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2025-IG100
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Last modified
9/30/2025 12:06:07 PM
Creation date
9/30/2025 12:04:39 PM
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/23/2025
Control Number
2025-IG100
Entity Name
Helping Hands Program of South County Inc.
Subject
After School Gym Program October 1, 8, 15,22, & 29, 4:00 pm – 5:00 pm;
November 5, & 19, 2025, 4:00 pm – 5:00 pm; December 10 & 16, 2025, 4:00 pm – 5:00 pm;
January 7, 14 & 28, 2026, 4:00 pm – 5:00 pm; February 4, 18, 2026, 4:00 pm – 5:00 pm;
March 4, 11, 18 & 25, 2026, 4:00 pm – 5:00 pm; April 8, 15, 22, & 29, 2026, 4:00 pm – 5:00 pm;
May 13 & 20, 2026, All Dates 4:00 pm – 5:00 pm
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16. At least 30 days prior to the License Duration, the Applicant shall, without limiting Applicant's liability <br />submit certificates of insurance naming "Indian River County, FL" as additional insured and shall: <br />Procure and maintain at Applicant's sole expense, insurance of the types, coverages and amounts not <br />less than stated below: <br />Schedule <br />Limits <br />Commercial General Liability — No more restrictive than 1$1,000,000 Each Occurrence Combined <br />ISO Form CG0001 (including property damage, Single Limit <br />personal injury, products / comp. ops. agg., premises, <br />operations, and blanket contractual liability, and host <br />liquor liability) <br />( The County and County's members, officials, officers, employees, and agents, shall be named as <br />additional insureds under all of the above Commercial General Liability coverage). <br />In the event the use of motor vehicles is an integral part of the Event (unless a separate ordinance is <br />specifically applicable to the automobiles): <br />Automobile Liability (all automobiles -owned, hired, or( $500,000 Combined Single Limit <br />non -owned) <br />In the event the Applicant hires employees for the Event or is otherwise required to carry workers' <br />compensation insurance, the Applicant will provide evidence of workers' compensation insurance or <br />exemption as required by Florida Workers Compensation Law as defined in Chapter 440, Florida <br />Statutes. Applicant will assume responsibility for Applicant's discretion in confirming that all of the <br />Applicant's contractors or subcontractors engaged in work for the Event have the appropriate workers' <br />compensation coverage. Such evidence will include evidence of workers' compensation benefits and <br />employer's liability insurance for the following minimum limits of coverage: <br />Workers Compensation Florida Statutory Coverage <br />Including coverage for any appropriate Federal Acts <br />(e.g. Longshore and Harbor Workers Compensation Act, <br />33 USC §§ 901-952, and the Jones Act, 46 USC §§ 688 <br />et seq.) where activities include liability exposures for <br />events or occurrences covered by Federal statutes. <br />Employer's Liability <br />$100,000 Each Accident <br />$500,000 Disease Policy Limit <br />$100,000 Each Employee/Disease <br />iG License ent Page 8 of 17 <br />Initials <br />
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