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OCT- 10-2002 12 : 20 RV JOHNSON! INS . 561 287 4255 P . 01i01 <br /> r+ &. vnAAW c Or LIMOIL1 I T 11V0Ut'Cf'IIVI: � OPID <br /> PRODUCER BI S �2 10 / 10 / 02 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> R . V , Johnson Agency , Inc . HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2041 SE Ocean Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Stuart FL 34996 <br /> Phone : 772 -287 - 3366 Fax : 772 - 287 - 4255 INSURERS AFFORDING COVERAGE <br /> INSURED <br /> INSURER /A CNA <br /> Hibiscus Childrena Center Inc INSURER B: Brid afield Employers Znsuranc <br /> &Hibiacus hildxens Foundation INSLIRERc: <br /> P O Box 309 <br /> Jensen Beach FZ 34958 n INSURER D; <br /> 33Y "L INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWTrMSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUWECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDO 0 MM/DD LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE 41 000 000 <br /> A X coMMERCIALGENERAL LIABILITY 92082343277 07 / 12 / 02 07 / 12 / 03 FIRE DAMAGE (Any one ft) s200 , 000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) 8 1$ 000 <br /> X Abuse 6 <br /> PERSONAL & AOV INJURY S l 000 000 <br /> Molestation <br /> $ 1 , 000 , 000 <br /> GENERAL AGGREGATE x 3 , 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br /> POLICY PRO-CT LOC PRODUCTS - COMP/OPAGG S 3 000 OOO <br /> AurouoeltJo LULetuTY <br /> Ban . $ 1M/ $ 3M <br /> A X ANYAUTO S1082343277 0EOsaED1,INGLELIMIT 211000 , 000 <br /> 07 / 12 / 02 07 / 12 / 03 <br /> ALL OWFIED AUTOS <br /> SCHEDULED AUTOS BODILY INJURY s <br /> (Per penes) <br /> X HIRED AUTOS <br /> X NON BODILY INJURY $ <br /> -0WNEDAUTOS (Perecciaerd) <br /> PROPERTY DAMAGE 3 <br /> (Per ea Wena <br /> GARAGE LIABILITY <br /> AUTO ONLY . EA ACCIDENT 6 <br /> ANY AUTO NOT COVERED EA ACC s <br /> OTHER THAN <br /> AUTO ONLY: AGO E <br /> EXCE38 UA6ILTTY <br /> FJLCHOCCURRENCE s 1 000 000 <br /> A X occuR CLAIMS MADE 9192343277 07 / 12 / 02 07 / 12 / 03 AGGREGATE S 1 , 000 000 <br /> DEDUCTIBLE <br /> a <br /> RETENTION 6 <br /> S <br /> WORKERS COMPENSATION AND _ <br /> s <br /> EMPLOYERS' LABILITY WA X TORY LIMITS ER <br /> B 0830 - 28580 02 /22 / 02 02 /22 / 03 EL EACH ACCIDENT s 500 000 <br /> E.L. DISEASE - EAEMPL S5O0 , 000 <br /> OTHER EL DIFF - M - POLICYLIMIT 1 9 500 OOO <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONSAODED BY ENDORSEMENTISPECLAL PROVISIONS <br /> Certificate Holder is added as additional insured . Attn : Joyce Johnston <br /> Carlson <br /> CERTIFICATE HOLDER i1 I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION <br /> BOARD041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE IBBUIN13 INSURER WILL ENDEAVOR TO MAIL 10 ; DAYS WRIT(EN <br /> Board Of County Co>mmissianora NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To DO EO SHALL <br /> Indian River County <br /> Childrens Sery Advisory Commit IMPOSE NO OBLIGATION OR UAD Ure OF ANY KIND UPON THE INSURFJL ITS AGENTS OR <br /> 1840 25th Street REPRESENTATIVES, <br /> Vero Beach rL 32960 AUTHo P ESENyLi1VE <br /> ACORD 26-S (7197) r OACORD CORPORATION 1988 <br /> TOTAL P . 01 <br />