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2016-096M
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2016-096M
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Last modified
11/3/2016 2:28:26 PM
Creation date
11/3/2016 2:28:24 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
06/21/2016
Control Number
2016-096M
Agenda Item Number
8.G.
Entity Name
The Learning Alliance
Subject
Childrens Services Advisory Grant Contract
Moonshot Moment Reading Rocket
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THELE-1 OP ID: SC <br /> CERTIFICATE OF LIABILITY INSURANCE DATE <br /> 011/04/201604/2016 <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 CONTACT <br /> Vero Insurance,Inc. NAME: Mary Campbell <br /> 3339 Cardinal Drive PHONEC Ext:772-231-2022 A/C No):772-231-7444 <br /> Vero Beach,FL 32963 E-MAIL <br /> Mary Campbell ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIL# <br /> INSURER A:Sentinel Insurance Company 11000 <br /> INSURED The Learning Alliance INSURER B: <br /> PO Box 643446 <br /> Vero Beach, FL 32964 -INSURER C: <br /> INSURER D <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE POLICY EFF POLICY EXP <br /> LTR IN POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 2,000,00 <br /> CLAIMS-MADE Fjl�OCCUR 21SBMBW9966 12/31/2015 12/31/2016 PREMN Ea.NTFencs $ 1,000,00 <br /> urrMED EXP(Any one person) f 10,00 <br /> PERSONAL&ADV INJURY $ 2,000,00 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE f 4,000,00 <br /> X POLICY ]PET <br /> F—]POLICYPRODUCTS-COMP/OP AGG f 4,000,00 <br /> OTHER: f <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) f <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE f <br /> HIRED AUTOS AUTOS Per accident <br /> $ <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE f 1,000,00 <br /> A EXCESS UAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION f Ded f 2,50 <br /> WORKERS COMPENSATION P R TH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT f <br /> OFFICERIMEMBER EXCLUDED? ❑N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> II es.describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT f <br /> i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Indian River Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1800 27th Street Bldg B <br /> Vero Beach, FL 32960 AUTHORIZED REPRESENTATIVE <br /> Mary Campbell <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />
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