ <br /> GARAGE LIABILITY <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EACH OCCURRENCE $ <br /> EXCESS/UMBRELLA LIABILITY <br /> OCCUR F-1CLAIMSMADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ <br /> 7E.L. DISEASE <br /> 7EA <br /> OTH- <br /> WORKERS COMPENSATION AND <br /> Y LIMITS I <br /> EMPLOYERS' LIABILITY $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE LOYE $OFFICER/MEMBER EXCLUDED? <br /> If yes, describe under LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Certificate holder is also additional insured with regards to General Liability per policy forms . <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 <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Indian River County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> Board of County Commissioners <br /> OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.1801 27th Street <br /> Vero Beach , FL 32960 - 3365 AUTHORIZED REPRESENTATIVE ,� � � � � � <br /> 7rL . atir — <br /> Penn Garrett/PENNYG <br /> ©ACORD CORPORATION 1988 <br /> ACORD 25 (2001 /08) <br />