My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2015-130K
CBCC
>
Official Documents
>
2010's
>
2015
>
2015-130K
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/30/2017 2:17:55 PM
Creation date
11/5/2015 11:41:08 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
07/07/2015
Control Number
2015-130K
Agenda Item Number
8.I.
Entity Name
Youth Guidance Mentoring & Activities
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
Client#: 66175 YOUTGUI <br />Aro RDnw CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />07/24/2015 <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 />lEPRESENTATIVE 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 />The CIMA Companies, Inc. (CIM) <br />2750 Killarney Dr, Suite 202 <br />Woodbridge, VA 22192-4124 <br />703 739-9300 <br />CONTACT <br />NAME: <br />PHONE 703 739-9300 <br />(A/C, No, Ext):(A/C, No): <br />FAx 7037390761 <br />E-MAIL <br />ADDRESS: <br />PRODUCER <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Youth Guidance Donation Fund of IRC <br />PO Box 121 <br />Vero Beach, FL 32961 <br />INSURER A: Alliance of Nonprofits for Ins <br />INSURER B: Transportation Insurance Compan <br />INSURER C : <br />INSURER D : <br />INSURER E <br />INSURER F : <br />10023 <br />20494 <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 DESCR BED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1NSR <br />LTR <br />TYPE OF INSURANCE <br />AWL <br />INSR <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY) <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />OCCUR <br />201527326 <br />07/22/2015 <br />07/22/2016 <br />EACH OCCURRENCE <br />$1,000,000 <br />$500,000 <br />X <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />CLAIMS -MADE <br />X <br />MED EXP (Any one person) <br />$20,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY n JECOT- n LOC <br />PRODUCTS - COMP/OP AGG <br />$3,000,000 <br />—1 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />201527326 <br />07/22/2015 <br />07/22/2016 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />X <br />X <br />$ <br />$ <br />UMBRELLA LIAB ._ <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />— <br />AGGREGATE <br />$ <br />— <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />AFNFlPROPRIETO�XRTNER/ <br />CEFVMEMBE(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS <br />Y <br />? ECUTIVEN <br />N/A <br />4024181554 <br />10/24/2014 <br />10/24/2015 <br />WC TATU- . OTH- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$100,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$100,000 <br />below <br />E.L. DISEASE - POLICY LIMIT <br />$500,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 more space s required) <br />Indian River County is included as an additional insured under the general liability policy, as their <br />interest may appear, as respects to work being performed by the insured. - <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Indian River County <br />1801 27th Street <br />Vero Beach, FL 32960 <br />ACORD 25 (2009/09) 1 of 1 <br />#S330198/M330193 <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 />444., -4 - ems- ' <br />®1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />BAB <br />
The URL can be used to link to this page
Your browser does not support the video tag.