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2007-308O
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2007-308O
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Last modified
6/23/2016 12:45:34 PM
Creation date
9/30/2015 11:14:16 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/18/2007
Control Number
2007-308.O
Agenda Item Number
7.O.
Entity Name
Substance Abuse Council of Indian River County
Lifeskills Training Program
Subject
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
6576
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DATE (MM/DDlY ) <br /> ACORDTMCERTIFICATE OF LIABILITY INSURANCE , on4nYYY007 <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 /> —.. . _- <br /> INSURED INSURER A: Guarantee Insurance Co _ -, <br /> SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC. INSURER B: <br /> P.O. BOX 6460 I INSURER C: <br /> VERO BEACH FL 32960 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 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ; aUovlr TYPE OF INSURANCE POLICY NUMBER ? A EY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTO INSRd GATE MMIODM' GATE MMIOOIVY <br /> GENERAL LIABILITY EACH OCCURRENCE _ $ <br /> COMMERCIAL <br /> GENE OCCUR <br /> R MIETOIE RENTED <br /> D <br /> COMMERCIAL GENERAL PREMISES (Ea bmlrenceJ is - <br /> CLAIMS <br /> r—', MED. EXP (Any one person) "Tj $ <br /> L <br /> PERSONAL BACV INJURY Is <br /> PRO GENERAL AGGREGATE $ <br /> PR -I ODUCTSCOMP/OP AGG. $ <br /> GEN <br /> L AGGREGATE LIMIT APPLIES PER <br /> _._ <br /> - POLICY )ECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO ' (Ed accident) -_- I' $ <br /> ALL OWNED AUTOS B(Per <br /> person) <br /> ' (Per person) $ <br /> SCHEDULED AUTOS ) - - -- <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per <br /> accident) I <br /> - PROPERTY DAMAGE is <br /> (Per acudent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT _ $OTHE <br /> L <br /> I ANY AUTO ' AUTOONLY. <br /> _EAA. CC $ . ._ <br /> AUTO OAGG $ _ ... <br /> EOCCUR I : EACH OCCURRENCE <br /> EXCESS I UMBRELLA LABILITY CLAIMS FAGGREGAT <br /> E <br /> $ <br /> I Lk <br /> I i DEDUCTIBLE —. — - -- $ <br /> HRETENTION $ $ <br /> WC "u ' OTHER <br /> WORKERS COMPENSATION AND GWGC100002483-107 01110/07 01110106 TORY LIMITS- 11 <br /> EMPLOYERS' LIABILITY El. EACH ACCIDENT $ 100,000 <br /> A ~ <br /> OFFICERMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOY <br /> My PROPRIETORTARTNER/EXECUTIVE Et� _ 1DD,600 <br /> N yes, describe under E.L. DISEASE-POLICY LIMIT I $ 500,000 <br /> ,SPECIAL PROVISIONS below <br /> OTHER: <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIALPROVISIONS - - <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 /> 27TH STREET <br /> VER K <br /> VERO BEACH, FL 32960 <br /> Attention : Robert S <br /> ACORD 25 (2001108) Certificate # 109167 © ACORD CORPORATION 1988 <br />
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