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• <br /> ACORD CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY) <br /> Tu <br /> 10108/2004 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Day Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 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 /> 7724464767 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 MAY <br /> 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' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMIDDNYI DATE (MM/DDIYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 <br /> A X COMMERCIAL GENERAL LIABILITY 8502CY2201284 09/13/04 09113105 DAMAGE TO RENTED $ 100 000 <br /> CLAIMS MADE FX OCCUR MED EXP (Any oneperson) $ 51000 <br /> PERSONAL & ADV INJURY $ 11000, 000 <br /> GENERAL AGGREGATE $ 3,000, 000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 1 ,000, 000 <br /> X POLICY M PRO- 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 /> X NON-OWNED AUTOS <br /> (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATLIMIU- OTH- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E .L. DISEASE - EA EMPLOYE $ <br /> If yes, tlescribe under <br /> SPECIAL PROVISIONS below E. L. DISEASE - POLICY LIMIT $ <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 /> Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Board of County Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> 1840 25th St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Vero Beach, FL 32960.3365 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <AJD> <br /> ACORD 25 (2001108 ) CORD CORPORATION 1988 <br />