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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM ODM ri) <br /> HIBIS -2 11/28 /07 <br /> PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> A . V . Johnson (GSM} HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2041 E Ocean Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Stuart rL 34996 <br /> Phone : 772 -287 -3366 rax : 772 -287 -4439 INSURERS AFFORDING COVERAGE NAIL # <br /> INSURED INSURER A'. Admiral Insurance Co . <br /> INSURER B'. Ameritrust Insurance Corp <br /> Hibiscus Childrens Center Inc . INSURER c: <br /> &Hibiscus Childress Foundation <br /> P 0 Box 305 INSURER D, <br /> Jensen Beach FL 34958 <br /> INSURER E. <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO' ICY PERIOD INDICATED. NOTWITHSTANDING <br /> MY REOUIREME . TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSLED 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 NSR1 TYPE OF INSURANCE POUCYNUMBER DAMfMMIDDIYY) DATE (MM0DNY) LIMBS <br /> GENERAL LMBILTY EACH OCCURRENCE $ 2 , 000 , 000 <br /> A X COMMERCIAL GENERAL LIABILITY COOOOOOO90301 07 / 12 /07 07 /12 /08 PREMISEESE occurence) $ none <br /> $ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ none <br /> X Sexual Molestatio $100 , 000 /$ 300 , 000 07 / 12 /07 07 /12 /08 PERSONAL B ADV INJURY $ 2 , 000 , 000 <br /> X Prof Liab Includ GENERAL AGGREGATE $ 4 , 000 , 000 <br /> GENL AGGREGATE LI MT APPLIES PER: PRODUCTS - COMPIOP AGG $ 41000 , 000 <br /> POLICY F71 ,JR4 F---11 LOC <br /> i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY ALITO - (Ee eccitl .) $ <br /> Ste' SYPAYAIR CCQTIIIGIY <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULEDAUTOS {Per person) $ <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNEDNJTOS - (Per emoent) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILm AUTO ONLY - EA ACCIDENT $ <br /> ANY ALTO NOT COVERED GTEn THiM EAACC $ <br /> AUTOONI AGG $ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CI-AIMS MADE NOT COVERED AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND ITORY LIM;TS X1 ER <br /> B EMPLOYERS' LIABILm WC0336251 02 /22 / 07 02 /22/08 EL. EAOHACCIDENT E500000 <br /> PNP PROPRIETO BILTYNERIE%ECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E . DISEASE - EA EMPLOYEE I E SO OOOO <br /> If yes, dsscnbe and <br /> SPECIAL PROVISIONS belay E.L. DISEASE - POLICY LIMIT 5506000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT l SPECML PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIA01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL lot DAYSWRTTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAS.URE TO DO SO SHALL <br /> Indian River County IMPOSE NO OBLIGATION OR UI TTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1800 27th Street REPRESENTATIVES- <br /> Vero Beach FL 32960 ALTTN R RESErrr97RrE <br /> ie <br /> G'. <br /> ACORD 25 (2001/08) ® ACORD CORPORATION 7988 <br />