Laserfiche WebLink
'4rORDTM OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br /> CERTIFICATE 01 /29/2009 <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: Westport Insurance Corp <br /> SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY , INC . INSURER B : Westport Insurance Corp _ <br /> 1151 19TH STREET <br /> INSURER C : Guarantee Insurance Co <br /> VERO BEACH FL 32960 — <br /> INSURER D : <br /> INSURER E: — - ---- - - --- -- --i -- - - <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />, NOTWITHSTANDING <br /> ANY REQUIREMENT , TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR <br /> MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND <br /> CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPTION LIMITS <br /> LTR IINSRD, DATE MM/DD/YY DATE MM/DDIRA/YY <br /> GENERAL LIABILITY WCP120009370300 01125/09 01 /25/10 EACH OCCURRENCE $ 1 , 000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 , 000 <br /> PREMISES (Ea occurence) <br /> CLAIMS MADE X OCCUR MED . EXP (Any one person) Is 51000 <br /> A - — _ . - PERSONAL & ADV INJURY $ 11000 , 000 <br /> GENERAL AGGREGATE I $ 31000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER : ', PRODUCTS-COMP/OP AGG . 1 $ <br /> 310009000 <br /> PRO- <br /> POLICY I JECT I LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO !i COMBINED SINGLE LIMIT <br /> ( Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS Per erson - $ <br /> P <br /> --- -- <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON -OWNED AUTOS (Per accident) <br /> - - - -- ._ . -_ _ ---_..— - PROPERTY DAMAGE <br /> 1 $ <br /> ( Per accident) I <br /> i <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS i UMBRELLA LIABILITY WUM120009370700 01 /25/09 01 /25/ 10 EACH OCCURRENCE $ 11000 , 000 <br /> X OCCUR CLAIMS MADE I AGGREGATE I $ 11000 , 000 <br /> -- -- - <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10 , 000 1 $ <br /> WORKERS COMPENSATION AND j WC STATU- j OTHER <br /> GWGC100002483- 109 01 / 10/09 01 / 10/10 TORY LIMITS <br /> EMPLOYERS' LIABILITY E. L. EACH ACCIDENT 1001000 <br /> C ANY PROPRIETORIPARTNER/EXECUTIVE ( - ------ ------- <br /> OFFICER/MEMBER EXCLUDED? 1 E. L. DISEASE-EA EMPLOYEE 1 $ 100 , 000 <br /> If yes, describe under <br /> ' SPECIAL PROVISIONS below 1 E. L. DISEASE-POLICY LIMIT 1 $ 500 , 000 <br /> OTHER : PROFESSIONAL LIABILITY WCP120009370300 01 /25/09 01 /25/10 $ 1 , 000 , 000 - PER INCIDENT <br /> A $ 31000 , 000 - AGGREGATE <br /> NO DEDUCTIBLE <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/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 THERE SSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TOT CERTIFI ATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHALL IMPO NO OBLIG ION OR LIABILI F ANY KIND UPON THE INSURER, <br /> INDIAN RIVER COUNTY ITS AGENTS OR REP SENTATIV <br /> BOARD OF COUNTY COMMISSIONERS <br /> 1801 -27TH ST , BLDG A AUTHORIZED REFIRE ENT <br /> VERO BEACH , FL 32960 <br /> Attention : <br /> ACORD 25 ( 2001 / 08 ) Certificate # 118910 © ACORD CORPORATION 1988 <br />