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Philadelphia Insurance Companies <br /> One Bala Plaza, Suite 100, Bala Cynwyd , Pennsylvania 19004 <br /> ( Philadelphia Indemnity Insurance Company <br /> COMMON POLICY DECLARATIONS <br /> Policy Number: PHPK163969 <br /> Named Insured and Mailing Address : Producer: 1365 <br /> The Exchange Club Center for the HARBOR INSURANCE AGENCY <br /> Prevention of Child Abuse 2222 COLONIAL ROAD <br /> PO Box 12908 SUITE 100 <br /> Fort Pierce , FL 34979 -2908 FORT PIERCE , FL, 34950 <br /> Policy Period From: 03/26/2006 To: 03/26/2007 at 12:01 A.M. Standard Time at your mailing <br /> address shown above. <br /> Business Description : Non Profit Organization <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br /> POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br /> THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS <br /> INDICATED . THIS PREMIUM MAY BE SUBJECTTO ADJUSTMENT. <br /> PREMIUM <br /> Commercial Property Coverage Part 81487.48 <br /> ( Commercial General Liability Coverage Part 3, 698 . 00 <br /> Commercial Come Coverage Part 513 . 00 <br /> Commercial Inland Marine Coverage Part 11348 . 00 <br /> Commercial Auto Coverage Part <br /> Businessowners <br /> Workers Compensation <br /> Employee Benefits 300 .00 <br /> Professional Liability 5, 336 . 00 <br /> Sexual/Physical Abuse INCLUDED <br /> Total $ 19, 682.48 <br /> Total Includes Fees and Surcharges (See Schedule Attached) 12.48 <br /> Total Includes Federal Terrorism Risk Insurance Act Coverage 76. 00 <br /> FORM (S) AND ENDORSEMENT (S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br /> Refer To Forms Schedule <br /> Omits applicable Forms and Endorsements if shown in 7speafic Coverage Part/Coverage Form Declarations <br /> Countersignature Date Authorized Representative <br />