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2016-096L
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2016-096L
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Last modified
11/3/2016 2:20:49 PM
Creation date
11/3/2016 2:20:47 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
06/21/2016
Control Number
2016-096L
Agenda Item Number
8.G.
Entity Name
Catholic Charities of the Diocese of Palm Beach
Subject
Childrens Services Advisory Grant Contract
The Samaritan Center for Homeless
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Certificate <br /> 3 '-1 _'(116 <br /> Beate of C;ovcrac <br /> Certiticate holder 1 his(ertificatc Is issued as a matter of Information onh and <br /> 1 he Roman Catholic Uiocesc of Palin 11cac h confers no rights upon the holder of this certificate. I his certificate <br /> 9995\orth\-Ilitay Trail dues not amend,extend or alter the cmcraloc afforded bel(m. <br /> Palm Beach Gardens.H- 33410-9650 <br /> 7111.C It I 110 1. \ll'I L'AL,RI 1,11-F <br /> - SOCILI) OF A\II.RICA <br /> (trend Location <br /> 108 13 U1,U 4111.1. RI) <br /> Catholic Charities of the Utot esc of Palm Beach.Inc C)11:V 1A. til:6A I5•I <br /> 9995N Militar\ Frail <br /> Patin Beach Garden,I 1,33410 <br /> i <br /> (ua c ra gc. <br /> his is to certif-, that the co\erages listed be101% have been isulcd to the certificate holder nanfed abuse for the cerfilicate <br /> indicated,nut)sitlutandui' any requirement,term or condition of ane contract or other document asith respect to%%hich this <br /> certificate may he issued or n)ay pertain,the Coverage afforded described herein is subject to:dl the terms,culustous and <br /> conditions of such cmcrage. Limits shown tnav haye been reduced by paid claims. <br /> j l ovvra8c Effective (o+crage t.\pia:diuu <br /> T%Ile of(o%cr:agc (erhtieate\unthea Date j Date Lunn. <br /> t'toperla j ----_— Neal A.1'erson.d 1'nalauly -- <br /> D.General I.iandah Each 1)rauneuae -- ?O(I(I,t)OO j <br /> General �peregale <br /> 2.ol It l•f IIID 1 <br /> �✓ Occurrence <br /> 91 19 4A.2016''016 4 1.2017 <br /> Fill Claituti Made Personal.r Adl tnlnrl <br /> iFire D.uuagr(kill late fare) - ---__- <br /> Med[,%I)(till one prniml <br /> I.xac..I;:abdah Emil Occuncncc <br /> \nnu.tl \g^rc;;race <br /> Other — Lach Occurrencr <br /> I ('lamas\tale <br /> .\nnual.\ggnrgratc j <br /> i <br /> I.uud�[oacrage <br /> i <br /> Description of Operat iondl ucaIton,Veit iclea 'pecial herr (file follnmug language cuperaedes any other Langu'lge in till%endorsement or the(erldicale ul <br /> connicl%I till alit,Lua.uage) <br /> Coverage only extends to Indian Rncr County Commissioners as their interest may appear in refefence to(atholii.('harries of the <br /> nimese of Patin Beach.Inc..R)r the term of the certificate. <br /> Holder of('erlificate (:utcellannu <br /> Additional Protected Personis) Should any of the above described euveraues he cancelled <br /> before the c%piratiou date thereof,the issuilic company will <br /> endeavor(4)Irgail 10 days written notice to the holder of <br /> Indian River County C ommissionrts certificate named to the Icft,but fifilure to mail such notice shall <br /> 1800 27th Street impose no obfip-atiou or liability of any Lind upon the company. <br /> Veto Beach,FL. 32960 its agents or representati\es. <br /> \ufhurucdlteprex•nlauac — <br /> 0833000071 .. ._.. <br />
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