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<br /> A,C-QBQ CERTIFICATE F LIABILITY INSURANCE ExcaA-1 11/02M
<br /> PROOOCPL THIS CERTIFICATE IS ISSUES AS A MATTER C-F INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE 4 ,ERMPtATE
<br /> .ARBOR JVS7jRAC1Ci AGNACY HOLDER, THIS CERTIFICATE DOEs NOT AWRID, EXTEND OR
<br /> 2222 , Colonial Road , Suits 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
<br /> Fort Pierce FL 3495D - 5309
<br /> Ph0n9L772 -461-6040 Fax ) 772 - 4604315 INSURERS AFFORDING COVEP'A" INAIC9
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<br /> REO ,
<br /> INSURER A: PAa1WAjNN;R ind.nn . ry ie. co
<br /> The h712:5e C tEb center
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<br /> 9g t� PrAVP.ai ion O 'E WSUiiR is ••.• .. ... __ -
<br /> CA 1d Abuse DBA WEURER C_ _
<br /> ftchangs Club C . A . S . T , L . B . . . -
<br /> PO box 12908 IN.a1RER M
<br /> IN
<br /> Ft Pierce PL 34979 -I
<br /> - SURER F:
<br /> COVERAGES
<br /> TNEROLIMES OF IA84.iMCEIW'TED BELOW -:-IMT BEEN ISS4E0 'O THE JJSVREO dPMRU ABOVE FOR -HEDOUCTPCRI0 , INOICATSF . NOT W17TlsTl
<br /> ANY REQUIREMENT, TERM OR C06'CIYI014 OF ANY VQNTAaOT OR OTHER DOCUMEN' WITH RESPECT TO WHICH THI6 CERTIFICATE N'V Y BE IMES OR
<br /> MAY PERTAIN, THE !N5L Rl APPPOROEO MYTNE POLICIES MCP.iOCO HUHN IS SU3J:-CT TO ALL TlIE 7ERNS, LtCLU3gN5 ANO C' >kEN'IDNS CF SUCH
<br /> POLICIES ACONSWE LIMBS SHOWN my 'iP��E. BEEN REDUCED 6� PAIC CLAIMS.
<br /> IOLIGITF pL EAP1mATw"- -
<br /> LTR I _YPE CP INS-URANCE _ i ROUCY N{MpCA ATE IMMIOOM'1 bWYCIIIM1VDOIfI'1 - LIRRS
<br /> GENERAL LAONITYocannBNcc 31 , 000 000
<br /> ;7A; fD
<br /> AyX , XIeoMMErteIucFNFRatLwRl?r !! P8PR16] 969 03 / 26 / 06 03 /26 / 071_ PRkM!a.,'P16eRemleim«� _ 1100, ,. 000
<br /> Ty.•� '" CWM6 MADE ,' X OCCURi MEO UP (AM one PNax; S5 000
<br /> ) P RSONAL i ADV OW R-, f 1 , 00D , 000 �
<br /> I� 1 GENERAL AGGRE 9 E a 3 000 000
<br /> � PRaG=7S . COFAPr PA.'G 33 , 000 , 000
<br /> . -GB4L AGGREGATE LIMB APPLIES PFR
<br /> JM LOC
<br /> A, .^. • �Al1tOMOE0.E W01llfY COMWN410 SINOLG 0VIS
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<br /> 0 PLAY AV,
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<br /> ALL GAINED AUTCR I ! FOpLY1YJJRT S _
<br /> I � SCHEOULED AJTOE � I hx pgivnl -__ ., . --
<br /> HIRFIIAUTOS i DOOILY :ILURY g
<br /> IPYIfLeiOq
<br /> I nONOVJNlD AUTOS I __
<br /> !,.-•. - '. . I � PROPFRTVDAMAGE _.•. •. -,
<br /> "WE WE LlARRfTY I I lUT00NLY - EA wC GDEN ! i
<br /> 'S• ! 1 . ANYAJOO i OTHER THAN At ;G S
<br /> ja r AUTO ONLY: -_ .P t
<br /> ^ ERCE3SNIeaIReI.LALIAEILITY' EAON OCOURRENCF
<br /> N I ,7 AGGREGATE . —_ f . . . .. _—
<br /> 1 OCCUR ClAIN6 MADE ! � —
<br /> y71. i 'TIL -.
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<br /> .I _- yy. . Pre"T10N 9 1
<br /> OFFIDEPRIFNNFR FJLCLUOED° TORT ' MISS ', T,R, ,�`�
<br /> V/OaNER3 COMPENSATION ANO
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<br /> OYIDu' LIAauTY E.L. EACH ACCIOEF7�
<br /> -� N IPRGA%NR"NARTNERRiaFCVTIVE
<br /> E.L. W6EAEFUiNP40 S
<br /> , 'SPELW PfiOVn10N9 Del" 1 , E.L. OIEEASE - POL' CY LRaT a
<br /> F. , .!
<br /> OTHER
<br /> A ProtL#aalomal Liab . ! PePi(163969 03 / 26 /06 ! 03 / 26 /071 voaurt'aac v� 1 . 000 , 000
<br /> A 1
<br /> 333sakual / CI PRPK163969 I 03 /2606 03 /
<br /> 26 / 07 bag l! ae ; 21000 , 000
<br /> CE: CRVIAcORO► hAuIGNIVENENPORWMENTISPECIAL PROVISIDJAl
<br /> 04u -dRys
<br /> uou-payment of promium , Certificane Holder is cased as an "
<br /> ad'ffi'tianal 1XIOured . for General Liability coverage .
<br /> CANCELLATION
<br /> F.p:71FICATE HOLDER -
<br /> 4iN0{ILEANT OP THE ARCH. DESCPoIIEO POIIGFS SE GVIGEALEtl EEFOCTNE EERR6TION
<br /> .., 1rroxA - 2
<br /> DRTE TN[RtiOF, iHERISVUIC NSLIIIER WILL EROWVOR I',) MfIL 3DM GAYS WRITTtD:
<br /> ludiaA River C013nEy NOTICETOTWICENTIFIGA174 KCA.MtN►MECTOTHE UIT, RUT FA:VRE TOOOSO SMALL
<br /> Attn , Marion Na6tersou IMP06E NO ORLiCATLON OR 11AEkIT ' OP ANY KIND W014 ENE INSUINCry RUAOENTE OR
<br /> LI 1 •; 1640 25th Street
<br /> I Vero Beach FL 32960 REPRiiwrArnEa „_-
<br /> 4 iS6 r!. AYTMOIVi£O RERRESENTAl1YE - ..
<br /> 1 s _ Cindy MQQL1l '
<br /> � .A R1425 (2601/09) ACORO C URPORATICII 1966
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