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ACORDM CERTIFICATE OF LIABILITY INSURANCE io/`23/20 7I <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 A. Philadelphia Indemnity Ins Co <br /> P . O . Box 3068 INSURERS. Florida Retail Federation _ <br /> Vero Beach , FL 32964 - 3068 INSURER C. <br /> INSURERD'. <br /> INI 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 REQUIREMENT, 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 B1 EN REDUCED BY PAID CLAIMS. <br /> INSR DD' DATE (Mi <br /> TYRE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE fMMI LIMITS <br /> GENERAL LIABILITY PHPK206195 09/13/2007 09/13/ 2006 EACH OCCURRENCE S 19000900 <br /> X COMMERCIALGENERALLIABILITY DAMAGE TO RENTEDS 169966 <br /> PRFMINFR UFA re ry4 <br /> GLA MS MADE FX] OCCUR MED EXP (Any one person) S 5 , 00 <br /> A PERSONAL & ADVINJURY $ 19000900 <br /> GENERAL AGGREGATE S 39000900 <br /> GE NT ASGREGFTE _IMIT APPI. IEi PER-. PRODUCTS - CCMPIOP AGO S 3 , 966 , 66 <br /> i10 Cr PRO- LOC <br /> _LCT <br /> AUTOMOBILE LIABILITY COMBINED S.NGLE UVIT <br /> ANYAUTO (Ea accident) S <br /> ALL O W NEU ALTOS BODILY I N-JRY <br /> SCHEDULED AUTOS (Per person) S <br /> HIRED AUTOS BODILY IN. JRY <br /> NON-OVr'NFi) AUTOS (Per accident) S <br /> _ PROPERTY DAMAGE S <br /> -- (Per accident) <br /> GARAGE LIABILITY AUTOONLY - EAACCIUENT $ <br /> ANYAUTO OTHER THAN EA ACC $ <br /> - - AUTO ON'_'I AGO S <br /> E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE 5 <br /> OCCUR ❑ ' AIMS MADE AGGREGATE <br /> 5 <br /> DEDUCTIBLE S <br /> RE TLNTION S S <br /> WORKERS COMPENSATION AND 520 - 25964 09/13/ 2907 09/13/2009 VJC STA?LI- X OTH- <br /> EMPLOYERS' LIABILITY <br /> B ANY PROPR FTDRPARTNERIEXFCUT VF EL. EACH ACCIDENT 8 $99 , 69 <br /> OFFICERIML MBER EXCLUDEDn ELDISEASE - EAEMPLOYE $ $00509 <br /> II yes, dedcr be under <br /> SPECIAL PROVISIONS below I ELDISEASE - POLICY LIMIT I $ $09 , 99 <br /> OTHER PHPK206195 09/13/2007 09 /13/2008 51 , 000 , 000 Occurrence <br /> rofessional Liability <br /> p $3 , 000 , 000 Aggregate <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 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 /> 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Indian River County <br /> Board of 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 (2001108) ©ACORD CORPORATION 1988 <br /> PDF created with FinePrint pdfFactory Pro trial version http : //www . pdffactory . com <br />