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CERTIFICATE OF PROPERTY INSURANCE From:BOVS & GIRLS CLUB 7275485583 02/28/2008 08:53 11821 P.002/003 I DUCER 1-727-797-4190 rthur J. Gallagher Riek Management Service., Inc. ,~_. . ,,',. ~""'-""'l.'....,' DATE (MMlDDlVYlg 03/27/08 !;; THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE 2600 McCo~ick Drive Suite 300 Clearwater, F~ 33759 COMPANY A Bssex Iasurance Campany COMPANY B INSURED Boys aI1d IUds Clubs of the SUDcoast, lac. 5111 66th Street North Suite 200 St. Petersburg, FL 33709 COMPANY C COMPANY D ~~~Bhill~R.wj.~~tiW:ifI}I.~_~i~~.lilmI!jlLlIl~.~Il~W.~..~!!~~~ THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POlICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. CO LlR TYPE OF INSURANCE POLICY NUMBER I'OUCY EFFEC;1M! POLICY EllP~TION DATE (IIIIIDIl/YY) DATE (MMlDDIVY) 10/16/07 10/16/08 COVERED PROPERTY LIMITS A X PROPERTY CAUSES OF LOSS BASIC BROAD SPECIAL EARTHQUAKE , FLOOD BSPP0494 BUILDING PERSONAL PROPERTY $ BUSINESS INCOME $ EXlRA EXPENSE S BLANKET BUILDING $ BLANKET PERS PROP $ BLANKET8LDG & PP s X Sill AT'lACBIrD $ S INLAND MARINE TYPE OF POLICY BOILER & MACHINERY $ $ S $ $ $ S $ $ CAUSES OF LOSS NAMED PERILS OTHER CRIME TYPE OF POLICY OTHER $ s $ LOCATION OF PREMISElIJJ:IESCRIP110N OF PROPERTY SPECIAL CONDfTlON8/OTHER COVERAGES ~~gf,iiTEiQJJg~R~Wi'r . 'i.'~~'"" ,.~; ,.' .~,.._,~ r'-':""'~"'''"'"'''\m-'tt~'L~~~~il\;l~~'~~~~~i,'ii''~!l.~it.'''"''"r, ~':..,l!ON:~j~~~ aHOULD ANY OF THE ABOVE DEBCRlBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT, BUT FAll.URE TO MAIL SUCH NOTICE 8HALLIMP08E NO OBLIGATION OR LIABILITY OF ANY KIND UPOIII THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AlITHORIZEDREPRESENTATlVE ~ l~ii1t., , ',",~' ~lli .",...,,!iml "', "...~1J~!i~i:ll....~i4JJQ"~'I.~"~~ City of Clea~ater Pa:ks sad Recreatio~ Department S. II'yrtle.Avenue Cle.~.te:, FL 33756 ICQli.J.i~1~R"4i'i11~1~:;~,. 8221932 ~ From:BOVS & GIRLS CLUB 7275465563 02/28/2008 08:53 r SUPPLEMENT TO CERTIFICATE OF INSURANCE . NAME OF INSURED; Boys sDd Girls Clubs of the .SUDcosBt. Inc. Additional DescriDtion of OoerationslRemarks from Pace 1 : LocationB. 11 5111 66th Street Rorth Ste 200 Business Per: $30.000 BDP Media. 2. 1011 22Ddlltreet Business Per: $564.000 $15.000 BDP EX Bxp: $10,000 Deductible, $5.000 $5.000 BDP Media: $10.000 BDP BX Bxp: $109.000 Deductible. $5,000 3. 111 W Lime Street Business Per:$45,OOO BDP .edis:$12.000 EDP EX Bxp:$5.000 BLDG:$500.000 Deductible:$5.000 4. 7790 61st Street Rorth - A BUBiD888 Per: $10,000 BDP, $25,000 BLDG: $862,000.000 Deductible: '5.000 5: 7790 618t Street Rorth - B 1N8iDeS8 Per. $5,000 BliP Medial $2,000 Btolle... $93.500 DeducUble: $5,000 Addilionallnformation: 11921 P.003/003 DATE Oi/27/0B