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CERTIFICATE OF INSURANCE <br /> CERTIFICATE HOLDER NAMED INSURED <br /> ! INDIAN RIVER COUNTY F4855 <br /> ING REWARDING OPPORTUNITIES <br /> ' 1840 25TH STREET WORK, INC . <br /> ! VERO BEACH, FL 32960 43RD AVE . <br /> O BEACH , FL 32967 <br /> The company indicated below certifies that the insurance afforded by the policy or policies numbered and described <br /> below is in force as of the effective date of this certificate . This certificate of Insurance does not amend , extend, or <br /> otherwise alter the terms and conditions of Insurance coverage contained in any policy or policies numbered and <br /> described below . <br /> TYPE OF INSURANCE POLICY NUMBER P <br /> DATE DATE FFECTIVE EXPIRATION LIMITS OF LIABILITY <br /> GENERAL LIABILITY PENN AMERICA BROAD FORM <br /> [X 1 PREMISES-OPERATIONS INSURACE COMPANY 3/02/03 3/02/04 GENERAL <br /> BINDER AGGREGATE $ 150002000 <br /> [X ] PRODUCTS-COMPLETED <br /> OPERATIONS PROD. COMP. <br /> OPS . AGG. $ 12000,000 <br /> [ X PERSONAL & ADVERTISING EACH <br /> INJURY OCCURANCE $ 1500000 <br /> ANY ONE <br /> [ X I MEDICAL EXPENSES PERSON $ 1 ,000, 000 <br /> [ X 1 FIRE DAMAGE LEGAL ANY ONE <br /> PERSON $ 53000 <br /> ANY ONE <br /> FIRE $ 100,000 <br /> FAUTOMOBILE LIABILITY <br /> BODILY INJURY <br /> NATIONWIDE INSURANCE 5/17/03 5/17/04 EACH PERSON $ <br /> 77-BA-476173-3001PROPERTY <br /> DAMAGE <br /> EACH ACCIDENT $ <br /> [XI NON -OWNED <br /> COMBINED <br /> SINGLE <br /> LIMIT $ 1 ,000,000 <br /> rEXZCES7SLIAABILITYPERSONAL INJURY & <br /> LA FORM PROPERTY DAMAGE <br /> EACH OCCURANCE $ <br /> GENERAL <br /> AGGREGATE $ <br /> [ 1 WORKERS COMPENSATION <br /> AND BY ACCIDENT $ <br /> I 1 EMPLOYER - S LIABIL Y BODILY INJURY PER EMPLOYEE <br /> BY DISEASE $ <br /> BODILY INJURY POLICY LIMIT <br /> BYDISEASE $ <br /> Insurance in force for hazards indicated by an X <br /> SPECIAL ITEMS : <br /> Authorized Representative : <br /> Date Issued : 9/26/03 Counter signed at: PAT O' CONNELL INSURANCE P. O. BOX 650339 VERO BEACH, FL 32965 <br />