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;> : - . .. ATE IMM/DD/YYI <br /> ACE . <br /> ORD <br /> 04/ 14/03 <br /> 3 <br /> - S CERTIFICATE - ISISSUED AS A MATTER OF INF <br /> PRODUCER I <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> AOTE <br /> FEDERATED MUTUAL INSURANCE COMPANY HOLDER . THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 302 Perimeter Center North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW . <br /> Atlanta , GA 30348 COMPANIES AFFORDING COVERAGE <br /> Phone : 770-390-3900 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR <br /> Home Office : Owatonna , MN 55060 A FEDERATED SERVICE INSURANCE COMPANY <br /> INSURED 142-754- 1 COMPANY <br /> SMITH SERVICES INC B <br /> 3200 43RD AVE STE 6 <br /> VERO BEACH FL 32960 COMPANY <br /> C <br /> COMPANY <br /> I D <br /> C.OV£RAGES . . . . ... .. .....::>::r <br /> _ _ <br /> . . . <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD <br /> INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS , <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> COTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION OMITS <br /> LTR DATE (MM/DD/YY) DATE IMM/DD/YY ) <br /> GENERAL LIABILITY GENERAL AGGREGATE S 27000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG S 2 000 000 <br /> A CLAIMS MADE a OCCUR 9040676 05/09/03 05/09/04 PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> OWNER'S & CONTRACTOR' S PROT EACH OCCURRENCE S 1 , 000 , 000 <br /> FIRE DAMAGE (Any one tire) $ 100 , 000 <br /> MED EXP (Any one person) $ <br /> AUTOMOBILE LIABILITY <br /> X ANY AUTO COMBINED SINGLE LIMIT s 11000 , 000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> Q SCHEDULED AUTOS 9040676 05/09/03 05/09/04 (Per person) s <br /> X HIRED AUTOS <br /> BODILY INJURY S <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO 1 OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> UnARREI LA FORM . . . � <br /> OTHER THAN UMBRELLA FORM I $ <br /> WORKERS COMPENSATION AND WC STATU- DTH- <br /> EMPLOYERS ' LIABILITY TORY IMITS ER <br /> EL EACH ACCIDENT 5 <br /> THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT S <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: g EXCL EL DISEASE - EA EMPLOYEE S <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> .:: . . . <br /> : : . . . . <br /> CtRTIFIGATEHOLbER . . . . :: . . . . . . . : . . . . . . . ::::::::. .:::: .:. : . . . .: CANCIIEAr(ON _ <br />. <br /> . <br /> 1427541 CHILDREN HOME SOCIETY 79 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 8580 N US1 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> VERO BEACH FL 32967 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPAIV, ITS AGENTS OR REPRESENTATIVES . <br /> AUTHORIZED REPRESENTATIV <br /> ACORD '25 S 0195f PREsI taA .Ftp C(j:RpO8AT1ON 1988 <br />