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ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE10/23 /223 /2007 07 <br /> PRODUCER (772) 231 - 2828 FAX (772 ) 231 - 4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2911 Cardinal Drive (32963) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P . O . Box 3488 <br /> Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Boys & Girls Club of Indian River County , Inc . INSURERA: Philadelphia Indemnity Ins Co <br /> P . O . Box 3068 INSURERS: Florida Retail Federation <br /> Vero Beach , FL 32964 - 3068 INSURER c: <br /> INSURER D <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN . THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR 4DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE MODDMI DATE IMMIDD� <br /> GENERAL LIABILITY PEPK206195 09/13/2007 09/13/2008 EACH OCCJRRENCE $ 19000 , 00 <br /> X COMMERCIAL GENERAL LIAOIL17Y DAMAGE TO RENTED S 100 99 <br /> PRFMIRFR En Orr jrerr�, <br /> CLAIMS MADE F—X ] OCCUR MED EXP (Any one Person) $ 5 , 000 <br /> A PERSONAL B ADV INJURY $ 19000900 <br /> GENERAL AGGREGATE E 39060960 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 39600 , 06 <br /> FOJCV RCT ) LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident S <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per Person) S <br /> HIRED AUTOS BODILY INJURY <br /> NON OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY ALTO OTHER THAN EA ACC 5 <br /> AUTO ONLY AGO S <br /> EXCESSIUMBRELLA LIABILITY EACH OCCJRRENCE S <br /> OCCUR C'-AIMS MADE AGGREGATE S <br /> DEDUCTIBLE S <br /> RETENT'-ON S S <br /> WORKERS COMPENSATION AND 520 - 25864 09/13/ 2007 09/13/ 2008 1 <br /> WC STATU- x I <br /> OTH- <br /> EMPLOYERS' LIABILITY <br /> B ANY PRCPRIETORMARTNERIEXcCJTIVE EL. EACH ACCIDENT 8 566 , 69 <br /> OFFICERIMEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 506 , 96 <br /> If yes aescnoe under <br /> SPECIAL PROVISIONS nein"' EL. DISEASE - POLICY LIMIT $ 566 , 66 <br /> OTHER PHPK206195 09/ 13/2007 09/13/2008 $1 , 000 , 000 Occurrence <br /> A Professional Liability $3 , 000 , 000 Aggregate <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ) SPECIAL PROVISIONS <br /> ertificate Holder is Named Additional Insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Indian River County 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 - 25th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE <br /> Kenneth D . Felten , LUTCF <br /> ACORD 25 (2001108 ) ©ACORD CORPORATION 1988 <br /> PDF created with FinePrint pdfFactory Pro trial version http ://www . pdffactorV , com <br />