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ACOR CERTIFICATE OF LIABILITY INSURANCE 0610112 9' <br /> PRODUCER (352) 787- 3441 FAX (888) 883 - 8680 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Lassiter - Ware Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1317 Citizens 61 vd . HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Leesburg , FL 34748 <br /> Penny Garrett INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Indian River County Healthy Start Coalition Ino INSURER A: Mount Vernon Fire Insurance Co 26522 <br /> 1615 10th Avenue INSURERS: <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 /> INSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY NPP2103140A 05/01/2009 05/01/2010 EACH OCCURRENCE $ 15000 , 006 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1001 00 <br /> CLAIMS MADE 7 OCCUR MED EXP (Any one person) $ 5 , 00 <br /> A X PERSONAL & ADV INJURY $ Exc 1 ude <br /> GENERAL AGGREGATE $ 2 , 000 , 00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ Exc1 ude <br /> POLICY 7 PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNEDAUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> V�CWORKERS COMPENSATION AND OR STATIT Fs - <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> E. L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E. L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I 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 /> Indian River County 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1801 27th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 - 3365 AUTHORIZED REPRESENTATIVE <br /> Penn Garrett/PENNYG / � <br /> ACORD 25 (2001 /08) ©ACORD CORPORATION 1988 <br />