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01/15/2004 THU 12:00 FAX. 772 589 4689 SID BANACS INS [1001 <br />ACORD <br />DATE (hWDDAfY) <br />TM. CERTIFICATE OF LIABILITY INSURANCE JAN 1504 <br />FRO <br />$ID BAWAW CK INSURANCE AGENCY THE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />2046 14TH AVE. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P O BOX t30 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THECO RDED BY TH P ES BELOW, <br />VERO BEACH FL 32961 <br />PHONE: 772462-3359 INSURERS AFFORDING COVERAGE I NAIC i) <br />INSURED INSURERA; TRANSPORTATION INSURANY <br />NOON ...NNOOO <br />R B; CONTINENTAL CASUALTY CO <br />HENRY FiSCHER 8 SONS INC, NORTH CYPRESS RESERVE, INC ! <br />NsuRE CE COMPANY <br />DBA ENVIRONMENTAL MULCH, INC DBA HENRY FISCHER & •• INSURER C: VALLEY FORGE INSURANCE COMPANY <br />0617200 <br />SONG L 0� <br />EASING BfBURER D <br />... <br />INSURER E: � <br />E <br />THE POLICIES OF INSURANCE LWMD BELOW HAVE BEEN 1041JEA TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED, NOTWRHSTANDINO <br />ANY REQUIRWIENT, TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCUMENT WIYH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />_ �_. _...P. <br />_..w_...,... <br />IN TYPE OF[ NSURANCE POLICY NUMSER POLICY FFFECTI! POLICY WRATION LIMITS <br />N <br />iN4RA4 LIABILITY C 1022578176 OCT 22 03 OCT 22 04 SACH OCCURRENCE g 1,000, <br />E .. <br />6 _pAEM12F.8 me To►� wev4) 50,000 <br />X�I COONMERCIAL GENERAL LIABILITY DAMAGE <br />NNONI <br />CLAIMS MADE �( OCCUR MeO. EXP (Ary Orr Posen) @ 31000 <br />....I .... _. PERSONALSAOVINJURY `S 1.000, <br />000 <br />., _I ..... I6 2000,000 <br />0EN'1 AGGREGATE LIMfCAPPLES PER: <br />PRODUCTS COMP OP AGD ...S 20000,000 <br />FOLICY <br />AUTOMOBILE LIABILITY C 10225713193 OCT 22 03 OCT 22 04 COMBINED SINGLE LIMIT <br />X ANYAUTp I(Eaowident) E 1,000,000 <br />��.,... , <br />ALL OWNED AUTOS BODILY INJURY <br />A SCHEDULED AU705 (Per on) <br />X HIRED AUTOS <br />BODILY INJURY f <br />WX NON-OWNED AUTOS <br />(Px acddent) <br />._ PROPERTY DAMAGE E <br />GARAGE LIABILITY <br />AUTO ONLY. EAACCIDEN'I <br />' <br />ANY AUTO .'� .. . <br />OTHER THAN EA ACC S <br />AUTO ONLY? <br />LGXCBSBIUMIIGRGLLALIASILMY EACH OCCURRENCE 1 <br />OCCUR <br />CLAIMS NWOE t AGGREGATE 6 <br />........ <br />DEDUCTIBLE <br />j RETENTION g _ �.' <br />9 <br />WORKERS COMPENSATION AND WC 173727133 JAN 104 JAN 105 TORVTUM�rrs 1 __ _ <br />EMPLOYERS LLABILITY OTHER <br />W <br />C I ENT IRKWMETO@TARMEt OIXIECUTNE E.L. EACH ACCIDENT Jm�Z y 100,000 <br />[Nvec Eevlbc �lExa7 E.L. 0166ASE-EA EMPLOYEE S 100,000 <br />9P9aALPROYISIONSee4m ' I E.L. DISEASE-POLICY LIMIT 1 $ 5001000 <br />OTHER: NLAND MARINE C1022978176 OCT 22 03 OCT 22 04 SCHEDULED EQUIPMENT ON FILE WITH <br />EB THE COMPANY <br />DESCRIPTION OF OPERATIONWLOCATIONIVEMCLES/EXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS <br />INDIAN RIVER COUNTY FLORIDA, MARBRISA HOMEOWNERS ASSOCIATION INC,, AND BAYT'REE CONDOMINIUM ASSOCIATION, INC ARE <br />NAMED AS ADDITIONAL INSURED ON BOTH THE GENERAL LIABILITY AND AUTO LIABILITY BUT ONLY WITH RESPECT TO THE NAMED <br />INSUREDS OPERATIONS, WAIVER OF SUBROGATION APPLIES TO WORKERS COMPENSATION, FAXED TO 794-7447 <br />HOLDER i AQWONAL IN.3URED; INSURER LJEITER: CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NAIL tO <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INDIAN RIVER COUNTY INSURER ITS AGENTS OR REPRESENTATIVES. <br />BOARD OF COUNTY COMMISSIONERS <br />1840 26TH STREET AUTHORIZED REPRESENTATIVE <br />VERO BEACH, FL 32960-3365 <br />Attentonq <br />ACORD 26 (2001/08) Certificate 9 73990 Michael W. Harris <br />