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ACORD DATE (MM/DDNYYY) <br /> W . CERTIFICATE OF LIABILITY INSURANCE 09/23r2M <br /> PRODUCER Phone: (772) 562-3369 Fax: (772) 562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HILB ROGAL 8r HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 204514TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P0BOX 130 <br /> COVERAGE AFF a Rr-Lnw- <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: GRANITE STATE INS CO <br /> GIFFORD YOUTH ACTIVITY CENTER, INC . INSURER B: Progressive Southeastern 38784 <br /> 4875 43RD AVE INSURER C: ZENITH INIS COMPANY <br /> VERO BEACH FL 32967 <br /> INSURER D: <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 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 BEEN REDUCED BY PAID CLAIMS. <br /> INSR AWL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS <br /> LTR INSR T MMIDDIYY DAT MMIDDIYY <br /> GENERAL LIABILITY 02-LX-0489330-5/000 05/15/09 05/15/10 EACH OCCURRENCE $ 190009000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES a oocurence $ 1001000 <br /> CLAIMS MADE 7 OCCUR MED. EXP (Any one person) $ 51000 <br /> A PERSONAL & ADV INJURY $ 1 ,000,000 <br /> GENERAL AGGREGATE $ 31000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG. $ 1 ,000,000 <br /> PRO- <br /> POLICY JECT 7 LOC <br /> AUTOMOBILE LIABILITY 02626305-5 04/23/09 04/23/10 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 1 A00,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> B X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident <br /> GARAGE LIABILITY $ <br /> AUTO ONLY - EA ACCIDENT _ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F] CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> TATU- <br /> WORKERS COMPENSATION AND Z06WO6304 01 /04/09 01 /04110 ORY UMTS OTHER <br /> EMPLOYERS' LIABILITY <br /> C ANY PROPRIETDRIPARTNERiEXECUTIVE E .L. EACH ACCIDENT $ 100,000 <br /> OFFICERIMEMBER EXCLUDED? E .L. DISEASE-EA EMPLOYEE $ 1001000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E .L. DISEASE-POLICY LIMIT $ 500,000 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY SUBJECT TO POLICY PROVISIONS. <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 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br /> DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br /> INDIAN RIVER COUNTY AGENTS OR REPRESENTATIVES . <br /> 1840 25TH STREET AUTHORIZED REPRESENTATIVE <br /> VERO BEACH, FL 32960 <br /> Attention: ge . Thi <br /> ACORD 25 (2001 !08) Certificate # 123050 0 ACORD CORPORATION 1988 <br />