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2013-116H
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2013-116H
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Last modified
12/4/2015 10:53:01 AM
Creation date
10/1/2015 5:41:58 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
07/02/2013
Control Number
2013-116H
Agenda Item Number
8.G.
Entity Name
Early Learning Coalition Indian River, Martin, Okeechobee
Subject
Children's Services Advisory Committee Grant Contract
Working Poor Local Match for Indian River County
Supplemental fields
SmeadsoftID
12567
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EARLY-3 OP ID : BB <br /> ,4c` oRo,9 CERTIFICATE OF LIABILITY INSURANCE DATE10/0 DIYYYY) <br /> 10/07/13 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject <br /> to <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer <br /> rights to the <br /> certificate holder in lieu of such endomement(s). <br /> ONTAPRODUCER Phone : 772-287-3366 NAME: Barbie Brown <br /> R.V. Johnson Insurance (JOK) Fax : 772-287-4439 PHONE 772_287_3366 ac, NO : 772-287 -3366 <br /> 2041 E Ocean Blvd. A/c No Ext <br /> Stuart, FL 34996 ADDEmMRESS: BBrown@RVJohnson . com <br /> Joanne Kluglein(branch 5 only) <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br /> INSURER A : Scottsdale Insurance Co . <br /> INSURED Early Learning Coalition of INSURER B : <br /> IRMO Counties , Inc . <br /> 10 SE Central Parkway #200 INSURER C : <br /> Stuart, FL 34994 INSURERD : <br /> INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD <br /> INDICATED . NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS , <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ADDL-PUBWPOLICY EFF POLICY EXP <br /> INTSRR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000100 <br /> A X COMMERCIAL GENERAL LIABILITY VBA219774 01 /05/13 01 /05/14 PREMISES Ea occurrence $ 100,00 <br /> CLAIMS-MADE FX1 OCCUR MED EXP (Any one person) $ 5,00 <br /> PERSONAL & ADV INJURY $ 10000,00 <br /> GENERAL AGGREGATE $ 21000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER : PRODUCTS - COMP/OP AGG $ 19000000 <br /> PRO $ <br /> X POLICY jECT LOC <br /> AUTOMOBILE LIABILITY Ea SINGLE LIMIT <br /> accidenMBINEDt) <br /> $ <br /> ANY AUTO NOT COVERED BODILY INJURY (Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> UMBRELLA LIAB Ld OCCUR EACH OCCURRENCE $ <br /> EXCESS UAB CLAIMS-MADE NOT COVERED AGGREGATE $ <br /> DED RETENTION $ $ <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION T RYLIMITI ER <br /> AND EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N NOT COVERED E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ N / A <br /> (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under E. L. DISEASE - POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> Indian River County Human <br /> Services AUTHORIZED REPRESENTATIVE <br /> 1800 27th Street <br /> B <br /> Vero Beach , FL 329604375 <br /> © 1988-2010 ACORD CORPORATION . All rights reserved. <br /> ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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