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_ 003 10 : 41 5612993840 3015 +a : RLS CLUB RC PA(JE 02 <br /> Cui� j rR I L u r ud rirl wn , UHYI I NU, FAX N0, 772 546 5772 P , GI <br /> " krw� 0 7CERTIFICATE OF LIABILITY INSURANCE <br /> ' _—_-- lertazaoa <br /> ;FFotwow% s CtiIRTIFI iS (9BUED A MATTER R tNfpRMAT <br /> Dey'Aganty, Mc, ONLY AND CONFERS NO RIQWS UPON THE CERTIFICATE <br /> MOLDER• THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 11310 S! Federal Hwy. --ALTZR ME COVIRRA06 A ORDlq A T E POL CIEB BELOW, <br /> H91:6 Bound FL 33455 <br /> ' 712L5464717 INSURERS AFFORDING COVERAGE NA�� <br /> Bcys & Gles Club of Iridian Riva' County, W. tN, rkal IPSUMM04 Co <br /> ' ?0 BOX 3066 I IN"IKR D,. _ - - <br /> Vero beech FL $2944 r rttnc: <br /> uaER r. - - I <br /> INSUM <br /> R C• <br /> r. �, rsR ,SCSF3 —. <br /> + ' CE LIV10 BELOW HAVE PEEN 18C1J[D ?O THE IN9UREG NAMGO ABO1f FOR T7V3 PDLIGY PERIO: INDICATED• NOTVIITI S � D' <br />NG <br /> ^'U'� A •� ' . t ':rtM OR COND+TION OF ANY CDNTr+AC- 0R OTHER 000UMENT WITH R4$PECT TO WHICI' : "'43 CLItT F!CATi <br /> MAY Bt; ISS'JE7 Cil <br /> T tL• 1%$URANCE AFFORCEO BY 'THE FOLIOIES 0C8CR02D 40EN 19 StJY..ECT TO ALL THE T'EP.M64 EXCLU�!IOVS AN ' ) CONDI?+ONS <br /> O" '7U04 <br /> *%0jC -' A AGGAroC'.ATE LIMITS RPIOWN MAY ! IAVE BEEN REDUC40 0Y PAID CLAIMI, <br /> +N DfY —�• ~ poucyy Me j ICY LT P Y WWIT purrs <br /> f:RALLiA411,nY i� wl+,Qy I�;R4CNCE <br /> cep )A* Y"''fW- W <br /> � rtTv 9'�02CY7,241283 09M3103 0411�fOd .,r� denca�„ 100�Ob0 <br /> CLAMS INAOE X OC^.LiR � ! ;:X? (61 Im oY1,,or 5,000 <br /> NFRSQ1 Aj,�OV INIURV _} A MId, <br /> ~JI ! :,�NEKALAcaTLFcATE 5,000,000 <br /> EKL Af1G 7L LIMIT APPLirA Pitt; t' RODUACT! ; Cr, PmF A t 000,000 <br /> XI PITTfx <br /> i, 1y �!oe+omLE .IADi1TY (^-G�Mec]en+j INxE LIMIT $ 1 ,000,000 <br /> 101YAJTO 8502CY2101243 09!13103 09fi3it14 (�. <br /> j - X A:LDWN50AUTO6 I � OCOILYImfly s <br /> SCHEU w AUTOS I Ips' person) <br /> X H RFO pm os I 900a•Y INrURy i <br /> X NOH-OYINF.D AUTOS <br /> 1Ih <br /> [tp7PRea <br /> C f S <br /> I iGARA3ELtABILtRY AU700Nt_Y - !J, Afk' I�, - ' <br /> ! I— <br /> ek AGr S <br /> ANY AUTO l ��►{ H,4N <br /> ' AU'CO ONLY AOC Z <br /> EX_CESMUMARtL IAOIISTY EAC � fOCCURR�NCE <br /> } — ^ CCv1 CIAMOMAOE I +j A6ORF.(� 1T? <br /> 'I s <br /> �4 s <br /> WCefA'I V �• <br /> WORKEft,S W W"NATIOR AND <br /> 1 I!YPLOVIRS' UAMLRY r L. EACH ACC, <br /> iANY f'ROPRIRTCRMAUDVCfLEXECUTNE 'r,El. OLR6ASC - EA FMPLaYE f <br /> OPFICCMNLhO6R CX^Lf, 4 <br /> itafm 4�ITQ v 11x CL . Dt&LASE - POLICY L 9 <br /> W .l' R <br /> GT!1aR <br /> DESCRIPTION Ot• OPERATIONS 1 LOCAT'ARS 1 V1!MK L= 1 EX(CI.LIGMNS APOSD eY eW4*!@MRNT ! SPECIAL PROVISIONS <br /> cerf9cateholder Is additional insured for G3enoral Liability & auto <br /> r, oc :°ce VpHes cicept fornen.pRymmt of premium <br /> i <br /> CERTIFICATE IJOLDER C giLLATION <br /> aMouaP ACY Of TNR AeOVE PF,6P.RI8ED PO4fCI$S 9E : AN Cn.l eo r•fFORC THE QXPIRATIDu <br /> Imitn RIVer County <br /> OATe TtlREAP, T7la lee{ANe wSURCp. MILLf:HDCAVdI '0 MAIL DAYS WRI <br /> Board of County Commoners NOTICE TO THE CIATIPICA" MOLOl1{ NAMGO rO TMU L "AFT, OUT FAILURE YO 0090 SHALL <br /> I w 25th St IMPOSE %C OBLIGA71ON OR LIAEIIJT4V OP ANY x,MO UF04 THE INWRUR, FTs AGENTS OR <br /> Vero Beech, FL 32160.1389 effIwe , <br /> AUTNOPUZ90 a>a ANCHTA,TIYE �O' <br /> ORD CORPOR N 1988 <br />