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09 / 29 / 2003 14 : 44 FAX 772 362 3466 SID BANACK INS . ' IUVL <br /> TM, CERTIFICATE OF LIABILITY INSURANCE SEP` 25 3 <br /> PRODUCER1 BANACK INSURANG� AQENCY THIS CERTIFICATE 13 ISSU A MATTER OF INFORNAT1oN <br /> 20614TH AVE ONLY AND CONFERS NO RIGHTS UPON THE CEiRTiFICATE <br /> P O BOX 170 HOLDER. THIS CERTIFICATE DOES NOT AMEEND, EXTEND OR <br /> ALTER THE COVERAGE A"OftDED BY THE EWES BELOW <br /> VERO BEACH FL 32961 <br /> PHONE: 772.6621359 INSURER$ AFFORDING 0OVERAOE NAIL A <br /> INSURED INSURERA: AUTO OWNERS INSURANCE <br /> PROJECT HOPE, INC. INSURERS: HARBOR SPECULRY INsuRANCE <br /> 4646 38TH AVENUE - <br /> VERO BEACH FL 32967 INSURER C: AUTO OWNERS <br /> INSURANCE <br /> INSURER D: <br /> INSURER It: <br /> COVE:RAG <br /> THE POUCIES OF WOURANCE LISTED BELOW HAVE BEEN ISSUED TO TH6 NBUR60 NAMED ABQW FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br /> ANY RGOOK&ANT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTNN. THE INGURANC6 AFFORD60 BY THG POL6=9 DESCRIBED HERam IS SUBJECT TO ALL THE TH]R ME, GXCW44ON6 AND CONDITIONS OP SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS, <br /> TM OF INSUIVWCE POUCY NUMBER POUevwmtTm rouevEVOtATION — <br /> M DATE UYIT7 <br /> GENERAL LIABILITY 00211240581732-03 SEP 6 03 SEP 5 04 EACH OCCURRENCE _ i - llowt000 <br /> X OAAMO[ TO ftW99 i . . . . 60 000 <br /> CLAIMS MADE U OCCUR MED. EXP (Arw Om Pwton) 9 <br /> 5,000 <br /> C PERSONAL & ADV INJURY 4 1 ,000,000 <br /> GENVUL AGGREGATE i 1 000 000 <br /> OEN L AGGREGATE LIMIT APPLIES PER• PROOUCTS•COMPIOP AGG• i 1 ,000,000 <br /> POLICY 71 pmn V= r Ar -• — <br /> AwTOMDeaELIABILITY 00237240697732-03 SEP 6 03 SEP 6 04 COMBINED fINGIBLIMIT i 1 ,000,000 <br /> ANY AUTO (Fa wddm +U <br /> ALL OWNED AUTOS BODILY INJURY <br /> Ci SCHROULEDAVTQ$ (Pwpwwn) f <br /> X HIRED AUTOS <br /> BODILY INJURY i <br /> X . NON-0WNED AUTOS (Per acddanp <br /> R - - - - - — - PROPERTYDAMAGE i <br /> GARAGE L ASBfTY AUTO ONLY - EA ACCIDENT i <br /> ANY AUTO <br /> OTHER THAN _ EA ACC s <br /> AUTO ONLr. Arm <br /> EXCESS I UMBETtHLLA LIABILITY EACH OCCuRRENca f <br /> OCCUR FICLAIMS MADE AGGREGATE <br /> f <br /> DEDUCTIBLE _ -- <br /> RETENTION <br /> VVOFUQM COMPENSATION ANO 009000005492203 APR 29 03 APR 29 04 X 1NO QTATu tTnlf!< <br /> RUPLOYEW UABBJTY <br /> C ANY FROPRIMR#A"NVA%ZQMn E.L. EACHACC%NT i 100,000 <br /> O"I`offiv'low °Iciimww LL. DISEASE-EAEMPLOYEE <br /> s►Ii 100.000 <br /> fpr, ~ w El DISEASE-0OLN:YLBAIT S 600,000 <br /> gAL rIIVIM1uoNt r.l.w <br /> OTHER: <br /> DESCRIPTION OF OPERATTONSA OCATIONNEHICUMIEXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVIMONS <br /> LIABILITY COVERAGE: ADDITIONAL INSURED - INDIAN RIVER COUNTY BUT ONLY WITH RESPECT TO OPERATIONS OF THE NAMED <br /> INSURED <br /> CERTIFICATE. H=ER ADDITIONAL INSUItm INSURER I "I mo <br /> SHOULD ANY OF THE ABOVG DGiCRIKO POLICIES Be CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL GNO6AWR TO WA* t0 <br /> DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. SILT <br /> FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIARKM OF ANY IONO UPON THE <br /> INDIAN RIVER COUNTY INSURER. ITS AGENTS OR REPREBENTATNEv <br /> BOARD OF COUNTY COMMISSIONERS <br /> 15490 25TH STREET AUTMORIIt� R�RESENTATTVf <br /> VERO BEACH, FLORIDA 32g6"366 �.rs+,I� <br /> Attention: <br /> ACORD 25 (2001M) Certificate 0 60732 Sidney M . Banack, Jr, <br />