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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDM ) <br /> OCT 801 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> SID BANACK INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> 2045 14TH AVE. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> P O BOX 130 POLICIES BELOW, <br /> VERO BEACH FL 32961 <br /> PHONE: 772-562-3369 <br /> FAX: 772-562-3466 COMPANIES AFFORDING COVERAGE <br /> INSURED COMPANY A: AUTO-0WNERS INSURANCE COMPANY <br /> INDIAN RIVER COUNTY HEALTHY START, INC . COMPANY B: ZENITH INSURANCE COMPANY <br /> 1603 10TH AVE. <br /> VERO BEACH FL 32960 COMPANY C: <br /> COMPANY D: <br /> COMPANY E: <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED <br /> OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br /> OF SUCH POLICIES. <br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR DATE (MMIDDIYY) DATE (MM/DDfM <br /> GENERAL LIABILITY 93-211127-00 MAR 10 02 MAR 10 03 EACH OCCURRENCE $ 12000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any One Fire) $ 509000 <br /> CLAIMS MADE Ix] OCCUR MED. EXP (Any One Person) $ 51000 <br /> A PERSONAL & ADV INJURY $ 1 ,000,000 <br /> GENERAL AGGREGATE $ 19000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 170002000 <br /> POLICY PROJECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMB $ 1 ,000,000 <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> A <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR ❑ CLAIMS MADE AGGREGATE $ <br /> E <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 26560 MAY 3 01 MAY 3 02WC STA;U OTHER <br /> EMPLOYERS' LIABILITY <br /> B E.L. EACH ACCIDENT $ 1 OO,000 <br /> E.L. DISEASE-EA EMPLOYEE $ 1000000 <br /> E.L. DISEASE-POLICY LIMIT $ 5009000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER INCLUDED AS AN ADDITIONAL <br /> INSURED BUT ONLY WITH RESPECT TO OPERATIONS OF THE NAMED INSURED <br /> RECEIVED APR 3 0 20 <br /> CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 <br /> DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> FAILURE ISO SHALL <br /> INDIAN RIVER COUNTY, FLORIDA INSURER, IT; AGENTS OR REPRESENTATIVES.IOOR LIABILITY OF ANY KIND UPON THE <br /> 1840 25TH STREET <br /> VERO BEACH FL 32960- AUTHORIZED REPRESENTATIVE <br /> Attention : JOYCE JOHNSTOWCARLSON <br /> ACORD 25S (7/97) Certificate # 40209 Sidney M . Banack , Jr. <br />