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ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMVDD/YYYY)STLVC - 1 09 / 22 / 09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> John L . Kirby & Associates HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 4196 Herschel Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Jacksonville FL 32210 - 2260 <br /> Phone : 904 - 387 - 9798 Fax : 904 - 387 - 9270 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER Arch Insurance Compaay <br /> Bi Brotthers B ' gg Sitters of INSURER 8: <br /> Ste LuCie , Indiaa River & -- <br /> Okeechobee Coal Inc . INSURER C: <br /> 125 North Second Street INSURER D. <br /> Ft . Pierce FL 34950 - -- --- <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 REOUIREMENT, 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 /> LTR MS TYPE OF INSURANCE POLICY NUMBER .09MEM7 ATE M QTS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 10000 , 000 <br /> A ! X_ COMMERCIAL GENERALLIABIUTY NCPKG0080201 08 / 10 / 09 08 / 10 / 10 PREMISES Esoccurerloe) $ 100 , 000 <br /> CLAIMS MADE ® OCCUR MED EXP (Any one person) s 5 , 0 0 0 <br /> PERSONALS ADV INJURY $ 110001000 <br /> GENERAL AGGREGATE 5 2 , 0 0 0 , 0 0 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 11000F000 <br /> POLICY PR LOC <br /> AUTOMOBILE LIABRJTY COMBINED SINGLE LIMIT <br /> A ANY AUTO KCAUT008020 08 / 10 / 09 08 / 10 / 10 (Eaaccai") - $ 11000F000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> X SCHEDULED AUTOS <br /> ' X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per acciderll) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN .EA ACC S <br /> AUTO ONLY: AGG _ <br /> EXCESSIUMSRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR u CLAIMS MADE AGGREGATE <br /> f <br /> DEDUCTIBLE : _—. — <br /> RETENTION $ s <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E <br /> OFFICER/WMSER EXCLUDED? E.L. DISEASE - EA EMPLOYEE 1 S <br /> H yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMITI S <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Chi ldren r s Services IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Advisory Council <br /> 1801 27th Street REPRESENTATIVES. <br /> Vero Beach FL 32960 - 3365 AUTHORIZED REPRESENTATIVE / <br /> John L . Kirb &. <br /> ACORD 25 (2001108) 0 ACORD CORPORATION 1988 <br />