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r s <br /> ACORD CERTIFICATEOF LIABILITY INSURANCE DATE (MMIDD/YYYY) <br /> 1010812004 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Da Agency, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Y 9 enc Y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 11320 SE Federal Hwy. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Hobe Sound FL 33455 <br /> 772-546.5767 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Boys & Girls Club of Indian River County, Inc. INSURER A: Markel Insurance Co <br /> PO Box 3068 INSURER B: <br /> Vero Beach FL 32964 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. <br />NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br /> MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS <br /> OF SUCH <br /> POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR DD'R ;R POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> PF OF INSURANCE DATE (MMIDDrArYl DATE IMMIDDIYYI <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000, 000 <br /> A X COMMERCIAL GENERAL LIABILITY 8502CY2201284 09113104 09113105 DAMAGE TO RENTED $ 100,000 <br /> CLAIMS MADE FX ] OCCUR MED EXP (Any oneperson) $ 5,000 <br /> PERSONAL & ADV INJURY $ 1 ,000, 000 <br /> GENERAL AGGREGATE $ 3, 000, 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 1 ,000, 000 <br /> MPOLICYF_j PRO I LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 , 000, 000 <br /> A X ANY AUTO 8502CY2201284 09113104 09113105 (Ea accident) <br /> X ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> X NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E . L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> certificateholder is additional insured for General Liability & auto <br /> 30 Days notice applies except for non-payment of premium <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Indian River County <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> Board of County Commissioners <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 1840 25th St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Vero Beach , FL 32960-3365 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <AJD> <br /> CORD CORPORATION 1988 <br /> ACORD 25 (2001108) <br />