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ACORD CERTIFICATE OF LIABILITY INSURANCE j DAT0129/2009 <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 0 BOX 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> j <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 INSURER C : Guarantee Insurance Co <br /> VERO BEACH FL 32960 <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 <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 ALLTHE TERMS , EXCLUSIONS AND <br /> CONDITIONS OF SUCH <br /> POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> INSRADD'L� TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSRD, DATE MM/DD/YY DATE MM/DD/YY <br /> GENERAL LIABILITY WCP120009370300 01 /25/09 01 /25/10 EACH OCCURRENCE $ 13000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES <br /> PREMISESS ( RENTED <br /> occurence) $ 100 , 000 <br /> CLAIMS MADE ^ OCCUR MED . EXP (Any one person) $ 51000 <br /> PERSONAL & ADV INJURY $ 17000 , 000 <br /> GENERAL AGGREGATE $ 3 , 0001000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG. $ 3 , 000 , 000 <br /> PRO- <br /> POLICY j JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO ( Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> ILI SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> j ( Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO OTHER THAN EA ACC $ <br /> — AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY WUM120009370700 01 /25/09 01 /25/10 EACH OCCURRENCE $ — 170001000 <br /> X OCCUR �- j CLAIMS MADE AGGREGATE $ 1 , 000 , 000 <br /> B $ ------ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10 , 000 $ <br /> WC STATU- OTHER <br /> WORKERS COMPENSATION AND GWGC100002483 - 109 01 / 10/09 01 /10/10 TORY LIMITS _- <br /> EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $ 100 , 000 <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ 100 , 000 <br /> i If yes, describe under <br /> '. SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT $ 500 , 000 <br /> OTHER : PROFESSIONAL LIABILITY WCP120009370300 01 /25/09 01 /25/10 $ 1 , 000 , 000 - PER INCIDENT <br /> A $ 3 , 000 , 000 - AGGREGATE <br /> NO DEDUCTIBLE <br /> DESCRIPTION OF OPERATIONSILOCATIONS/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 TO T CERTIFI ATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHALL /MPO NO OBLIG ION OR LIABILI F ANY KIND UPON THE INSURER , <br /> INDIAN RIVER COUNTY IT'S AGENTS OR REP SENTATIV <br /> BOARD OF COUNTY COMMISSIONERS AUTHORIZED REPRE ENT <br /> 1801 -27TH ST , BLDG A <br /> VERO BEACH , FL 32960 <br /> Attention : <br /> ACORD 25 ( 2001 /08 ) Certificate # 118910 © ACORD CORPORATION 1988 <br />