My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2015-130A
CBCC
>
Official Documents
>
2010's
>
2015
>
2015-130A
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/30/2017 2:14:21 PM
Creation date
11/5/2015 11:04:40 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
07/07/2015
Control Number
2015-130A
Agenda Item Number
8.I.
Entity Name
Catholic Charites of the Dioces of Palm Beach
Subject
Children's Services Advisory Committee
Grant Contract
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
8
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
1, <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />`---- <br />DATE (M MIDDlYYYY) <br />3/27/2015 <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 to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Arthur J Gallagher Risk Management Services, Inc. <br />8333 NW 53rd Street <br />Suite 600 <br />Miami FL 33166 <br />CONTACT <br />NAME: <br />PHONE FAX <br />(AIC No_ Ext) (A/C. No): <br />ADDRESS <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A. Underwriters at Lloyd's London <br />15792 <br />INSURED <br />DIOCESE OF PALM BEACH/ CATHOLIC CHARITIES OF THE <br />DIOCESE OF PALM BEACH, INC <br />9995 N MILITARY TRAIL <br />PALM BEACH GARDEN FL 33410 <br />INSURERB.LM Insurance Corporation <br />33600 <br />INSURER C. <br />/1/2016 <br />INSURER D. <br />52,000,000 <br />INSURER E . <br />SlnGuded <br />INSURER F . <br />30863872 <br />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 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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DDIYYYY) <br />POLICY EXP <br />(MMIDDIYYYY) <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />BP1006814 <br />4/1/2015 <br />/1/2016 <br />EACH OCCURRENCE <br />52,000,000 <br />DAMAGE RENTED <br />PREM SESO(Ea occurrence) <br />SlnGuded <br />CLAIMS -MADE <br />X <br />OCCUR <br />MED EXP (Any one person) <br />SNiI <br />PERSONAL R. ADV INJURY <br />52,000,000 <br />GENERAL AGGREGATE <br />52,000,000 <br />GEN'L <br />X <br />AGGREGATE <br />POLICY <br />OTHER. <br />LIMIT APPLIES <br />JERCT <br />PER: <br />LOC <br />PRODUCTS - COMP/OP AGG <br />52,000,000 <br />S <br />A <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />AUTOS NED <br />HIRED AUTOS <br />X <br />u <br />SCHEDULED <br />TS <br />NON -OWNED <br />AUTOS <br />BP1006814 <br />4/1/2015 <br />4/1/2016 <br />COMBINED SINGLE LIMIT <br />(Ea awdent) <br />5 2,000,000 <br />BODILY INJURY (Per person) <br />5 <br />BODILY INJURY (Per accident) <br />S <br />PROPERTY DAMAGE <br />(Per accident) <br />5 <br />5 <br />UMBRELLA LIAB <br />EXCESS LIAB <br />_ <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />S <br />5 <br />DED 1 RETENTIONS <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED <br />(Mandatory in NH) <br />If yes, descnbe under <br />DESCRIPTION OF OPERATIONS below <br />YIN <br />NIA <br />EW565N289881015 <br />4/1/2015 <br />4/1/2016 <br />X <br />PEROTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT 5500,000 <br />E.L. DISEASE - EA EMPLOYEE 5500,000 <br />E.L. DISEASE - POLICY LIMIT 5500,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) <br />Limits shown for insurer A and B are inclusive of defense and insured retention. <br />THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SOLELY WITH RESPECT <br />TO LIABILITY COVERAGE AS EVIDENCED HEREIN AS REQUIRED BY WRITTEN AGREEMENT FOR LIABILITY ARISING OUT <br />BY THE OPERATIONS OF THE NAMED INSURED IN CONNECTION WITH A GRANT <br />CERTIFICATE HOLDER <br />CANCELLATION <br />INDIAN RIVER COUNTY COMMISSIONERS <br />1800 27TH STREET <br />VERO BEACH FL 32960 USA <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 />AUTHORIZED REPRESENTATIVE <br />q°d4' <br />ACORD 25 (2014/01) <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.