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2007-308M
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2007-308M
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Last modified
6/23/2016 12:41:18 PM
Creation date
9/30/2015 11:13:22 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/18/2007
Control Number
2007-308M
Agenda Item Number
7.O.
Entity Name
Substance Abuse Council of Indian River County
Right Choice Program
Subject
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
6574
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ACORD !� DATE (MM/DD/YYV1� <br /> TM. CERTIFICATE OF LIABILITY INSURANCE 10124/2007 <br /> PRODUCER Phone: (772) 562-3369 Fax (772) 562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HILB ROGAL & HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2045 14TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P O BOX 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Gua Be Insurance Co _ _ . <br /> SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC. INSURER B: <br /> P.O. BOX 6460 - - - — - - -- <br /> VERO BEACH FL 32960 INSURER C: <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 CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A-1- THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ''�� <br /> INSR IIADO'L: POLICY EFFECTIVE POLICY E%PIRNTION LIMITS <br /> LTR INSRp TYPE OF INSURANCE POLICY NUMBER onre MMMD!w DATE V WDD <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> - - DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea ocaunnce) I $ <br /> CLAIMS MADE —�; OCCUR .MED. EXP (Anyone person) : $ — <br /> PERSONAL B ADV INJURYI $ <br /> GENERAL AGGREGATE _-- <br /> GENT AGGREGATE LIMIT APPLIES PER <br /> : I. PRODUCTS-COMP/OP AGG. ! $ <br /> PRO- - <br /> POLICY JECT . LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - ANY AUTO HER amIdenl) i $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> I (Per Person) $ <br /> SCHEDULED AUTOS <br /> HIRED AUTOSBODILY INJURY <br /> NON-OWNED AUTOS <br /> (Per accident $ <br /> PROPERTYDAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT <br /> $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> -- -- - i AUTO ONLYAGG: $ - - <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE 1 $ <br /> OCCUR � CLAIMS MADE <br /> AGGREGATE is <br /> DEDUCTIBLE ' $ <br /> RETENTION $ ' $ <br /> ATU- <br /> WORKERS COMPENSATION AND we Y LIMIT OTHER <br /> EMPLOYERS' LIABILITY GWGC100002483-107 01 /10107 01/10/08 ' ACH CCI <br /> 1 <br /> E. L. EACH ACCIDENT $ 100,000 <br /> A ANY PROPRIETOILPXCLUDE EXECUTIVE " — E - - 10 - 0 <br /> oFF¢:ER/mEMEER EXCLUDED? ', E. L. DISEASE-EA EMPLOYEE IS 100,000 <br /> N yes, descnbe under E.L. DISEASE-POLICY LIMIT $ 500,000 <br /> SPECIAL PROVISIONS below <br /> OTHER. <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br /> INDIAN RIVER COUNTY - BOARD OF COUNTY ITS AGENTS OR REPRESENTATIVES. <br /> COMMISSIONERS AUTHORIZED REPRESENTATIVE <br /> 1801 27TH STREET <br /> VERO BEACH, FL 32960 e <br /> Attention : Robert Sls <br /> ACORD 25 (2001108) Certificate # 109167 © ACORD CORPORATION 1988 <br />
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