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MAY-27-2003 09 : 26 HARBOR INSURANCE AGENCY P 772 460 2315 Pa02/05 <br /> ACOIID., CERTIFICATE OF LIABILITY INSURANCE Ex°cam 1 05 /27 / 03 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> PROWJCFA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br /> HARBOR INSURANCE AGENCY <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Z Colonial Road , Suite 100 <br /> Z . t Pierce FL 34950 = 5309 NAIC # <br /> Phoue : 772 - 461 - 6040 Fax : 7 '12 - 460 - 2315 INSURERS AFFORDING COVERAGE <br /> INSURED 11 IMF. INSURER A: Philadel him IndemnityInsCo <br /> The 8xchange Club CO2ter INSURER B: Twin Ci Fire Snsurance Co <br /> fohdhAbusevDHAion of <br /> INSUROR c: <br /> Exchange club <br /> 2INSURER DPperce <br /> FL 34979 wsuRERE: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE PEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br /> ANY REOUIR> MENT TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> POLICMAY IES, THEINAGGREGATE L ANC 6NOWN�BY THE HAVE POOEEN REDUCED RI ED HEREIN <br /> I SECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> 1TS <br /> POLICY NUMBER DA Mro DA E MM/D 1111 1 LIMITS <br /> rLTR NSR TYPE OFINSURANCE EACH OCCURRENCE $ 1 000 000 <br /> GENERAL LIABILITY <br /> g X COMMERCIALOENSRALLIAB{LTTY gHpg044130 03 / 26 / 03 03 / 26 / 04 PREMISES Eaoccurenee $ 100r000 <br /> CLAIMS MADE OCCUR MED EXP (My ane oo'°°") S 5 O O O <br /> PERSONAL & ADV INJURY S 1 r 00 0 0 00 <br /> A X Sexual /Moj estatio GENERAL AGGREGATE $ Z 1 000 1 000 <br /> PRODUCTS • COMPIOP AOG S Z 0 0 0 0 0 0 <br /> GEN•L AGGREGATE LIMIT APPLIES PER: <br /> POLICY JELoc <br /> Y COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITS <br /> (Eo xdeenq <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY y <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY S <br /> (Pe( eccidam) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE y <br /> (Peracdden0 <br /> AUTO ONLY • EA ACCIDENT S <br /> GARAGE LIABILITY <br /> OTHER THAN EA ACC f <br /> ANY AUTO AUTO ONLY: <br /> AOG i <br /> EACH OCCURRENCE S _ <br /> EXCESW MBRELLA LIABILITY <br /> AGGREGATE $ <br /> OCCUR CLAIMS MADE <br /> S <br /> 6 <br /> DEDUCTIBLE <br /> i <br /> RETENTION S <br /> WORKERS COMPENSATION AND TORY LIMITS x ER� <br /> 9 EMPLOYERW LIABILITY21WEDII9 5 6 7 12 / 03 / 02 12 / 01 / 03 E.L. EACH ACCIDENT $ 500 000 <br /> ANY <br /> yYICRROPRIEMBFOWRPARTNER�ECUT� E.L. DISEASE - EAEMPLO i 5500 000 _ <br /> Uxes dasAL Ounder VInK)NSbdaw EL DISEASE • POLICY LIMIT $ x500 000 <br /> OTHER <br /> A Professional Lieb PHFX044130 03 / 26 / 03 03 / 26 / 04 Occurrenc $ 110001000 <br /> Aggregate $ 2 000 000 <br /> DES CW FTION OF OPERATIONS ! LOCATIONS / VE}NCLCS I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONG <br /> Company A : Bmployee Dishonesty , Policy #PAPx019440 , 03 / 26 / 02 - 03 / 26 / 03 , <br /> $ 100 , 000 Blanket . Certificate holder is an additional insured for general <br /> liability with respects to Value Visits . <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIA- 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP1 TIO ' <br /> DATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL O OAY3 WRITTEN <br /> Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT FAILURE To DD So SHALL <br /> Co=mi a s ionera IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> 1640 25th Street E ENTATIVEB. <br /> Vero Beach FL 32960 A A RIz NTA <br /> Cindv me a r l <br /> ACORD <br /> ACORD 2I5 (2001 !08) ® RpORATt 3N 198 <br />