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ACORDM CERTIFICATE OF LIABILITY INSURANCE X0/`23/2 ' <br /> PRODUCER (772) 231 - 2828 FAX (772 ) 231 - 4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2911 Cardinal Drive (32963) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P . O . Box 3488 <br /> Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Boys & Girls Club of Indian River County , Inc . INSURER Philadelphia Indemnity Ins Co <br /> P . O . Box 3068 INSURERS. Florida Retail Federation <br /> Vero Beach , FL 32964 - 3068 INSURER C: <br /> INSURER 0. <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 /> IN SR <br /> DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONTR IN R <br /> DATE IMMUDDIFff) DATE QMMI LIMITS <br /> GENERAL LIABILITY PHPK206195 09/13/2007 09/13/2008 EACH OCCURRENCE $ 11000990 <br /> X COMMERGAL GENERA'- LIABILITY DAMAGE TORENTED $ 100 , 000 <br /> CIAIMS MADE Ffl OCCUR MED EXP (Any one person) $ 59000 <br /> A PERSONAL B ADV INJoeY $ 19000100 <br /> GENERAL AGGREGATE $ 39000900 <br /> GEN I AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 37000900 <br /> 'OIICY FI <br /> �GT _OC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANYAUTO (Ea accibert) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULEDAUTOS (Per person) $ <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> .NON-OWNED ALROS (Per acoidenl) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTOONLY EAACCIDENT $ <br /> . NY AU lO OTHER THAN EAACC $ <br /> AUTOONLY. AGO S <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F-1 CLAIMS MADE AGGREGATE $ <br /> S <br /> ;)E �UCT' BL= $ <br /> REIEINTIOS S $ <br /> WORKERS COMPENSATIONAND 520 - 25564 09/13 /2007 09/13/2008W'C STATU- X OTH- <br /> EMPLOYERS' LIABILITY <br /> B ANY PROPRi ETORIPARTNERIEXECUTIVE EL EACH ACCIDENT S SOD , OO <br /> OFFICEWMEMB=R EXCL'JDEDn ELDISEASE - EAEMPLOYE $ 500900 <br /> 4 yeS. describe under <br /> SPECIAL PROVISIONS be cw E L DISEASE POLICY LIMY I $ 500700 <br /> OTHER PKPK206195 09/13/ 2007 09/13/2008 $1 , 000 , 000 Occurrence <br /> Professional Liability <br /> A $3 , 000 , 000 Aggregate <br /> DESCRIPTION OF OPERATIONS I LOCATIONS ) VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> 'ertificate Holder is Named Additional Insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Indian <br /> 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> River County <br /> Board off County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 - 25th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE <br /> Kenneth D . Felten , LUTCF <br /> ACORD 25 (2001 /08) ©ACORD CORPORATION 1988 <br /> PDF created with FinePrint pdfFactory Pro trial version http : //www . pdffactory . com <br />