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2015-130G
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2015-130G
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Last modified
3/30/2017 2:17:14 PM
Creation date
11/5/2015 11:22:24 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
07/07/2015
Control Number
2015-130G
Agenda Item Number
8.I.
Entity Name
Education Foundation of IRC Inc.
Subject
Children's Services Advisory Committee
Grant Contract
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EDUCA-3 <br />OP ID: KA <br />ACORO- CERTIFICATE OF LIABILITY INSURANCE <br />`...---- <br />DATE(MM/DD/YYYY) <br />09/28/2015 <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 />Brown & Brown Insurance - Vero <br />Vero Division <br />817 Beachland Blvd <br />Vero Beach, FL 32963 <br />Brown & Brown Insurance <br />CONTACT <br />NAME: & Brown Insurance <br />Talc No. Exe):772-231-2828 FAX <br />No): 772-2314413 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A.*Philadelphia Indem Ins Co* <br />18058 <br />INSURED Education Foundation <br />of Indian River County, Inc. <br />PO Box 7046 <br />Vero Beach, FL 32961 <br />INSURER B .*National Fire Ins Co Hartford <br />20478 <br />INSURER C .*Twin City Fire Ins. Company <br />29459 <br />INSURER D . <br />$ 1,000,000 <br />INSURER E . <br />INSURER F . <br />X <br />COVERAGES <br />CERTIFICATE NUMBER: <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 />IN D <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />IMM/DD/YYYY) <br />POUCY EXP <br />(MM/DD/YYYY) <br />UMfTS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PHPK1391873 <br />11/02/2015 <br />11/02/2016 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE <br />X <br />OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />100 000 <br />$ , <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GE <br />'L AGGREGATE <br />POLICY <br />OTHER: <br />LIMIT APPLIES <br />JE T <br />PER: <br />LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />X <br />SCHEDULED <br />AUTOS <br />NON NED AUTOS -0W <br />PHPK1391873 <br />11/02/2015 <br />11/02/2016 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1 000 000 <br />, , <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />UMBRELLA UAB <br />EXCESS LIAB <br />- <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED <br />RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS'UABIUTY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />Y / N <br />N / A <br />4017700432 <br />09/04/2015 <br />09/04/2016 <br />PER <br />STATUTE <br />OTH- <br />ER <br />E.L. EACH ACCIDENT <br />$ 100,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 100,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 500,000 <br />10 0 <br />Dir & Officers <br />Empl Prac Liab <br />4017700432 <br />4017700432 <br />09/04/2015 <br />09/04/2015 <br />09/04/2016 <br />09/04/2016 <br />Dir & Off 1,000,000 <br />EPLI 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />Indian River County <br />Risk Mgt Division <br />1800 27th Street <br />Vero Beach, FL 32960 <br />1 <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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