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2015-130L
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Last modified
3/30/2017 2:20:01 PM
Creation date
11/5/2015 11:45:31 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
07/07/2015
Control Number
2015-130L
Agenda Item Number
8.I.
Entity Name
Childcare Resources of Indian River
Subject
Children's Services Advisory Committee
Grant Contract
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />09/14/2015 <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. Astatement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Waddell & Williams Insurance Group <br />3599 Indian River Dr East <br />Vero Beach FL 32963-1507 <br />CONTACT <br />NAME: <br />PHONE <br />Fxt).(772) 231-1313 FAX No): (772) 231-1314 <br />A -MAIL <br />ADDRESS <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A. Philadelphia Indemnity Insurance Company <br />COMMERCIAL GENERAL LIABILITY <br />INSURED <br />Childcare Resources of Indian River, Inc <br />1801 24th St <br />Vero Beach FL 32960 <br />INSURER B . <br />-- — - - — <br />n100,000 <br />I ,toy. K nv 63 <br />W,A 11\1( WWWW" <br />cQ y `Q1, �S l' . 14 <br />v� "` KJ <br />W �1 j ^ <br />1` /may\ co_A- <br />INSURER C. <br />09/07/2016 <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 />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DDYYYI <br />/Y <br />POLICY EXP <br />IMM/DD/YYYYI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />-- — - - — <br />n100,000 <br />I ,toy. K nv 63 <br />W,A 11\1( WWWW" <br />cQ y `Q1, �S l' . 14 <br />v� "` KJ <br />W �1 j ^ <br />1` /may\ co_A- <br />-- <br />12015 <br />09/07/2016 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE <br />X <br />OCCUR <br />PREMISESA GE TORoNTurrencP) <br />$ <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE <br />POLICY <br />OTHER: <br />LIMIT APPLIES <br />PRO <br />JECT <br />PER: <br />LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS <br />HIRED AUTOS <br />SCHEDULED <br />AUTOS <br />AUTOS <br />CU. -SCUP <br />t U3 <br />^ <br />�1 � rCe ^ ^ a Si -{L <br />COMBINED <br />COMBINED SINGLE LIMIT <br />(EaALL <br />$ <br />BODILY INJURY (Per person) <br />BO ILY INJURY <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident <br />/Per <br />$ <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />PHUB514110 <br />09/07/2015 <br />09/07/2016 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />$ <br />DED <br />, RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />PER <br />STATUTE <br />-OTH- <br />ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />PHPK1390445 <br />09/07/2015 <br />09/07/2016 <br />$1,000,000 occ. $2,000,000 agg. <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Day care center <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Indian River County <br />1800 27th Street <br />Vero Beach, FL 32960 <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 REPRESENTATIVErr <br />-8,��� GLC> <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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