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2004-229T
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2004-229T
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Last modified
9/27/2016 2:20:47 PM
Creation date
9/30/2015 8:03:49 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/12/2004
Control Number
2004-229T
Agenda Item Number
7.I.
Entity Name
Children's Home Society
Subject
Independent Living Program
Children's Services Advisory Committee
Archived Roll/Disk#
3224
Supplemental fields
SmeadsoftID
4317
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c iienro: urol vrlsoCT <br /> A " ORD-w CERTIFICATE OF LIABILITY INSURANCE DATE <br /> (M 40 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> BROWN & BROWN OF LV, INC . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P O BOX 25001 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Lehigh Valley , PA 18002-5001 <br /> 800 634=8237 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A. NONPROFITS ' INSURANCE COMPANY 36684 <br /> CHILDREN ' S HOME SOCIETY OF FLORIDA <br /> INSURER B : <br /> OF FLORIDA <br /> INSURER C: <br /> Jacksonville, FL 32247 <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE MM/DD DATE MMIOD/YY <br /> A GENERAL LIABILITY NIAIS10389 01 /01 /04 01 /01 /05 EACH OCCURRENCE 3110009000 <br /> X COMMERCIAL GEN�RAL LIABILITY DAMAGE TO RENTED <br /> R MI as e e x100 low00 <br /> CLAIMS MADE 51OCCUR MED EXP (Any one person) $59000 <br /> PERSONAL & ADV INJURY $190009000 <br /> GENERAL AGGREGATE 010001000 <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $1 ,000 , 000 <br /> POLICYF�j PROJECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Peraccident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTOOTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> A EXCESS/UMBRELLALIABILITY NEL1803569 01 /01 /04 01 /01 /05 EACH OCCURRENCE $520009000 <br /> X OCCUR O CLAIMS MADE AGGREGATE $S 000 000 <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION S $ <br /> jIhWORKERS COMPENSATION AND TWO <br /> STATU- OTHFR- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ <br /> Udescribetnder <br /> SIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ <br /> A mHER PROFESSIONAL NIAIB10389 01 /01 /04 01 /01105 1 ,000,000 OCCURRENCE <br /> LIABILITY 3,000,000 AGGREGATE <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> Certificate holder is additional insured as respects general liability in <br /> regards operations of named insured as respects landord. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Indian River County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1n DAYS WRITTEN <br /> 1840 25th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Vero Beach , FL 32960 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> 19.016.E cr y°- <br /> ACORD 25 ( 2001 /08) 1 of 2 #S146150/ M145998 MOC o ACORD CORPORATION 1988 <br />
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