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<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 $2944 r rttnc:
<br /> uaER r. - - I
<br /> INSUM
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<br /> + ' CE LIV10 BELOW HAVE PEEN 18C1J[D ?O THE IN9UREG NAMGO ABO1f FOR T7V3 PDLIGY PERIO: INDICATED• NOTVIITI S � D'
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<br /> ^'U'� A •� ' . t ':rtM OR COND+TION OF ANY CDNTr+AC- 0R OTHER 000UMENT WITH R4$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
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<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
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<br /> I iGARA3ELtABILtRY AU700Nt_Y - !J, Afk' I�, - '
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<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?
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<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
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<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
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