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2007-308K
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2007-308K
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Entry Properties
Last modified
6/23/2016 12:38:03 PM
Creation date
9/30/2015 11:12:31 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/18/2007
Control Number
2007-308K
Agenda Item Number
7.O.
Entity Name
United for Families
Camp Foster Child Program
Subject
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
6572
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ACORDCERTIFICATE OF LIABILITY INSURANCE OF ID DATE IMhVDO <br /> UNITE09 11 / 02 / 07/ 07 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Brown & Brown of Florida , Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P . O . Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Daytona Beach FL 32115 -2412 <br /> Phone : 386 -252 - 9601 Fax : 386 -239 -5729 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER ALLOyd ' S IRS <br /> INSURER B. New Hampshire Ins Cc 841 <br /> UNITED FOR FAMILIES , INC . INSURER f' <br /> 10570 SOUTH FEDERAL ST 300 INSURER . <br /> PORT ST LUCIE FL 3495252 <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. NOIVMTHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAV 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 /> INSIRLAti -'- ." - POLICY EFF FIVE POU VE%PIRATON - - - _-- <br /> LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE IMMA)DN DATE MMIODIYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ l , QQQ , QQQ <br /> B X X COMMERCIALGENERAL LIABILITY 01LX8998628 - 1 03 / 15 / 07 03 / 15 / 08 PREDMS S(Eaocc�ure ce) S 100 , QQQ <br /> CLAIMS MADE X ' OCCUR <br /> J ' MED EXP (Any one person) 5 5100 Q <br /> PROF LII AB - $ 1MIL PERSONAL a ADV INJURY s1 000 , 000 <br /> GEI <br /> Xj GENERALAOGREGATE 1 <br /> 3 . QQQ , QQQ <br /> N'LAGGREGATE LIMITAPPUES PER. PRODUCTS - COMPIOF AGO $ 1 600 , QQQ <br /> X POLI Jeer Loc Em Ben . 1 , 000 , 000 <br /> rAUTOMOBILE LIABILITY <br /> B XANY AUTO 01LX8998628 - 1 03 / 15 / 07 03 / 15 / 08 COMBINEDSINGLEGLE LIMIT $ 1 , 000 , 000 <br /> (Ed accident) <br /> IALL OWNED AUTOS _ - - _ - - -- - --- <br /> BODI ersan)INJURY I, $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS - -- - -- - -- <br /> BODILY INJURY $ <br /> X NON�CMED AUTOS (Per ecadent) <br /> -- ---- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTOONLY - EAACCIDENT $ <br /> -- <br /> . ANY AUTO EA ACC $ - - - <br /> -- OTHER THAN <br /> AUTO ONLY: AGO 5 <br /> EXCESS'UMBRELLA LIABILITY EACH OCCURRENCE S l , OO Q , Q 0Q <br /> B R occuR III CLAIMS MADE OlUD0273878 - 1 03/ 15 / 07 03 / 15 / 08 AccREGATE _ $ 110001000 <br /> s - - <br /> DEDUCTIBLE <br /> IX RETENTION $ 1 , 000 <br /> WORKERS COMPENSATION AND TORY LIMITS a ER <br /> EMPLOYERS' LIABILITY - __— <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E L EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? EL ISEASE - PLOYEE <br /> EA EM $ <br /> If yes, Describe under - _ _ <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 15 <br /> OTHER <br /> A PROPERTYPOLICY SCB000167 03 / 15 / 07 03 / 15 / 08 BUILDINGS 416000 <br /> SPECIAL/ $ 1000 DED RC/ 100 % COINSURANCE <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> THIRTY DAYS NOTICE OF CANCELLATION , TEN DAYS NOTICE DUE TO NON- PAYMENT <br /> CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE H &NO AUTO <br /> AND GENERAL LIABILITY WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED . <br /> CONTRACT : 07 / 01 / 07 TO 06 / 30 / 08 <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br /> INDIAN RIVER COUNTY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1800 27TH STREET REPRESENTATIVES. <br /> VERO BEACH FL 32967 ACTPIPRIZED REPRESENT E <br /> ACORD 25 (2001 /08) <br /> 0 ACORD CORPORATION 1988 <br />
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