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2009-065I
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2009-065I
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Entry Properties
Last modified
10/25/2015 5:28:31 AM
Creation date
10/1/2015 3:20:44 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/10/2009
Control Number
2009-065I
Agenda Item Number
8.F.
Entity Name
Children's Services Grant Contract
Subject
Boys & Girls Club IRC Vero branch
Supplemental fields
SmeadsoftID
10500
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ACORDw CERTIFICATE OF LIABILITY INSURANCE DATE <br /> PRODUCER ( 800 ) 794 - 0268 FAX : ( 772 ) 231 - 4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Brown & Brown , formerly Felten / HBA Insurance HOLDER . THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 2911 Cardinal Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW , <br /> PO Box 643488 <br /> Vero Beach FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURERA: Philadelphia Insurance Co _ <br /> Boys & Girls Club of Indian River County , Inc . INSURERBFlorida Retail Federation <br /> P . O . Box 3068 INSURER C: <br /> INSURER D. <br /> Vero Beach FL 32964 - 3068 INSURER 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 <br /> REQUIREMENT , TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN , <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND <br /> CONDITIONS OF SUCH POLICIES <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS . <br /> IADD' L TYPE OF INSURANCE POLICY NUMBER DATE ( MM/DDYDATE MMD EXPIRATION <br /> � <br /> LTR /Y <br /> EFFECTIVE PILIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE is 1 , 000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED100 , 000 <br /> PREMISES Ea occurrence $ <br /> A CLAIMS MADE FX OCCUR PHPK343055 9 / 13 / 2008 9 / 13 / 2009 MED EXP (Any oneperson) $ 5 , 000 <br /> PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ 31000 , 000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER . PRODUCTS - COMP/OP AGG $ <br /> PRO- <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1 , 000 , 000 <br /> ANY AUTO ( Ea accident) <br /> A ALL OWNED AUTOS PHPK343055 9 / 13 / 2008 9 / 13 / 2009 BODILY INJURY <br /> X SCHEDULED AUTOS <br /> (Per person) $ <br /> X HIRED AUTOS BODILY INJURY $ <br /> X NON -OWNED AUTOS <br /> ( Per accident) <br /> PROPERTY DAMAGE $ <br /> ( Per accident> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> I <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY : AGO $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR FI CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ <br /> B WORKERS COMPENSATION AND TNRY LIMIT OER <br /> EMPLOYERS' LIABILITY -- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E . L. EACH ACCIDENT $ 500 , 000 <br /> OFFICER/MEMBER EXCLUDED? 520 - 25864 9 / 13 / 2008 9 / 13 / 2009 <br /> E. L. DISEASE - EA EMPLOYEE $ 5001000 <br /> If yes , describe under <br /> SPECIAL PROVISIONS below E . L . DISEASE - POLICY LIMIT $ 500 , 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Certificate holder is named additional insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Indian River County Board EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> 1840 25th St FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> Vero Beach , FL 32960 <br /> INSURER, ITS AGENTS OR REPRESENTATIVES . <br /> AUTHORIZED REPRESENTATIVE <br /> Joseph R . Chiarella <br /> ACORD 25 ( 2001 /08 ) © ACORD CORPORATION 1988 <br /> lucn9s �A , na, no.. oonP , mf <br />
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