Laserfiche WebLink
MAY-27-2003 09 26 HARBOR INSURANCE AGENCY 772 460 2315 P . 02/5 <br /> OP ID <br /> ,� OA RD„ CERTIFICATE OF LIABILITY INSURANCE EXCHA^ x 05 2� 03 <br /> THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br /> PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> UARBOR INSURANCE AO S HOLDER. THIS CER11FICATE DOES NOT AMEND, EXTEND OR <br /> Z Colonial Road , <br /> Suite 2 00 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 2 t Pierce FL 34950 = 5309 MAIC # <br /> Phone : 772 - 461 - 6040 Fax : 712 - 460 - 2315 INSURERS AFFORDING COVERAGE <br /> INSURER A: Philmdalhi a Inde InsCO <br /> IIIIII <br /> IN8URE0 <br /> The Exchange Club Center INSURER B• Twin CLtv Fire insurance Co <br /> fothe Prevention of <br /> Chfld Abuse DBA WWRER Co. <br /> Exchange Club <br /> CluVU0 C . A . S . T . L . S . INSURER D. <br /> PO Ft Pi erce FL 34979 wsURER E. <br /> COVERAGES <br /> ENAMED � � POLICY <br /> � 9tN <br /> THE <br /> POLICIES <br /> OFINTCEOMOW <br /> HAVE <br /> PEEN <br /> ENISSUED <br /> RESPECT O WHICH THIS MAY BE ISSUED OR <br /> ANY LIIERM CONDITIONORO R DOCUMENT WITH <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. DccLUSIONs AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, f61 uMITS <br /> rA <br /> 1CDDTNSR TYPE OF INSURANCE POLICY NUMBER DA E MID DA E MILD <br /> EACHDCCURRENCE $ lI. 000 OOO <br /> GENSRALLIAs�uTY i 100 000 <br /> x X COMMERCIALOENfiRALLV181LRY PHPKD4413o 03 / 26 / 03 03 / 26 / 04 M DMIEXP(A� one pe�t i5 000 <br /> CI plMg ){ApEFOCCUR PERSONAL & ADV INJURY $ 1 , 000 000 <br /> X $ AXt1Sl /MOIAs �at3c GENERAL AGGREGATE S 2 OOO OOO <br /> PRODUCTs - COMP/OPAOG s2 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br /> POLICY P� Loc <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea iuleent) <br /> ANY AUTO <br /> BODILY INJURY <br /> ALL OWNED AUTOS y <br /> (Per persons <br /> SCHEDULED AUTOS <br /> BODILY INJURY s <br /> HIRED AUTOS (Per ecctdenl) <br /> NON.OWNED AUTOS <br /> PROPERTY DAMAGE 3 I <br /> (Per acddent) <br /> AUTO ONLY , EA ACCIDENT I <br /> GARAGE LIABILITY EA ACC S <br /> OTHERTHAN <br /> ANY AUTO AUTO OWLS^. A0G i <br /> EACH OCCURRENCE S — <br /> EXCESSIUMBRELLA LIABILITY AGGREGATE s <br /> OCCUR CLAIMS MADE i <br /> i <br /> DEDUCTIBLE _ <br /> RETENTION S <br /> TORY LIMITS X ER� <br /> WORKERS COMPENSATION AND <br /> B 1:MPLOY� LIABILtTY 21WBDU9567 12 / 01 / 02 12 / 01 / 03 E.L EACH ACCIDENT $ 500 — <br /> oFF CRROPRW OR EXCLUDED? <br /> E.L DISEASE - EA EMPLO 6 5 0 0 0 0 0 <br /> Oyes desa�eaER EL. DISEASE - POLICY LIMIT $ 500 000 <br /> SPECIAL PROVISIONS tmiaw <br /> OTHER000 , 000 <br /> A Professional Liab PHp1C044130 03 / 26 / 03 03 / 26 / 04 Occurrenc $ 1 , <br /> p, re ate $2 000 000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PR6V9 0NS <br /> COmgany A : Rmployee Dishonesty , Policy #PHP1t019440 , 03 / 26 / 02 - 03 / 26 / 0 <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 EXPIRAM <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL 10 DAYS WRITTEN <br /> Indian River County NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, DUT FAILURE TO DO 30 SHALL <br /> Commissioners IMPOSE NO OBLIQATION OR LIABILITY OF ANY IOND UPON THE INSURER. ITS AGENTS OR <br /> 1640 25th Street Ef SAT, <br /> Vero Beach FL 32960 A RIZ NTAlCindv Mc a _ �► <br /> ® gCORD RPORATION 198 <br /> ACORD 25 (2001108) <br />