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IM DAY FAX N0. 5615465772 P , 02 <br /> ACORDN CERTIFICATE OF LIABILITY INSURANCEDA'E ('°AIDD"'"'y) <br /> 112jowaz <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Da Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Day HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 11320 SE Federal Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Helie Sound FL 33455 <br /> 772.546-5767 INSURERS AFFORDING COVERAGE NAIC 17 <br /> INSURED Boys & Girls Club of Indian River County, Inc. INSURERA: Market Insurance Co <br /> PO Box 3068 MJPZR B: <br /> Vero Beach FL 32964 INSURER Q <br /> INSURER O: <br /> _— ctSIIRFR E <br /> V =7:Z A .S <br /> I THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br /> NOTWITHSTANDING <br /> ANY REQUIREMCNr, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITtt RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DCSCRIBED HEREIN IS SUBJCCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br /> OF SUCH <br /> _ POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCFD BY PAID CLAIMS. <br /> INSR D POLICY EFFECTIVE POLICY EXPIRATION <br /> IR POLICY NUMBER UTAITS <br /> _NERAL LIAAILITYEACH OCCUrUA04CE s 1000,000 <br /> I A I X COMMERCIAL GENERAL LIABILITY 8502CY2201282 09113102 09113/03 DAMAGE TO M NThuPRFIntFc Ira �.. s 140,000 <br /> ' CLAIMSMAOEOCCUR MED. EXP (Any c son S W00 <br /> PERSONAL Q ADV rUUKY S 1 ,000,000 <br /> CEfIERALAGCR1=GATE s 3=000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PROOUCT5 - COWtOP AGG s 1000 _ 0 <br /> X POLICY yi PRO- LOC <br /> • AUTOMOBILE LIABILITY <br /> C0rle1NED SINGLE LIMIT s 1 ,0001000 <br /> A X ANYAUTO 8502CY2201282 09113/02 09113103 (C3acade-10 <br /> X ALL OWNCO AUTOS BODILY INJURY s <br /> SCHEDULED AUTOS (Pa per=n) <br /> X HIRED AUTOS BODILY INJURY <br /> I <br /> X NON•OWNCOAUTOS (Per acdoent) I <br /> PROrERTY DAMAGE <br /> (Per am.''.enlj <br /> GARAGE LIABILITY AUTO OW Y F.A A!:CIOENT S <br /> ANY AUTO OTHER THAI) FA ACC S <br /> r <br /> AUTO ONLY! AGS S <br /> ?S.'YSRELLA LIABILITY EACH OCCURRENCE is <br /> i <br /> OCCUR FICLAIMS MADE AGGRP.GATE s <br /> ' S <br /> 1 <br /> DEDUCTIBLE S <br /> RETENTION I S <br /> WORKERS CONPEN9AT10N AND WC SIAM OTH- <br /> i O&PLOYERS' LIABILITY E.L. FA(]1 ACCIDENT S <br /> AWPROPRIFTORIPARTNICRIEXECUI NE <br /> OFFICEKWEMBER EXCLU0007 E1. DISEASE - EA EMPLOYFF. s <br /> Nyye� At PR NASIO EL. DISEASE - POLICY LIMIT s <br /> . P ' . Al PROVISIONS DN <br /> OTHER <br /> `tsewqfwrION OP OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL. PROVISIONS <br /> C _ r: .`t'c:. t.r1& oider Is additional insured for General Liability & auto <br /> 30 Days notice applies except for non-payment of premium <br /> CERTIFICATE HOLDER CANCELLATION <br /> j Indian River County SHOUIDANYOFTHEAROVFDESCRIBEDPOLICIESBECANCELLEDBEFORETHEEXPIRATION <br /> Board of County Commissioners DATE THEREOF, THE ISSUINC INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRTITEN <br /> + 1840 25th St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO :0 SHA` <br /> Vero Beach, FL 329603365 IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS On <br /> I REPRESENTATIVES, <br /> AUTHOR2ED REPRESENTATIVE </UD> <br /> ACORD 25 (2001108 ) CWCORD CORPORMIoN 1988 <br />