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2017-037C14
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Last modified
10/26/2017 9:17:17 AM
Creation date
10/26/2017 9:17:16 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/21/2017
Control Number
2017-037C14
Agenda Item Number
8.C.
Entity Name
Catholic Charities of the Diocese of Palm Beach
Subject
Grant contract for Building Parent Capacity in Homeless Families with Children
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'4R® CERTIFICATE.OF LIABILITY INSURANCE DATE(MMlDDNYTY) <br /> 4/28/2017 <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 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: Religious Team <br /> Arthur J.'GallagherRisk Management Services, Inc. PHONE <br /> 8333 N.W.53rd Street -A!c-No xt)' 1-800=488-3003 .FAX C.Ney 305-716=3293' <br /> Ste.600 E-MAIL <br /> 1iDDRESS• <br /> Miami FL.33166- 'INSURER(S)AFFORDING COVERAGE, •NAIC# <br /> INSURER A:Underwriter's at Lloyds; London 131143 <br /> INSURED DIOCOFP-02 INSURER 0": <br /> DIOCESE OF PALM BEACH'CATHOLIC CHARITIES OF INSURER C <br /> PALM.BEACH, INC. <br /> 9995 N. MILITARY TRAIL INSURER D: <br /> PALM BEACH GARDEN FL 33410 INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:2004573183 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 CONTRACTOR 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 OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: <br /> INSR TYPE OF INSURANCE 7ibtirSUBR POLICY EFF POLICY EXP <br /> LTR INS° WVO .POLICY NUMBER (MM(DD!YYYY) (MM/DD/YYYY) LIMITS <br /> - <br /> COMMERCIAL GENERAL LIABILITY .EACH OCCURRENCE $ <br /> CLAIMSWADE OCCUR DAMAGE TO RENYEb <br /> PREMISESSEO occurrence) $ _ <br /> MED EXP.(Any one person) $ <br /> PERSONALSADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY PRO= <br /> JECT' LOC PRODUCTS-COMPlOP.AGG• $ <br /> OTHER: ,$ <br /> A I AUTOMOBILEUABILITY BP1031817 4/1/2017 4/1/2018 COMBINED SINGLE.LIMIT $ <br /> (Ea`accidont) 2;000,000 <br /> X-, ANY AUTO. BODILY,INJURY(Por porson) `$ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) .$ <br /> AUTOS ONLY _ AUTOS <br /> HIRED — NON-OWNED .PROPEfZTY DAMAGE <br /> AUTOS ONLY _;AUTOS ONLY (Por Occidont) <br /> $ <br /> I $ <br /> UMBRELLA LIAB — OCCUR• EACH OCCURRENCE $ <br /> EXCESS UAB 'CLAIMS-MADE AGGREGATE $ <br /> DED RETENTIONS $ <br /> A- WORKERS COMPENSATION I BP1031817 4/1/2017 4/1/2018 •X PER 1 1 OTH- <br /> AND EMPLOYERS'UABILITY Y/N _ <br /> STATUTE ER <br /> ANY.PROPRIETOR/PARTNER/EXECUTIVE, N/A El.EACH-ACCIDENT $500,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH)' E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS./VEHICLES(ACORD 101.Addltlonal'Romarks Schedule,may be attached If more space Is required). <br /> Certificate Holder is included as.Additional Insured on Auto Liability,policy-as required by written contract. <br /> • <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVEDESCRIBED POLICIES BE:CANCELLEDBEFORE <br /> Children Services THE EXPIRATION DATE THEREOF,. NOTICE WILL BE- .DELIVERED IN <br /> '1801 27th St.,Bldg B ACCORDANCE WITH THE POLICY PROVISIONS: <br /> Vero Beach FL 32960:3388 <br /> AUTHORIZED REPRESENTATIVE <br /> .C/Y. <br /> J <br /> -©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25-(2016/03) The ACORD-name and.logo-are registered marks of ACORD <br />
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