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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/01 /29/20092009 Y) <br /> TM . <br /> PRODUCER Phone. :;772) 562-3369 Fax (f772) 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 . iINSURER 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 <br /> BE 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> TYPE OF INSURANCE POLICY NUMBER <br /> LTR INSRd, DATE MMIDDIYY DATE MMIDDIYY <br /> GENERAL LIABILITY WCP120009370300 01 /25/09 01 /25/10 EACH OCCURRENCE $ 11000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED <br /> PREMISESS R occurence) Is 100 , 000 <br /> . y person $ 5 , 000 <br /> ' CLAIMS MADE OCCUR MEDEXP (Anone I - <br /> A - - - — I PERSONAL & ADV INJURY 19000 , 000 <br /> GENERAL AGGREGATE —+$-- 31000 , 000 <br /> GEN' L AGGREGATE LIMIT APPLIES PER : PRODUCTS-cOMPIOP AGG . $ 3 , 000 ,000 <br /> - , PRO- iI <br /> -- LOC <br /> POLICY ! JECT <br /> AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT <br /> ANY AUTO ( Ea accident) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> ( Per person) $ - - <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br /> ( Per accident) $ <br /> NON -OWNED AUTOS <br /> I - <br /> _ __. _ PROPERTY DAMAGE $ <br /> ( Per accident) <br /> _ GARAGE LIABILITY , AUTO ONLY - EA ACCIDENT s <br /> ANY AUTO j OTHER THAN EA ACC <br /> - -- I AUTO ONLY : AGG ^ $ <br /> EXCESS I UMBRELLA LIABILITY f'I WUM120009370700 01 /25/09 01 /25/10 EACH OCCURRENCE I; $ 11000 , 000 <br /> X OCCUR CLAIMS MADE AGGREGATE . $ 12000 , 000_ <br /> B — $ <br /> DEDUCTIBLE <br /> X RETENTION $ 10 , 000 I $ <br /> TVC STATU <br /> WORKERS COMPENSATION AND GWGC100002483 -109 01 /10/09 01 /10/10 ! T� uMITs ��°THER <br /> EMPLOYERS' LIABILITY : �i, E. L. EACH ACCIDENT is$ 1009000 <br /> C ANY PROP RIETORIPARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ 1003000 <br /> If yes, describe under -f — <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 OPERATIONS/LOCATIONS /VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDERCANCELLATION <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 IMPO NO OBLIG ION OR LIABILI F ANY KIND UPON THE INSURER, <br /> INDIAN RIVER COUNTY T' S AGENTS OR REP SENTATIV <br /> BOARD OF COUNTY COMMISSIONERS AUTHORIZED REPRE ENT <br /> 1801 -27TH ST , BLDG A <br /> / <br /> VERO BEACH , FL 32960 <br /> Attention : �£1 <br /> ACORD 25 ( 2001 /08 ) Certificate # 118910 © ACORD CORPORATION 1988 <br />