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Nov 10 03 12 : 37p <br /> Date : 11 / 10 / 2003 Time : 10 : 18p . 2 <br /> AM Page 001 - 002 T0 @ 567 - 1454 <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> I «H ( " 72) 547 - 1288 JA <br /> MlopwrYl <br /> I PAX ( 772) 778 - 1416 — - 8 /2001 <br /> f SCHLITT INSURANCE SERVICES INC THIS AND C tCATE S ISSUE : AS A MATTEIN <br /> f 1717 INDIAN RIVER BLVD ONLY AND CONFERS NO REGhTS UPON THETE <br /> HOLDER. " HIS CERTIFICATE DGES NOT AMEXTEND T OR <br /> SUITE 300 AL ' ER TNF COVERAGE AFFORD; D BY THE OR . <br /> VERU BEACH , FL 32960 <br /> rksu�ED Homeless AssTsta'nce Ce– neer - -- - _ _ IN5UPERS AFFORDING COVERAGE <br /> Inc. — - a715 4th PlaceInsuranc--- eCo , <br /> Vero Beach , FL 32962 °`" �_ExeC ut ive Risk -- <br /> InEt�FF c _ <br /> ICA .1 <br /> TF E PO. ICiES OF &�SURANCE LiST'ED BFI. OVVHAVE B£ EN iSSUEC TO THE ItJSUREp c --'T <br /> ANYREOLIIREMcNT, TERN! OR DONDITIO` OF "WM_D A6c ✓E FOR 7HE POLICY PER OD INDICATED, pJCryyITH.$T' <br /> I PERTAINt THE INSURANCE AFFORDED gy TiA CO,VTRACT OR OTHER DOCUMEN" WITH RES . _CT ANDIt <br /> POLICES. AGGREGATE LIMITS SHOWN POLICIES DESCRIBED HEREIN IS SUBJECT T TO V ilCH THIS CERT?FIC 3711 MAY gE ISSUED OR <br /> INSR ADD' MAYHAVEEN REDUCED BY PAID CLAIMS Al THETi E?;CLIJ . IONS AND CONDtrIONS OF SUCI <br /> Trrs OF NYSURANCE + POLICY NUMBER POLICY EFFFCTNE POL Cv XPIRATIDN <br /> I GENEP,Ai. LN4BlLI?TM R2ST419535 0 �- <br /> i �I� CJnNlESL-;.4i lENER4 LIABi . '7Y j 1/09` 2003 Ol/OS ,72004 EACH CCCUu„.. NC. LS.:ITB <br /> 1 11000 0 <br /> X <br /> cLzfr, ; r--,oc o:a� j a ¢�c.� eNe° s -17- 100 0 <br /> A <br /> { MEOEJW (Ai iiliiiiiii`IIIIIIIIIIIiio '.a PZ+ISJn <br /> - _ P - SCNAL I A. ” 1f3!'J?'f _ . 1 . 000 <br /> s roo <br /> riEN� ,GGREGA?- . IN 4x IES PER : i - .�1y4TE S <br /> I on c I_-1 PP'1 - _ 31000000 <br /> oc — tD : T^ L ;,�pron�G s _ INCLUDE <br /> �A�TQI7DBILE '_ 'RErll"f ��--- ---_----- -- � -- <br /> �I ._— <br /> I f ( (I E LI !nn <br /> j j Pi.l- Vi'IVF'_ AUrrc ` Ii1 {EB x'. der .: ;. <br /> i I! HAE:. ArT)SPpi <br /> ' I ;Pe: cerFa • ` <br /> GAIGl L'ASiLDY <br /> OTHER 11ii FJ; <br /> - hl $ <br /> Ex„ES51Uh3n� Al JNL , <br /> t:A77 GA6-LAIl 81647767 01/ 18/2003 { 01/ 18 /2004 WillOCawRENCE <br /> cUUMsraDe DIRECTORS , OFFICERS & S <br /> B , — TRUSTEES LIABILITY AGGHEGAT'� �" t 000 , 0 <br /> X P.ETErmra� f 2 5001 � t - -- <br /> NORRERS CO� <br /> +4'ENSATION ANL ; - - - <br /> EllOYERS LIA8ILITY I 7`4YC5 n <br /> P "� PRCPKIE , JY'r 4'• T.ED/F. C•. 'I yE r '' <br /> Fr�.FRJNEMEE; c ; ;.DFL''+ - T fJVTi <• - — _ — <br /> E .L. EACH AC`�QENT S <br /> I f}� AeY r,lN Vn:eY _ <br /> . S'EL7AI, P,gQV• g: pN> been Et . DISEASE • EA ElAPtOYFE <br /> P► oEessional R2ST419536 01/09/2003 01/09/2004 � i QSEASE - PC61CVir <br /> A Liability Non - 11 + Aggregate $ 3 , 000 , 000 <br /> OESGRI'TON �Jr a 140RATIONSiLOCATIONS / YENiC�.ESJEXCLU510NSAQD D YENppRSEMENT'ISpC-OIALPRCVISIONS E� Occurrence SI , OOL , <br />000 <br /> 111 <br /> ertificate Holder is Addit � anal Insurear General Liability , <br /> +I <br /> I <br /> C RT KATE HOLDER _ � _ <br /> CANCELLAT N <br /> i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE t <br /> I EAPIRATIC.INOATE THEREQF. THEISSUING INSURER wlll ENCEAVOR 70 MAIL { <br /> —dSL-. DAYS YVf37";EN NOTICE TQ 7kc CERTFICATE HOLDER NAMED TO THE LEFT. <br /> Indian River )yn ; BUi FAILURE TO MAIL SUCH NOTICE SHALL PM068 NO 08LIvA70N OR LIABILITY <br /> 1840 25th StreEt <br /> ( <br /> Vero Beach , FL ' 2960 OF ANY HIND UPOV 'NE INSVRER, ITS AGENTS DR REPRESENTATIVES --_ <br /> AUTHORt2ED REPRE6ENTATIVE <br /> ACORD25 (2DOt108) lJeffrey Schlitt , CPCU/LAR <br /> IDACORC CORPORATION 18811: <br />