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11 / 28 / 2007 13 : 32 FAX 772 4656013 EXCHANGE CLUB CASTLE 002 <br /> ,, CORD CERTIFICATE OF LIABILITY INSURANCE Op ID L LATE (MMIPOM'YY) <br /> PRODUCER EXCFA' I <br /> 03122 / 07 <br /> NATIONAL C2TY INSURANCE THIS CERTIFICATE IS ISSDED AB A MATTER OF INFORMATION <br /> f/k/a Hu <br /> Harbor Insurance Agency ONLY AND CONFERS NO RIGHTS U?ONTXe CERTIFICATE <br /> 2222 Colonial Road , Suite 100 HOLDER. THI5CERTIFICATEDOE3NOTAMFND, EKTENDOR <br /> Fort Pierce FL 34950 =5309 ALTER THE COVERAGE AFFORD ED 6Y THE POLICIES BELOW. <br /> PPaones772 - 461 - 6040 Fax : 772 - 460 - 2315 <br /> INSURED INSURERS AFFORDING COVcRACyE NAIC # <br /> The 8xchA�ga Cluh Ce_ ter INSURER A; F .Laccipn" <br /> for the Prevention Or ~ <br /> Child Abuse DHA INSURERS: <br /> Exchauga Club C . A . S . T _ y _ F , INSURER 0; <br /> PO Box 12906 <br /> Ft Pierce PL 34979 INSURER D: <br /> COVERAGES INSURER E: <br /> THE POLICIES Df INSURANCE LIS-M BELOW HAVE@FEN ISSUED TO THEINSUp pNAMEp A90VE FOR TiE POLICYpERIOp INDICATED. NpTWCH$`AlDi <br /> ANY REQUIREKENT, TERM OR CONORION O.^ ANY CONTRACT OR OTHER OOCUME4T VJfI:' RESPECTTO WHICH THIS CERTIFICATE MAY 3E 156UED OR <br /> MAY PERTAIN, .TWE h'SURANCEAFFORDED 9YTHE POLICIES DESCRIEEO Hmmr4ISSL'OJECTTO ALL THE TERMS, E%CL'JSION$ ANp COWOIiIOh'S O= N <br /> POLICIES. AGGREGATE LIMfiSSHOWN MAYRAVE BEEN REDUCED W pAID CLAIMS. <br /> LTR NS TYPE OF INSURANCE POLICY ,NJMEER CY EF E PC EJjf T N <br /> DENS SAL LMSfur( - DATE MM1D DATE MWPO LMRS <br /> A X X COLIMERCU.LGENERALLIASIUTY papg219509 i EACY, OCCURB_,CE <br /> DE � OCCUR ccr=w s1 , 000 , 000 <br /> 03 /26 /07 03 /26 / 08 PREMISES -e 5100 000 <br /> CLAIMS MA <br /> MWIOIPfA =re pew , 55 , 000 <br /> PERSONALMAOVIILRV s1 , 00C , 000. <br /> GP'LAGGPFGATE UMR APPLIES PER' GENERALAGGRE, 0 <br /> = 33 , 00 , 000 <br /> POLICY R jILOC PRODUCTS - CONPG? Ak3O 33 , 000 , 000 <br /> ALROMOtyLE UAe11-ftY <br /> ANYAUTO COMEINEC SINGLE L NI- <br /> ALL OWNED AUTOS <br /> SCHEOULEDAUTOS I SODILYINJU'RY 3 <br /> HIRED AUTOS (Per perm) <br /> NON,OWN`_DAVTOS I - 5001LYIN,IURY 3 <br /> (Par am dcg0 <br /> PROPERTY LAMA== 3 <br /> (Pa, amdentl <br /> GARAGE LIABILITY <br /> ANYAUTO <br /> AUTO ONLY - E; .AC- ^?•,-i 5 <br /> OtyER TIM N <br /> AUTO ONLY. BOG S <br /> IXCESSNMERELL4 LL{SILfTY <br /> OOGUR 0CLnIMS MADE EACH OCCURRE••CE 3 <br /> AGGRECviTE 3 <br /> DEDUCTIBLE 5 <br /> RETENTION $ g <br /> WORNER9 OOMPENSATTON AND S <br /> EMPLpYERS' URFfY gSI J A � 4 -- <br /> I7CRY LI,u,^a <br /> ANYPROPR1/ME 0FOFARTNER/EXECUTNE .I. EACH ACOICE\- VM1 g <br /> OFFICEREMBcR EXCLUDED? - <br /> IfYee. deaglhFunder E.L. DISEASE -E< =Vi'Y== g <br /> SPECIAL PROVISIONS Dolow - ` <br /> OTHER E.L. OISEASE - = <br /> v_ T + _ arc s <br /> L Professional Liab . P11PR219509 03 /26 / 07 03 /26 /08 OccurrenC $ 1 , 000 , 000 <br /> L Sexual /Ph Abuse P14PX219509 03 /26/ 07 03/26/08 A re ate <br /> 'SCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / IXC"WMS ADnEO SY ENDORSEMENT/ SPECp L FROVISIONS +82 x000 , 000 <br /> 10 days non -payment of premium , certificate ' Holder is nerfed as an <br /> dditi, aaal Insured for General Liability coverage . <br /> `RTIFICATE HOLDER <br /> CAN <br /> INDIA-2 SHCULDANYOF TNEASOVEDEECRI2E0 pogcIES BE CAHCELLEO CEFORETHC EXFIRATIOW <br /> DATE THEREOF, THE ISSUIND Wl URER WILL ENDEAVOR W L 3 .0 * DAY3WRITTEH <br /> Sndi,aa River County <br /> Attics Marion Masterson NOTIOETO THE CERTIFICATE HOLDER NAMED TOTHE LET, GU FAILURE TO DO SO SHALL <br /> 1840 25th Street IMPOSE No 09USATI0N OR LABILITY OF ANY KIND UPON THE f.NSURER, ITS AGENTS OR <br /> Vero Beach FL 329CC) REPRESENTATIVES, <br /> A1ITHORRED REFRESENTATIYE <br /> .)RD 25 (2001108) <br /> © ACORD CORPORATIOfj i988 <br />