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ACORD DATE (MM/DD/YYYY) <br /> TM. CERTIFICATE OF LIABILITY INSURANCE 01 /13/2009 <br /> PRODUCER Phone: (772) 5623369 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 /> 2045 14TH AVE . HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P0BOX 130 <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 <br /> VERO BEACH FL 32967 INSURER C: ZENITH INIS COMPANY <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, <br />NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br /> OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS <br /> OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADUL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSR DATE MMIDDril DATE MID <br /> GENERAL LIABILITY 02_LX=W9330.4/000 05/15/08 05/15/09 EACH OCCURRENCE $ 1 ,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 <br /> PREMISES Ea occurence <br /> CLAIMS MADE r�X] OCCUR MED. EXP (Any one person) $ 511000 <br /> A PERSONAL d ADV INJURY $ 130009000 <br /> GENERAL AGGREGATE $ 31000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG . $ 1 ,000,000 <br /> POLICY PROJECT LOC <br /> AUTOMOBILE LIABILITY 02626305.4 04/23/08 04/23/09 <br /> COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 1 1000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> B X HIREDAUTOS <br /> 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 I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F] CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND Z068006304 01 /04/09 01 /04/10 Rv uM TS OTHER <br /> EMPLOYERS' LIABILITY — <br /> C ANY PROPRIETORIPARTNI7t/EXECUTIVE E .L. EACH ACCIDENT $ 100,000 <br /> OFFICERIMEMBER EXCLUDED? E .L. DISEASE-EA EMPLOYEE $ 1000000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 500,000 <br /> OTHER : <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 : <br /> All Thi <br /> ACORD 25 (2001 /08) Certificate # 118645 © ACORD CORPORATION 1988 <br />