2004-229E (2) - Laserfiche WebLink

Home Browse Search

NRY- 18-2004 13 : 58 HARBOR INSURANCE AGENCY 772 460 2315 P - 07/ 12 ACORDOP ID DATE (MMIDDIYYYI') � CERTIFICATE OF LIABILITY INSURANCE EXCHA- 1 05 / 18 / 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HARBOR INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 Colonial Road , Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pierce FYI 34950 - 5309 •s __.jne : 772 - 461 - 6040 Fax : 772 - 460 - 2315 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Philadelphia lndamnity Ins o The Exchange Club Center fo the Prevention of INSURER B: Hartford Ins Co of the Midwest Child Abuse DHA " Exchange club C . A • S . T . L . E . INSURER C: PO Box 12908 INSURER D: Ft Pierce F11 34979 INSURER F: COVERAGES THE. POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT MTN RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS -- ' CYEFFVCT CMPTRATiri LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/Y DATE: MM/DU" LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 , 0001000 UAMACEI A X X COMMERCIAL GENERAL LIABILITY PHPK071434 03 / 26 / 04 03 / 26 / 05 PREMISES (Eaoccurenca) $ 1001000 CLAIMS MADE I XI OCCUR MED EXP (Any one person) $ 51F000 _ A , _ X Sexual /MOlestatio PERSONAL & ADV INJURY S 1 , 000 000 _ GENERAL AGGREGATE S Q 000 , 000 GEMLAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $ 2F000 POLICY jar LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (EaacGdeny S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) 5 HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Per accident) S PROPERTY DAMAGE S -- (Por acddu+q GARAGE. LIABILITY AUTO ONLY - EA ACCIDENT S ANYAUTO OTyERTKAN EA ACC $ AUTO ONLY: AGG b i EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ _ OCCUR CLAIMS MADE AGGREGATE 5 l S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND X ER EMPLOYERS' LIABILITY TORY LIMITS B I ANY PROPRIETOR/PARTNER/EXECUTIVE 21WBDU9 5 6 7 12 / 01 / 03 12 / 01 / 04 E,L , EACH ACCIMNT $ 5001 () 00 —` OfFICEfVMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S 5 OO O O O if ycs. dosrrme under SPECIAL PROVISIONS b01ow E.L. DISEASE - POLICY LIMB S so o 00 0 OTHER 1 A Professional Liab PHPK071434 03 / 26 / 04 03 / 26 / 05 Occurrenc $ 1 , 000 , 000 Aggregate $ 2000000 7ESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Company AT Employee Dishonesty , Policy #PHPK071434 , 03 / 26 / 04 - 03 / 26 / 05 , $ 100 , 000 Blanket Form A . Certificate holder is an additional inured for general liability with respects to Safe Families & Valued Visits Programs , * 10 days non - payment of premium . CERTIFICATE HOLDER CANCELLATION INDIA - 2 SHOULD ANY OF THE ABOVE DESCRIBED PDLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TD MAIL 30 * DAYS WRITTEN Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL Con184 0 i A 9th ers Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1840 25th Street Vero Beach FL 32960 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ICindy McCall r / CORD 25 (2001108) © AC RD CORP RATION 1988