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2007-308J
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2007-308J
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Entry Properties
Last modified
6/23/2016 12:36:33 PM
Creation date
9/30/2015 11:12:05 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/18/2007
Control Number
2007-308J
Agenda Item Number
7.O.
Entity Name
United for Familes
Caregiver Support Program
Subject
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
6567
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NOV. 28 . 2007 . 1 : 00PM UNITED FOR. FAMILIES NO. 0949 P . 3 <br /> AC€OR CERTIFICATE OF LIABILITY INSURANCE DNOIFlu PA 11 /02/TE 07 <br /> PNODUOBt THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Brown 6 Brown of Florida , Tae . ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE <br /> Dayt6na Baach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P . O , box 2412 ALTER THE COVERAGE AFFORDED BYT14E POLICIES BELOW. <br /> Daytmna Beach FL 32115 -2412 <br /> Ph6n'tE : 366-252-9601 Fax : 306-239-5729 INSURERS AFFORDING COVERAGE NAIC ;9 <br /> INSUREW INSURCTiA LLO � B InD _ <br /> INSURER New Hampshire Ins Co 23841 <br /> UNITED FOR FAMILIES , INC . <br /> 10570 SOUTH FEDERAL RWY ST 300INSJ4ERP <br /> PORT ST LUCIE FL 34952 <br /> NBURERE <br /> COVEFtAGES <br /> THE PI6L.ICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTUMTHSTANDING <br /> AM' RgOUIREMEM, TERM OR CONDITION OF ANI CONTRACT OR OTHER DOCUMENT VJRH RESPEC. TO MCH THI6 CERTIFICATE MAY BE 16SUED OR <br /> MAY Pt�'o�.•AIN. THE INSURANCE AFFORDED EY THE POUDES DESCRIBED 'e@REIN IS SUW;CTTO ALL THE iRMS, EXCLUSIONS AND OONDIT10NS OF SUCH <br /> POLIGE5. AGG.n'EGATE LIMITS SNAIMJ MAY HAVE BEEN RED OBY PAID CLANS <br /> IN�n ROU RJ <br /> LTR S ' TYPEOFINSURANCE POLICY NUMBER PATFIMMMWyYl DATE100RAN IYY LIMITS <br /> GENEMLMABILRY BAcn occuRRENCE ' s 1 , 000 , 000 <br /> B X5 XCOMMERCIAL GENERAL LIABILITY 01hX0996620 - 1 03/15 / 07 03/ 15 / 00 PREM as DEe m,.cuNxM 15100 , 000 <br /> d <br /> CWMS MADE [K] OCCURMEOE (MY AmmrS ) s5� DDO <br /> I � X PROF LLTiB - $1MIL PERSONAL 6 ADV INJURY 51 , 000 , 000 <br /> GeJERALAGGRGCATE s3 , D00 , 000 <br /> Y OENL AGGREGATE LIMIT APPJEE PE$ PRODUCTS - COMPIOP AGO slrDOO , DOD <br /> Y <br /> X I POLICY FljE LOC Zmp Ben . 1 , DOO , OOD <br /> r AM MON" UAENLPry COMBINED SINGLE LIMB 51 , DGOXDOG <br /> � MNAUTO 01LX699Bfi26- 1 03 / 15 / 07 03,/ 15 / 0B IE= >sxml <br /> ALLOWNEDA'JTOS BODILY INJURY <br /> SCHEDUFJ ADDS IPc,permiJ 5 <br /> X HIRED AUTOS <br /> EDGILY INJURY $ <br /> qP X NONONNEO AUKS (Parv=d6m) <br /> 5 PROP=R CAM.AGE 5 <br /> (Perasdtlanp <br /> I <br /> I GARAGE LIABILRY AUTO ONLY - a ADCIDENT 6 <br /> { ANY AUlC OTHERTHAN EAACC E <br /> AUC ONLY: AOO s <br /> R. <br /> u; EXCEEERIMBRELL4 L1A91LIfY EACH OCCURRENOE__ _ X51 ODD , 000 <br /> B MX IDccus F7 : ms MADE 0170D0273B78 -1 03 /15 / 07 03/ 15 /06 ' 4GOREGATE 511000 , 000 <br /> DEDUCTIBLE s <br /> k, X RETENTION 61 , 000 <br /> VS K6ZS COMPENSATION AND TORY LIMB$ IUER b <br /> E''L,,IiiP''u YERT LIABILITY <br /> Aryl. PROPRIM%rP.ARTNMAXECUTIVE E.L EACH ACCIDENT S <br /> On C MEMSER EaCWDGM E.L DISEASE • EA EMPLOYEE s <br /> 5 6c AL PROM Shell w E.L DI EASE - POJCY UMIT E <br /> OVER <br /> A PROPERTY POLICY SCBOOO167 03/ 15 / 07 03/ 15 / 06 BUILDINGS 416000 <br /> 51?ECIAL/ $100D DSD RC/ 1005 COINSURANCE <br /> DESCRIPTION OF OPERATIONS ) LOCATIONS INEHICIFS I EXCLUSIONS ADDED BY ENDORSFMENTf SPECIAL PROVISIONS <br /> THIR?'Y DAYS NOTICE OF OANOSLLATION , TEN DAYS NOTICE DUE TO NON—PAYMENT <br /> a. <br /> CERTIFICATE BOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE H&NO AUTO <br /> AND 6=21L LIABILITY WITH RESPECT TO TBE OPERATIONS OF TrM NAMED INSURED . <br /> CONTRACT : 07 / 01 / 07 TO 06/30/ 03 <br /> CERTTRCATE HOLDER CANCELLATION <br /> INDIAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EItPIRATIO <br /> I DATETNBREOF, T MSUINGINSIIRERWIUMMAVORMNAIL 30 DAYS WKT(EN <br /> NOTICE TO THE CERRROATE NOW01 NAMW TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> INDIAN RIVER COUNTY IMPOSE NO OSUGATION OR LIABILITY OF MY RIND UPON THE INSURER, ITS AGENIS OR <br /> 1800 27TH STREET REPR6ENraTNEs. <br /> VERO SEACH FL 32967 REPRESENT <br /> ACOR X25 (2001108) m ACORD CORPORATION 1965 <br /> S <br /> s <br />
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