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ACQRD. CERTIFICATE OF LIABILITY tNSURANLtEx KN i 11 / 04 / 05 <br /> PROQUCFA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HARHOR Ir,PStTrimcs AGjwCY HOLDER. THIS CERTIFICATE DOE$ NOT AMEND* EXTEND OR <br /> 2222 Colonial Road , Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> sort Pierce TL 34950 - 5309 <br /> Phone1772 - 4614040 8ax : 772 - 460 - 2315 INSURERS AFFORDING COVERAGE NAIC0 <br /> INSURER INSURED A: Philadelphia Indemnit Ina o <br /> Thefor acchange Club Ce tar INsURER6: Hartford Ina Co of the Midw st <br /> fezz the Prevention o� —, -- •- - <br /> Child Abuse DBA "SURER C: <br /> ftchange Club C . A . S . T . L . 8 . <br /> PO X 12908 INSURER D. <br /> rt pierce TL 34979 <br /> INSURR <br /> ER 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 RESPHCTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> LTR NBA TYPE Of INSURANCE POLICY NUMYER DATE MMI DATE M D1YYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 3110001000 <br /> Al X X COMMERCIALGENERALLIABILITY PIIPX112827 03 / 26 / 05 I 03 / 26 / 06 PREMISS Eeocwrence $ 200F000 <br /> CLAIMS MADE L OCCUR MED EXP (Any one person) S 5 10 00 <br /> PERSONAL i ADV INJURY — S 1 00 0 , 0 0 0 <br /> GENERAL AGGREGATE S AAO 0 , 000 <br /> GEML ACGREGATE LOAT APPLIES PER: PRODUCTS • OOMPIOP AGO 83 00wa 000 <br /> LEI qq�Q � <br /> POLICY )ppECT LOC <br /> 1 I AUTONH30I6E LIABILITY COMSINEO SINGLE LIMIT = <br /> ANY AUTO <br /> (Ey uadenl) <br /> — <br /> ~T ALL OWNED AUTOS BODILY INJURY a <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY a <br /> NON-OWNED AUTOS (Per ACaaenq <br /> PROPERTY DAMAGE S <br /> (Por ecsleenr) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT i <br /> !� ANY AUTOOTHER T EA ACC a <br /> AUTO ONLY TACO i <br /> E9CE8SNMORELLALIA1SIUT'Y EAOHOCCURRENCE a_ _ <br /> OCCURCLAIMS MADE AO <br /> OREGATHa <br /> Ell <br /> I DEDUCTIBLE _ .. <br /> �- RETENTION a lk a <br /> WORKERS COMPENSATION AND 7 RY LjM X ER _. <br /> EMPLOYERS' "ABILITY <br /> 8 210PSD179567 12 / 01 / 04 12 / 01 / 05 E.L. EACH4CCIDENT a 500 , 000 <br /> ' ANY PROPRIETOWAARTNER)EXECUTIVE —'— <br /> OFFICfRIMEMBER EXCLUDED" E.L. DISEASE . EA EMPLOYEE 5 .500 , 00 0 <br /> dyra, dp*V" under I E . L. DISEASE • POLICY LIMIT 1 $ 500P000 <br /> 9PEGIAL PROVISIONS slow <br /> OTHER <br /> A Professional Liab . PUPX112827 03 / 26 / 05 03 / 26 / 06 Occurreao $ 1 , 0000000 <br /> A Sexual / hy Abuse PKPK112221 03 / 26 / 05 03 / 26 / 061 ASqreqatq $ 2j000 , 000 <br /> DESCRIPTION OF OP RAnom I LOCATIONS I VEHIC"A I EXCWSWNS ADDED BY ENBORSEMENT i aPECIAL PROVISIONS <br /> * 10 days =mwpayment of premium , Certificate Rolder is named as an <br /> Additional Insured for General Liability coverage . <br /> CERTIFICATE HOLDER CANCELLATION <br /> I=XA - 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 99 CANCtELLED BEFORE THE EKPRATION <br /> DATE THEREOF, TME ISSU;NO INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRRrEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE07, BLIP FAILURE TO 00 SO SHALL <br /> Indian River County IMPOSR NO OBLIGATION OR "ABILnY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1840 25th Street <br /> Vero Beach PL 32960 UTHORIZEDRUME. _ <br /> AUTHORISED REPRESENTATI <br /> r <br /> Czrid McCallae 4 ! 2 <br /> ACORD 25 12001/08) Cl Or 0A RD COFkPOR4TION 1988 <br />