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lli 17 / LUU4 id;oZ kA.L i7 & 509 wJ4b0 Jlll DAINAGh 1AZor C. uuli Uul <br /> DATE (MM/OD/YYYY) <br /> TM. <br /> ACCO CERTIFICATE OF LIABILITY INSURANCE NOV 1704 <br /> PROCUGFR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SID BANACK INSJA HILB ROGAL & HOBBS CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 204514TH AVE. HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P 0 BOX 130 ALTER THE COVERAGE AFFORDED RY THS POUCIES BELOW. <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE I NAIC # <br /> INSURED II NSURER A: ESSEX INSURANCE COMPANY j <br /> CVLTURAL COUNCIL OF INDIAN RIVER COUNTY, INC . IINSURER B: HARBOR SPECIALTY INSURANCE CO _ I_ <br /> 214514TH AV #11 ' INSURER. CP _ � y <br /> VERO BEACH FL 32960 --D, - - - <br /> INSURER P. I <br /> 1INSURER 9; <br /> COVERAGE$ <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE DEEM ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br /> ANY RFOUIREMENT, TERM OR CONDITION OF ANY CONYRAOT OR OTHER DOCVAENT WITH RESFECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEU HEREIN IS SUBJECT TO ALL THE TCRMS, EXCLUSIONS AND CONDITIONS <br /> OF SUCH <br /> r0LIC!ES. AGGREGATE LIMITS SHOWN MY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> NSR AD" TYPE OF INSURANCE POLICY NUMBER POLICY ESFECTNE T►OUCY EEPIRA710f1 I � '� LIDUTS <br /> LTR INBRD DATE MNM DATE NWT)D <br /> ' GENERAL LIABILITY 3CM8192 MAR 10 04 MAR 10 05 EACH occuPJRENCE ', i 1 , 000,000 <br /> ^ NAGE TO Ie:NfEO <br /> I X COMMERCIAL GENERAL LIAEILIITI Allm} . . <br /> 3 SO,000 <br /> ___ .. _ —_ _oo <br /> !—� ----, I MED. EXP An or*CLIAIMS MAOEJ X OCCUR ( y parson, g <br /> MOO <br /> A ! ! -I PERSONAL a ADV INJURY I s 100000000 <br /> j� I <br /> GENERAL AGGREGATE is 200001000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER I ' PRODUCTS•CQMPtQP AGG S 100000000 <br /> I POLICY F71 FRO ECT I i LOC —I- <br /> - - - <br /> AUTOMOBILE LW9IUTY COMBINED SINGLE LIMIT <br /> T"TTTI ANYAUTCI (Essocldenq 1 <br /> I <br /> I ALL QkVNED ALTOS i I BODILY INJURY <br /> SCHEDULED AUTOS )PerpW50n) � S <br /> { 1 HIREDAJTOS I BODILY INJURY <br /> I <br /> NON•OWNEDAUTOS <br /> i *Per sooldenl)i _ I . _Y. . , <br /> PROPERTY DAIMGE s <br /> (Fey secldenP I <br /> GARAGELIALYLITYi IAU70ONLY - EAACCIDENT <br /> ANY AUTO OTHER THAN lEA ACCO s _ - <br /> _ I ( AUTO ONLY. S <br /> EXCESS 1 UMBRELIJ� LUIBILIT�' y I EACH OCCURRENCE j$ <br /> —� OCCUR U C:AIMS MADE l I I AGGREGATE IS <br /> I <br /> CEDUCTIBLE <br /> RETENTION 6 I I s <br /> 'WORKERS COMPENSATION AND 099000004981203 DEC 20 03 DEC 20 04 � " 4 si0� Tey, I { ° R ! <br /> EMPLOYERS LIAEILITY I I ! E L EACH ACC 'DENT TS _ 100 , 000 <br /> B I ANY PROPRIETO"ARmexlExcauTIVE I 1 •� ' <br /> OFFICER.MEMbER ERC:UDEDT I I I E. L. OISEASL.EA EMPLOYEE <br /> jlhrs, tlrscdWufrler � I <br /> ; SF[pALPNOVIBaMesolor IE.L. DISEASE•POLICYLaNT IS 5004000 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED WITH RESPECT TO GENERAL. LIABILITY, <br /> CERTIFICATE HOLDER — CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> bDCPPAT, ION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ' 0 <br /> DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT <br /> FA'LURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE <br /> INDIAN RIVER COUNTY INSURER, ITS AGENTS OR ACPRBSENTATIVES <br /> 1940 26TH STREET AUTHORIZED REPRESENTATIVE <br /> VERO BEACH, FL 32960 <br /> Attention , HUMAN SERVICES-FAX: 971 1795 gu . Thi <br /> ACORD 25 ( 2001 /+08 ) Certif calla # 62240 O ACORD CORPORATION 1988 <br />