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1111 " R2004 18 : 52 FAX 772 562 3 .166 SID BANACK INS . 0001 / 001 <br /> RACRDCERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDlYYYY} <br /> TM <br /> SNOV 17 04 <br /> * PROCUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SID 19ANACK INS .IA HILB ROGAL S HOBS 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 SY THE POLICIES ® ELOW. <br /> VERO BENCH FL 32961 1 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED II NSUR£R A, ESSEX INSURANCE COMPANY <br /> CULTURAL COUNCIL OF INDIAN RIVER COUNTY, INC . INSURER 9, HARBOR SPECIALTY INSURANCE CO <br /> 2145 14TH AV #11 _ ,.. _- - _ <br /> VERO BEACH FL 32960 INSURER C' _ _ - <br /> INSURER D, - I <br /> ! INSURER EI I <br /> COVERAGE$ <br /> THE FOLICIES OF INSURANCE LISYED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDIN3 <br /> ANY REOUIREMENT, TERM OR CONDITION OF ANY CONYRACT OR OTHER DOCUMENT WITH RESFECT TO WHICH THIS CERT{FICATE MAY BE iSSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDEO BY TME POLICES DESCRI©ED HEREIN IS SJBJECT TO ALL THE TeRMS, CXCW$ IONS AND CONDITIONS OF <br /> SOCy <br /> FOLI ! ES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. <br /> IrSR ADO'L TYPE OF INSUA.4NCE POLL' NUMBER POUO>/ EF6ECT1Yp—POLICY EXPIRATION ! <br /> L1k , 'NBRO DATE MM/D0 DATE FAKOD LINSTS <br /> GENERAL LIABILITY 3CM8192 MAR 10 04MAR 10 05 EACH occuRRENCE 1 ,000,000 <br /> )( COMMERCIAL GENERAL LIAE0. DAMAGE TD REWTED <br /> 1TY1 50,000 <br /> I I CLAIMS MApEI X OCCUR I, I I MED. EXP (Any ore person! i x 1 ,000 <br /> A —_ I _ PERSONAL A ADV INJURY 1 P000P000 <br /> GENERAL AGGREGATE S 2P000,O00 <br /> 'CEIYL AGGREGATE LIMIT APPLIES PER: PRODVCT$,COMPIOP AGG S 100000000 <br /> POLICY r . FRO.SaT 77 LOC : <br /> AUTOMOBILE LIAIP LITY <br /> COMBINED SINGLE LIMIT <br /> — 11 AN! AUTO (Ea 80c)( m) I @ <br /> I ALL OLIINED ALTOS BODILY INJURY----� <br /> — ', SCMEDULEC AUTOS : For PirrSon) g <br /> i <br /> HIRED AUTOS 80DILv INJURY j 3 <br /> NON•OWNEDAUT09 ! I ,Pseccl0eni, - --. . <br /> PROPERTY DAIMGE s <br /> accloenl� <br /> GARAGE UASIL ITY <br /> � AU7 0 ONLY - EA ACCIDENT <br /> � ANY AUTO 07MER IT AN EA_ ACC $ <br /> IAVT 00NLY- : S <br /> EXCESS I UMBRELLA LIASILII*yEACH OCCURRENCE.. _ , OC <br /> ! I <br /> OCCUR U C1dMS MApE ' AGGREGATE S <br /> 1 CEOVCTtBtF � � ' <br /> ---I RcrENYION 8 5 <br /> WOPJSERS COMPENSATION AND 099000004981203 DEC 20 03 DEC 2O 04 — "4 T omen <br /> EMPLOYER5' LMMLITPY — <br /> AfayPROPRIETOIUPARTNER/E]fECUTNE IE. L EACH ACCIDENT ' s <br /> 1_00 , 0_0013 <br /> OFFl6EFLMEMBER EXCOMED7 ' EL DISEA.SE.EA EMPLOYEE Is — 100 , 000 <br /> IIryes, Oescrlbe LrOtr I ....." ' <br /> ; BPFCIALPROV010WObolow - � CJ. L. DISEA$E•POLIC'rLIuIIT I $ $001000 <br /> OTHER. <br /> I <br /> i <br /> i <br /> I i I <br /> I <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY, <br /> CERTIFICAT& HOLRER W — CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL PC <br /> CA,YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT <br /> FA'LURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INDIAN RIVER COUNTY INSURER, ITS AGENTS OR REPRESENTATIVES <br /> 1840 26TH STREET AUTHORIZED REPRESENTATIVE <br /> VERO BEACH, FL 32960 <br /> Attpnticiv HUMAN SERVICES-FAX: 971 1795 gB +Thi ' <br /> ACORID 25 (20011081 Certificate 9 82240 U ACORD CORPORATION 1088 <br />