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2015-130H
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Last modified
3/30/2017 2:17:25 PM
Creation date
11/5/2015 11:29:26 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
07/07/2015
Control Number
2015-130H
Agenda Item Number
8.I.
Entity Name
The Learning Alliance
Subject
Children's Services Advisory Committee
Grant Contract
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THELE -1 <br />OP ID: MD <br />H(_'ClK/J <br />4.....„ ---CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MWDD/YYYY) <br />04/30/2015 <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 />Vero Insurance, Inc. <br />3339 Cardinal Drive <br />Vero Beach, FL 32963 <br />Vero Insurance House <br />CONTACT <br />NAME: Brian Fredericks <br />(A//CPHONE, Ext): 772-231-2022 Fac, No): 772-231-7444 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A Sentinel Insurance Company <br />11000 <br />INSURED The Learning Alliance, Inc. <br />Nick Thomas <br />705 Shore Drive <br />Vero Beach, FL 32963 <br />INSURER B: <br />21SBMBW9966 <br />INSURER C <br />12/31/2015 <br />INSURER D <br />$ 2,000,000 <br />INSURER E <br />INSURER F . <br />X <br />ERTIFI <br />• <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 />EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />M/POLICY <br />(MDD/YYYY) <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />21SBMBW9966 <br />12/31/2014 <br />12/31/2015 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE <br />X <br />OCCUR <br />PRDAMAGEMISES(RENTEDaoccurrence) <br />ES (E <br />$ � 1 000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GE <br />X <br />'L AGGREGATE <br />POLICY <br />OTHER: <br />LIMIT APPLIES <br />JE O- <br />PER: <br />LOC <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />AUTOMOBILE <br />UABILITY <br />ANY AUTO <br />ALL AUTOS OWNED <br />HIRED AUTOS <br />ULED <br />AUTOS <br />NON -OWNED <br />AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />A <br />X <br />UMBRELLA LIAR <br />EXCESSLIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />21SBMBW9966 <br />12/31/2014 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />S 1,000,000 <br />DED <br />RETENTION $ <br />Ded <br />$ 10,000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />yes, describe under <br />D <br />DESCRIPTION OF OPERATIONS below <br />/ N <br />N / A <br />I PEATUTE I I EOTH <br />E.L EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />E.L DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) <br />CERTIFICATE HOLDER <br />Indian River CountyTHE <br />1800 27th Street Bldg B <br />Vero Beach, FL 32960 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Vero Insurance House <br />ernan 9F /9me/01\ <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />Tho et`.nRn names and Irwin =ro rnnicfcrorl marlrc of enoran <br />
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