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11 �` s� 212E� �34 05 : 46 5612993b4t1 EDVS GIRLS CLUE IR�.� PAGE u� 2
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<br /> �:. w�;;�y�ti ' �i' Irl'#t���tti` i � 6 ,11 �`n�� <!fi�;lwu' l .�;lip�2 $ 2-7658 + �'� sflklx ) (t14(`wl �l�S`� .....,. � .__,. � "b ,al ,
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<br /> iSSl ,;Ei7 T0 : Yndit�n River County Board of Gaunty CommissianMr3
<br /> 1640 5th St
<br /> Vero rlemth , FN, 32960 - 3365
<br /> � , r F . Q ., X "9 L 329 -
<br /> - , - y ,•.cr: � � y that go.Y.s . �• Girls Cs1,� in .d-!;311 . Rlver_G:Ru,�.y...�n,� � � Orsi.et�r�..F�.� s�...�.._ . . ._ .�a� ,
<br /> <: w � � �� � ; ac>. kC� the r0uisions of I:he Florida Workers ' Compensation l,a �v, hes secured the payment a�' any
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<br /> r � '< - �> " compensation benertts due by insuring their rix : w ! th the ;'lor ? yip Retail Federation 5clf ? rtsurers fund.
<br /> � tJ �ls.:Y � UM►t'_+ERI .0 � 7�Ct_z Stakutgry Limits- - Static of Fir� 1'idd
<br /> Employers �iabiiity
<br /> r = -. "r `.-' S DAT[ : ���, nLlter ,l � , . z00±} '$ 500 , Q00 ( Each pccldent�
<br /> � 500, OOb � ; pi5ease- - 6acit Errtploycc}
<br /> � '- : '�{ti;"it7�' DI►T� ; Se�IZGC�t?� ' . 200 . $ 500 , Oe� 4 � ©Is�ase - - Policy Lirnit�
<br /> rcr'tiflt8tf» f5 nal a polFcy and of itself saes not afford any insurance . nothing contained ! n this
<br /> µ • � :� , ; ', .r ' ! he con3trued 8s amending , extE� nding , or altering �aderage not afforded by the policy shown
<br /> - ° ^ �� r, ir• g insurar. ca to any insr.� red not Warned shave .
<br /> � ! ? c.y of insurance listed abav2 has bccn issued to t11e named EnsWred for the paii`y period ind ?eat^ d .
<br /> . . :� `� ;, t '� t� ct ^ g any requirement, term or Gondltion df any cvnt+�ett or atitrr dacz.iment to which this ce, rtlflcata
<br /> - - _^ y f; erta ' n , t?ie tnsuranco rnAdC 8vall8ble l) y the desGrihCd policy Ln this �ertificatC 15 Subject tis arty thr±
<br /> • t , ,- =, ^ xclus!ons and conditions of SUCIt policy , Fald claims may have rediJc@c1 tfio > hawn limits .
<br /> 1 ' '�„h :•, �j �iity descrlued i1V�1VC' is can :elled before thu expiratic+n date indlcatee , the issuing company ,r�rili
<br /> - : • � � : :, � ,- y � ' 30 rr>ays' wrlttcn �? ntlte to the certificate holder named shave , although if tanceiiast�
<br />on is far
<br /> , :c �! ” :nt or• ;premium , then thr issuing company will attempt to mail 1!0 days' written npticC trs tCse
<br /> rrr`, ' ; cc, t ' itoidcr � 1n any �v� nt, the issuing tams�ny , its agents, and rep ►;esent�Uve� accept no at�EEgrticn ar
<br /> �' � a � ; i '."y of cony kind far failure to mail such notire ,
<br /> pate 11 / 03 / 2004
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