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ACORDDATE (MM/DD/YYYY) <br /> TM. CERTIFICATE OF LIABILITY INSURANCE 10/06/2009 <br /> PRODUCER Phone: (772) 562-°,369 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 0 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 1 -- <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. 'FERM 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 ALL THE TERMS , EXCLUSIONS AND CONDITIONS <br /> OF SUCH <br /> POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 114SR '; ADD'L POLICY EFFECTNE POLICY EXPIRATION <br /> LTR IINSR L TYPE OF INSURANCE POLICY NUMBER DATE MINDD/VY1 DATE (MMrDDlVI'1 LIMITS <br /> GENERAL LABILJTY ND01005544K 08/08/09 08/08/10 EACH OCCURRENCE I $ <br /> COMMERCIAL GENERAL LIABILITY PREMISERENTED . $ <br /> PREMISESS ((Ea occurence) <br /> X 'i, CLAIMS MADE ' OCCUR MED EXP (Anyone person) i $ <br /> A X DIRECTOR 6 OFFICERS PERSONAL Z ADV INJURY ', $ <br /> GENERAL AGGREGATE jS 17000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PFR PRODUCTS-COMPIOP AGG. S <br /> POLICY i JL LOC <br /> Y <br /> AUTOMOBILE LIABILITY I ' COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) is <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) S <br /> SCHEDULED AUTOS <br /> HIRED AUTOS <br /> i . ' BODILY INJURY S <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> ( Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I $ <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG $ <br /> i <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> I i <br /> OCCUR CLAIMS MADE JAGGREGATE $ <br /> I <br /> j <br /> DEDUCTIBLE $ <br /> RETENTION $ S <br /> WORKERS COMPENSATION AND 21 WEC GD7700 05/03/09 1 05/03/10 ORYTLIMITS ! OTHER <br /> EMPLOYERS' LIABILITY E. L . EACH ACCIDENT $ 100 ,000 <br /> B i ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? E . DISEASE -EA EMPLOYEE $ 1007000 <br /> If yes, describe under <br /> ISPECIAL PROVISIONS below E . L . DISEASE-POLICY LIMIT $ 500 , 000 <br /> ' OTHER: <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLES /EXCLUSIONS 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 LABILITY OF ANY KIND UPON THE INSURER , <br /> BOCC ITS AGENTS OR REPRESENTATIVES. <br /> 1800 27TH STREET AUTHORIZED REPRESENTATIVE <br /> VERO BEACH , FL. <br /> Attention : Fge . Thi <br /> ACORD 25 ( 2001 /08 ) Certificate # 123245 © ACORD CORPORATION 1988 <br />