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ACORDa CERTIFICATE OF LIABILITY INSURANCE7 DATE (MM/OD/YYYY) <br /> 01/21/1009 <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 Blvd . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Leesburg , FL 34748 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Penny Garrett INSURERS AFFORDING COVERAGE NAIC # <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 - 623I 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 /> NLTR rSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE IMMMQNY% DATE 111111111111DWYVI <br /> GENERAL LIABILITY NPP2103140 05/01/1008 05/01/2009 EACH OCCURRENCE S jr 000 00 <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 10090011 <br /> CLAIMS MADE Q OCCUR MED EXP (Any one person) $ 51 0 <br /> A PERSONAL 8 ADV INJURY $ Exc7 l ude <br /> GENERAL AGGREGATE S 2 9 0009 O <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S Exclude <br /> POLICY PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS ( Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident ) $ <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC S <br /> OTHER THAN <br /> AUTO ONLY. AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR F1 CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> M Tr <br /> EMPLOYERS' LABILITY <br /> ANY PROPRIETORIPARTNERIEXCCUTIVE <br /> E. L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE EA EMPLOYEE $ <br /> If yes. describe ender <br /> SPECIAL PROVISIONS below E . L. DISEASE - POLICY LIMIT S <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> CERTIFICATE DE T N <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 31960- 3365 AUTHORIZED REPRESENTATIVE <br /> Ted Ostrander , 7r . PENNYG <br /> ACORD 25 (2001108) ©ACORD CORPORATION 1988 <br />