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11 / 04 % 2005 14 : 54 FAX 772 562 .5466 SID BANACK INS . 10001 ; 001 <br /> did <br /> ACORD Ttd. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDhWY) <br /> NOV 4 05 <br /> PRCDUCER <br /> e HILB ROGAL b HOBBS OF FLA INC !SID BANACK INS. TUN CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 204514TH AVE ONLY AND CONFERS NO RIGTITS UPON THE CERTIFICATE <br /> P O 80X 130 ►OLDER. TTOS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER E AFFORDED BY THEPgLIQI93 BELOW. <br /> VERO BEACH FL 32961 1 <br /> INSURERS AFFORDING COVERAGE MAIC 4 <br /> INSURED INSURER A: AUT04MNERS INSURANCEbUMPANY <br /> INDIAN RIVER COUNTY HEALTHY START, INC. I INSURER B_ HARTFORD UNDERWRITERS INSURANCE <br /> 10TH COMP <br /> VER Y <br /> AVS. I Ii _ LITY INSURANCE COMP <br /> VERO BEACH FL 32960 INSURER C: UN[TD STATESLIABI <br /> INSURER D: <br /> ( INSURER E: <br /> COVERAGES <br /> THE POLICIES OF; INSURANCE LISPED BELOW NAA! BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NorWm,STANDING <br /> ANY REQUIREMENT, rm <br /> TERM OR colr10N OF ANY CONTRACT OR OTHER DOCUMENT MTN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED on <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> L� Ip TY►E OF INSURANCE7—'POLICY NUMBER POLICY 0 THE Fmyl � iX►/ULigNIllwoLBIITS - <br /> GENERAL LIABILITY NDOIUU5446 I AUG 9 05 AU43100 EACH OCcU NCE s 1 ,000,000 <br /> --� co ORCULLGENERAL LIABILI aAy1,,CE � A� <br /> -� N S (Ear�•=• <br /> Iit i.WM6 MADE OCCUR I INED. EXP (Arty DAG pomm) 5 0no � <br /> C H -- I PERSONAL t ADV INJURY S 11000, 000_ <br /> GENERAL AGGREGATE S 1 ,000,000 <br /> GENLAGGREGATE LBeIrAPPLr58 PERPROCUCTS%CONPIOP AGG. S 110001000 <br /> POLICY WC 1 -- <br /> AUTotare.E LY(BILITY <br /> COMBINE%34NGLE LNIT <br /> AVY AUTO (ft accidranu I <br /> I� ALL GINNED AVY03 BODILY INJURY <br /> �—{ SCHEDUtEDAUTOS (PsrparaDn) <br /> HIREDAUTOi <br /> --f NON-OWNIM A=$ I i BODILY INJURY i <br /> k_.-I (Per adanJ $ <br /> .. I <br /> F <br /> ERTY OAMAOEr4arva <br /> GARAGE UABlLr7Y <br /> AUONLY - EA ACCIDENT I <br /> ANY AUTO TOOTHER THIN EA ACC i <br /> ! <br /> ALTO ONLY; • ' <br /> S <br /> EXCESS I LWOREl1A LABILITY iI EACH OCCURRENCE _ <br /> OCCUR F7 CLAIMS MADE AGGREGATE <br /> i <br /> I I <br /> DEDUCTIBLE i • i� - - -- <br /> I RETENTION S <br /> S <br /> WoRKERB COMPENSATION AND 21 WEC G07700 PLMAY 3 OS MAY 306 v� arAty pYMM <br /> EMOygw LNBI-ITY IuDa <br /> B ANY nmPWIURWARTtl1VFJIEtvnvEI EL EACNACCIDENT $ - - <br /> 0"IttKNOIDA [AAAeLUDW 100,000 <br /> IO rm, Maae wdwi SEI L.01SEWE-EA EMPLOYEE S 100, 000 <br /> aNt <br /> �ao� rNov E.L. DISEASEPOLICY LBUT S 5000000 <br /> OTHER: DIRlCTOR$ ANO OFFICER$ NDOIOO6544G AUG 0 OS AUG806 0/ <br /> C 31 ,000,000 <br /> i <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLU$IONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br /> CERITIFICATE HOLDER NAMED AS AN ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AS PER POLICY FORM AND <br /> PROVISIONS <br /> CERTIFICA _ CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUGES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, 'HE ISSUING COMPANY WILL ENDEAVOR TO MNL ) o <br /> DAYS WRITTEN NaKE TO THE CERTIFICATE HOLDER NAMED TO THE LOFT, BUT <br /> INDIAN RIVER COUNTY INSURER s AGENTS OR R90 SHALL PR SEENNTAY IVas, OR LIABILRY OF ANY KIND SON THE <br /> 1940 25TH STREET <br /> VERO REACH FL 32960 AUTHORIZED REPRESHNTA <br /> AttalUon: 979.1790 Idndy a c , r, / ' <br /> ACORD 25 (2001109) CeRiACate 4 90782 V ACORO CORPORATION 1998 <br />