My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2015-130M
CBCC
>
Official Documents
>
2010's
>
2015
>
2015-130M
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/30/2017 2:20:20 PM
Creation date
11/5/2015 11:50:48 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
07/07/2015
Control Number
2015-130M
Agenda Item Number
8.I.
Entity Name
Exchange Club for Prevention of Child Abuse
Of the Treasure Coast
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.
/
12
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#: 2414 CASTLE <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />03/20/2015 <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 />Brooks Insurance Agency, Inc. <br />1120 Madison Ave. <br />CONTACT <br />NAME: <br />PHONE 419 243-1191 <br />(AIC, No, Ext): <br />E-MAIL <br />ADDRESS.mmerritt@brooksinsurance.com <br />__ <br />FAX <br />(AIC, No): 419-255-5928 <br />Toledo, OH 43604 <br />419 243-1191 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA Philadelphia Insurance Company <br />INSURED <br />CASTLE <br />P.O. Box 12908 <br />Fort Pierce, FL 34979 <br />INSURER B <br />INSURER C . <br />INSURER D <br />INSURER E <br />INSURER F . <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 />A <br />GENERA_ <br />X <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSR WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY) <br />LIMITS <br />LIABILITY <br />COMMERCIAL GENERAL <br />CLAIMS-MADE^1 <br />LIABILITY <br />OCCUR <br />PHPK1307276 <br />03/26/2015 <br />03/26/201 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGE TO RENTED <br />PREMISES R occurrence) <br />$1 ,000,000 <br />MED EXP (Any one person) <br />s20,000 <br />GEN'L <br />IPOLICY <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />s3,000,000 <br />AGGREGATE LIMIT APPLIES <br />^ JPE O- <br />PER: <br />X LOC <br />PRODUCTS - COMP/OP AGG <br />$ 3,000,000 <br />$ <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />- <br />X <br />SCHEDULED <br />AUTOS <br />AUTO-0SWNED <br />PHPK1307276 <br />03/26/2015 <br />03/26/2016 <br />(EO MBaderiD INGLE LIMIT <br />s1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per acadent) <br />$ <br />$ <br />UMBRELLA LIAB I I OCCUR <br />EXCESS LIAB I CLAIMS -MADE <br />! <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />A <br />WORKERS <br />AND <br />ANY <br />OFFICER/MEMBER <br />(Mandatory <br />I yes. <br />DESCRIP <br />Professional <br />Sexual <br />COMPENSATION <br />EMPLOYERS' LIABILITY Y / N <br />PROPRIETOR/PARTNER/EXECUTIVE <br />EXCLUDED? <br />in NH) <br />describe under <br />TION OF OPERATIONS below <br />N / A <br />I WC STATU- OTH- <br />TORY I IMITS FR <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />Liab <br />Abuse <br />PHPK1307276 <br />03/26/2015 <br />03/26/2016 <br />$1,000,0001$3,000,000 <br />$1,000,000/$2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Certificate Holder is listed as Additional nsured per Form CG2026 7/04 <br />Loc# 1 - 3525 W Midway Rd., Fort Pierce FL <br />Building # 1 3525 SW Midway Rd., Ft. Pierce, FL <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Indian River County <br />Commissioners & County FL <br />1801 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 REPRESENTATIVE <br />ACORD 25 (2010/05) 1 of 1 <br />#S289997/M289980 <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />MERRM <br />
The URL can be used to link to this page
Your browser does not support the video tag.