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2015-130D
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2015-130D
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Last modified
3/30/2017 2:16:34 PM
Creation date
11/5/2015 11:13:03 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
07/07/2015
Control Number
2015-130D
Agenda Item Number
8.I.
Entity Name
Big Brothers and Big Sisters of IRC.
Subject
Children's Services Advisory Committee
Grant Contract
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BIGBR-1 <br />OP ID: KE <br />ACCO--R�� CERTIFICATE OF LIABILITY INSURANCE <br />oA0711TE 312015YI <br />07H 3!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(les) 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 thls certificate does not confer rights to the <br />certificate holder In Ileu of such endorsement(s). <br />PRODUCER <br />Atlantic Pacific - Stuart <br />620 SE Central Parkway <br />Stuart, FL 34994 <br />Thomas N.Tardonla <br />CONTACT <br />NAME. Thomas N.Tardonia <br />aC°NrE1o, Ext►: 772-223-0400 FAX No}: 772-223-1919 <br />AODRl • <br />ADDRESS: <br />INSURER(S)AFFORDING COVERAGE <br />NAIC 1 <br />INSURER A:Guarantee Insurance Company <br />11398 <br />INSURED Big Brothers Big Sisters of <br />St Lucie County <br />403 N US Hwy 1 <br />Ft Pierce, FL 34950 <br />INSURERB <br />INSURER C' <br />INSURER D. <br />$ <br />INSURER E <br />INSURER F <br />COVERAGES <br />CERTIFICATE NUMBER: <br />REVISION NUMBER: <br />THIS 15 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 />ITR <br />TYPE OF INSURANCE <br />ADOL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDD!YYYY) <br />POLICY EXP <br />(MMtDDIYYYY) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MAGE <br />OCCUR <br />DAMAGE <br />PREMISES ({ESEa occurrrEence} <br />$ <br />MED EXP (Anyone person) <br />1 <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />1 <br />GEN'L <br />AGGREGATE <br />POLICY <br />OTHER: <br />LIMIT APPLIES <br />PRO JECi <br />PER: <br />LOC <br />PRODUCTS. COMP/OP AGG <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />— <br />— <br />SCHEDULED <br />AUTOS <br />NON -OWNED <br />AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BOOILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />_ <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />1 <br />$ <br />DED <br />RETENT ON $ <br />A <br />WORHERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? [ <br />(Mandatory In NH) <br />II yes. describe under <br />DESCRIPTION OF OPERATIONS below <br />N 1 A <br />WCP100736402GIC <br />06/23/2015 <br />0123/2016 <br />PER <br />STATUTE <br />OTH- <br />ER <br />EL. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE • EA EMPLOYEE <br />1 1,000,000 <br />E L DISEASE POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEI-ECLES (ACORD 101, Additional Remarks Schedule, may be attached if more spice is required) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Children's Service Advisory <br />Committee of Indian River Cty <br />4675 28th Court <br />Vero Beach, FL 32967 <br />( <br />CHILDSA <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 />ACORD 25 (2014/01) <br />® 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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