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2007-308R
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2007-308R
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Last modified
6/23/2016 12:59:22 PM
Creation date
9/30/2015 11:15:32 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/18/2007
Control Number
2007-308R
Agenda Item Number
7.O.
Entity Name
Catholic Charities Samaritan Center Program
Subject
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
6586
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AWRD, 03 /229/ 079/ 07M CERTIFICATE OF LIABILITY INSURANCE DATETYYYY <br /> PRODUCER 1 - 305 - 592 - 6080 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Arthur J . Gallagher A Co . - Florida <br /> Arthur J . Gallagher RICK Management services (Miami ) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 8200 N . N . Galt Street <br /> Suite 200 <br /> Miami , FL 33166 INSURERS AFFORDING COVERAGE NAIC # <br /> Antonio B . Abella - A000306 <br /> INSURED INSURERAUnderwriters At Lloyds Of London 10786 <br /> DIOCESE OF PALM BEACHINSURER B: NATIONAL CATHOLIC RRG 10083 <br /> CATHOLIC CHARITIES OF PALM BEACH , INC . <br /> 9995 N . MILITARY TRAIL INSURERC: <br /> INSURERD: <br /> PALM BEACH GARDEN , FL 33410 <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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> EFFECTWE POLICY E%PIRATION <br /> LIMITS <br /> INSR DO' POLICYNUMBER <br /> B GENERA - LIABILITY RRG1050 - 08 04 / 01/ 07 04 / 01/ 08 EACH OCCURRENCE 51 , 000 , 000 <br /> 0 WE <br /> A X COMMERCIALGENERA- UABIUTY J067033 04 /01/ 07 04 /O1/ OB PREMISES Ea ocwrance $ included <br /> CLAIMSMADE [K] OCCUR MEDEXP (AnYonepareon) $ Nil <br /> PERSONAL &ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ n/a <br /> PRODUCTS - COMWOPAGG $ 1 , 000 , 000 <br /> GENIAGGREGATE UMITAPPLIES PER: <br /> POLICY PRO- LOC <br /> RRG1050 - 08 09 /01/ 07 04 /01/ 08 COMBINED SINGLE LIMIT $ 1 , 0000000 <br /> B AUTOMOBILE LIABILITY <br /> Ea aoddenl) <br /> A % ANYAUTO <br /> J067033 09 / 01/ 07 04 / 01/ 08 ( <br /> ALLOWNEDAUTOS I BODILY INJURY $ <br /> (Per Peron) <br /> SCHEOULEDAUTOS <br /> i X HIREDAUTOS BODILYINJURY $ <br /> (Persmc ent) <br /> X NON-OWNEDAUTOS <br /> PROPERTVDAMAGE $ <br /> (Per eccitlen0 <br /> AUTO ONLY - EA ACCIDENT $ <br /> GARAGELIABIUTY EAACC $ <br /> OTHERTHAN <br /> AN AUTO AUTOONLY: PGG f <br /> EACH OCCURRENCE $ <br /> EXCESSMSISRELIA LIABILITY <br /> AGGREGATE Y <br /> OCCUR CLAIMS MADE $ <br /> b <br /> DEDUCTIBLE $ <br /> RETENTION E04/ 01/ 07 04 /01/ 08 % WCYTATU- OTRH <br /> A WORKERS COMPENSATION AND J067033 500 , 000 <br /> EMPLOYERS' LIAWLITY E.L. EACH ACCIDENT $ <br /> OFHCERIME TOR ARTIERJE ECUTIVE E.L. DISEASE - EA EMPLOYEE $ 500 , 000 <br /> O FICERsMEMBER E.L. DISEASE - POLICY LIMIT $ 500 , 000 <br /> SPECIAL PROVISIONS balm <br /> OTHER <br /> DESCRIPTION OF OPERATIONS LOCATIONS/VEXIDLE$ I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Wherever Insurer A is shown : $ 250 , 000 Self Insured Retention is included <br /> within the limits <br /> CERTIFICATE HOLDER IS AS <br /> TO <br /> HE <br /> COUNTY FUNDING FOR THENSAMARITANTIONAL CENTER INSURED <br /> 41 STREET , SVEROTBEACH , EFIL LIABILITY FOR THE <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> [1840 <br /> AN RIVER COUNTY, FLORIDA <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $HALL <br /> IMPOSE NO OBLIGATION OR LI U TTY OF ANY KIND UPON THE INSURER, TTS AGENTS OR <br /> 25TH STREET REPRESENTATIVES.AUTHORRED REPRESENTATIVE <br /> BEACH , FL 32960 - 3365 USA <br /> © ACORD CORPORATION 1988 <br /> ACORD 25 (2001108) msenlmia <br /> 5878105 <br />
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