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ATE L <br /> ACORDT„ CERTIFICATE OF LIABILITY INSURANCE DIDD/YYYY) <br /> 033 / 26/ 26 / 08 <br /> PRODUCER 1 - 305 - 592 - 6080 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Arthur J . Gallagher Risk Management Services , Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER, THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 8200 N . W . 41st Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 200 <br /> Miami , FL 33166 <br /> Antonio B . Abella - A000306 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A. Underwri tars At Lloyds London 15792 <br /> DIOCESE OF PALM BEACH <br /> CATHOLIC CHARITIES OF PALM BEACH , INC . INSURER B: NATIONAL CATHOLIC RRG 10083 <br /> 9995 N . MILITARY TRAIL INSURER C: <br /> PALM BEACH GARDEN , FL 33410 INSURERD: <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 DD' POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br /> LTR N R POLICY NUMBER E <br /> A GENERAL LIABILITY J086033 04 / 01 / 08 04 / 01 / 09 EACH OCCURRENCE $ 1 , 000 , 000 <br /> B X COMMERCIAL GENERAL LIABILITY RRG1050 - 09 04 / 01 / 08 04 / 01 / 09 PREMISES DAVAGE TO RF=NTLrence $ Included <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ Nil <br /> PERSONAL & ADV INJURY $ 10000 , 000 <br /> GENERAL AGGREGATE $ 1 , 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $ 1 , 000 , 000 <br /> POLICY 7 PRQT F1 O- LOC <br /> A AUTOMOBILE LIABILITY J067033 04 / 01 / 07 04 / 01 / 08 COMBINED SINGLE LIMIT <br /> $ l , 000 , oao <br /> B X ANY AUTO RRG1050 - 09 04 / 01 / 08 <br /> 04 / 01 / 09 (Eaaccident) <br /> ALLOWNEDAUTOS BODILY INJURY $ <br /> (Perperson) <br /> SCHEDULEDAUTOS <br /> X HIREDAUTOS BODILYINJURY $ <br /> (Peraccident) <br /> X NON-OWNEDAUTOS <br /> PROPERTYDAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANYAUTO OTHERTHAN EAACC $ <br /> AUTOONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION $ <br /> TH <br /> A WORKERS COMPENSATION AND <br /> J086033 04 / 01 / 08 04 / 01 / 09 X WCSTATU- OR <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 5001000 <br /> ANY PROPRI ETOR/PARTNER/EXECUII VE <br /> OFFICERIMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ 500 , 000 <br /> Ifyes, describeunder E.LDISEASE - POLICY LIMIT $ 500 , 000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> Wherever Insurer A is shown : $ 250 , 000 Self Insured Retention is included within the limits <br /> CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED AS RESPECTS TO THE GENERAL LIABILITY FOR THE <br /> COUNTY FUNDING FOR THE SAMARITAN CENTER , 3650 41 STREET , VERO BEACH , FL <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> INDIAN RIVER COUNTY , FLORIDA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1840 25TH STREET <br /> REPRESENTATIVES, <br /> VERO BEACH , FL 32960 - 3365 USA AUTHORIZEDREPRESENTATIVE V <br /> ACORD 25 (2001 /08) riazmia © ACORD CORPORATION 1988 <br /> 8378863 <br />