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Date : 19 / 23 / 2003 Time : 10 : 33 AM To : @ 567 - 1454 Page : 001 - 002 A CORD„ ME " - - -_ _ ATE (MMIDDIYV) D t - t 09 /23/2003 _ - - --- - -- - - ------ - ---- - - --- - - --- - - - -- -- - -- -- - ---- --- - - - - - -- - - - - - - -- - -- PRODUCER ( 772 ) 567 - 1188 FAX ( M ) 778 - 14 16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SCHLITT INSURANCE SERVICES INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1717 INDIAN RIVER BLVD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 300 COMPANIES AFFORDING COVERAGE VERO BEACH , FL 32960 COMPANY Scottsdale Insurance Co . -- Attn Lois Robertson Ext 126 A INSURED COMPANY FWC 1 UA Homeless Assistance Center , Inc . B 715 4th Place Vero Beach , FL 32962 COMPANY C - - - _ _ - - - - - - - - - - _ _ . _ _ _ _. .. . ._ _ -. _ .. - - COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T ' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE : POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE (MMIDD/YY) DATE (MMIDD/YY) X PROPERTY CP50471952 01/09 / 2003 . 01/09/ 2004 BUILDING s See CAUSES OF LOSS PERSONAL PROPERTYAttached BASIC I BUSINESS INCOME S Schedule BROAD EXTRA EXPENSE I $ ASPECIAL ' !. ` .. - - - - - --- - - - - - - -_ ._ - BLANKET BUILDING S EARTHOUAKE BLANKET PERS PROP S FLOOD - BLANKET BLDG & PP ! E S INLAND MARINE S TYPE OF POLICY - - --- . -- - --- - ! S S - CAUSES OF LOSS S NAMED PERILS - g OTHER -- - -- - -...- - - IS CRIME ' S ._. TYPE OF POLICY S BOILER S MACHINERY $ X OTHER 6FR13UB5097A24403 07 /29 /2003 ; 07 / 29 / 2004 tach Accident 100900 B Workers Compensation Policy Limit 500 , 00 Each employee 100900 LOCATION OF PREMISESIDESCRIPTION OF PROPERTY SPECIAL CONDFTIONSIOTHER COVERAGES FAORONNIE - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Indian River County Board Of 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1840 25th Street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE Jeffrey Schlitt , CPCU/LAR r _ 1ZLE - - _ - -