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2017-037C6
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2017-037C6
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Last modified
10/25/2017 4:34:37 PM
Creation date
10/25/2017 4:27:27 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/21/2017
Control Number
2017-037C6
Agenda Item Number
8.C.
Entity Name
Indian River County Healthy Start Coalition
Subject
Grant contract for Babies and Beyond, Doula Services, Healthy Families, Parents as Teachers
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A CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) <br /> 09/28/2017 <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(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 Phone: (772)492-8187 Fax: (772)492-8192 CONTACT Trusted Insurance Professionals,LLC <br /> NAME: <br /> TRUSTED INSURANCE PROFESSIONALS,LLC PHONE FAx <br /> 87 ROYAL PALM POINTE (ac,No,Ext): (772)492-8187 (ac No): (772)492-8192 <br /> E-MAIL <br /> VERO BEACH FL 32960 ADDRESS: <br /> INSURER(S) AFFORDING COVERAGE NAIC# <br /> INSURER A : Underwriters at Lloyd's of London-Hiscox <br /> INSURED <br /> INDIAN RIVER HEALTHY START COALITION,INC. INSURER B : <br /> 333 17TH STREET SUITE 2R INSURER C : _ <br /> VERO BEACH FL 32960 •INSURER o: <br /> INSURER E : <br />• INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 5295 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 ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD (MM/DD/TTTY) (MM/DD/YYTY) <br /> GENERAL LIABILm X ME0150540116 11/04/16 11/04/17 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRTORENTED $ 50,000 <br /> PREMISES l(Ea occurence) _ <br /> CLAIMS-MADE OCCUR MED.EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> POLICY JECTRn LOCBINE <br /> $ <br /> A AUTOMOBILE LIABILITY (CO EaaccidentSINGLE LIMIT) <br /> $ 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNEDSCHEDULED <br /> AUTOS .AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS ©NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS (per accident) <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WC STATU- D11-1 <br /> WORKERS COMPENSATON TORY LIMITS ER $ <br /> AND EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> __. _A PROFESSIONAL.LIABILITY.__._. . X MEO150540116 11/04/16 11/04/17 1000000 3,000,000 <br /> A SEXUAL ABUSE/MISCONDUCT 1000000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) <br /> CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR. <br /> CERTIFICATE HOLDER CANCELLATION <br /> THE INDIAN RIVER COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 1801 27TH STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> VERO BEACH FL 32960 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Attention: <br /> Jacqueline K. Savell <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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