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DATE (MWDD/YYYY) <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE 10/06/2009 <br /> TM. <br /> PRODUCER Phone. (772) 562-3369 Fax (772) 562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HILB ROGAL & HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2045 14TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P O BOX 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A' UNITED STATES LIABILITY INSURANCE COMPANY <br /> INDIAN RIVER COUNTY HEALTHY START , INC . INSURER B: HARTFORD <br /> 1615 10TH AVE. INSURER C. <br /> VERO BEACH FL 32960 <br /> INSURER D: <br /> INSURER E' <br /> COVERAGES <br /> THE POLICIES Or 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 <br />OR <br /> MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF <br /> SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> NSR ', ADD'LTYPE OF INSURANCE POLICY NUMBER j POLICEFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR IINSRD DATEY MMIDDIYY DATE MMIDD/YY) <br /> GENERAL LIABILITY ND01005544K 08108/09 08/08/10 EACH OCCURRENCE_ _ $ <br /> DAMAGE TO RENTED $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurenm) <br /> X CLAIMS MADE I OCCUR <br /> MED EXP (Any one person) $ <br /> A '' X DIRECTOR & OFFICERS I PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE ! S 1 , 0001000 <br /> GENT AGGREGATE LIMIT APPLIES PER . PRODUCTS-COMPIOP AGG , $ <br /> PRO- <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ! <br /> (Ea accident) is <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) S <br /> SCHEDULED AJTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE '�I $ <br /> ( Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> j EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE <br /> I RETENTION S $ <br /> WC STATU- [ OTHER <br /> WORKERS COMPENSATION AND 21 WEC GD7700 05/03/09 05/03/10 TORY UMTS <br /> EMPLOYERS' LIABILITY 11 E. L . EACH ACCIDENT $ 100,000 <br /> B ANY PROPRIETORIPARTNERfEIECUTIVE <br /> OFFICEMMEMBER EXCLUDED? E L . DISEASE �EA EMPLOYEE $ 100 , 000 <br /> i <br /> Ul yes, dncribe under j E DISEASE -POLICY LIMIT $ 5007000 <br /> ' SPECIAL PROVISIONS below <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL 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 /> BOCC ITS AGENTS OR REPRESENTATIVES . <br /> 1800 27TH STREET AUTHORIZED REPRESENTATIVE <br /> VERO BEACH , FL. <br /> Attention : rge . Thi <br /> ACORD 25 (2001108) Certificate # 123245 © ACORD CORPORATION 1988 <br />