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2017-037C1
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2017-037C1
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Last modified
10/25/2017 4:03:52 PM
Creation date
10/25/2017 4:03:52 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/21/2017
Control Number
2017-037C1
Agenda Item Number
8.C.
Entity Name
Feed the Lambs
Subject
Grant Contract for after school and summer enrichment
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ACORD DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 10/16/2017 <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(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Commercial Service <br /> Buckingham-Wheeler Agency (A/CC,NNo,Ext): (855)792-2804 FAX <br /> No): <br /> 1091 Oakleaf Plantation kw A <br /> pkwy ADDDREDRE SS: <br /> commcrcialscrvicc alliancc321.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Orange Park FL 32065 INSURER A: United States Fire Ins.Co. <br /> INSURED INSURER B: <br /> Feed The Lambs Enrichment Program,Inc. INSURER C: _ <br /> 1615 18th Avenue SW INSURER D: <br /> INSURER E: <br /> Vero Beach FL 32962 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 VNTH 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 AUULSUBK POLICY IFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MWDD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000.000 <br /> UAMAGt I U I bf'1 I tU <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 <br /> MED EXP(Any one person) $ EXCLUDED <br /> A USP230291 01/08/2017 01/08/2018 PERSONAL SADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 1,000,000 <br /> X(POLICY PRO- <br /> JECT n LOC PRODUCTS-COMP/OP AGG $ 1,000.000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> ALTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPER I Y DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB _OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE 5 <br /> DED RETENTION S 5 <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ERI <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEN/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/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 /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> For Insurance Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATNE <br /> M vJ.ad/:*.C°y <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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