My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2004-229L
CBCC
>
Official Documents
>
2000's
>
2004
>
2004-229L
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/27/2016 2:05:05 PM
Creation date
9/30/2015 8:02:06 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/12/2004
Control Number
2004-229L
Agenda Item Number
7.I.
Entity Name
Center for Emotional & Behavioral Health
Subject
Child/Adolescent Psych Program - Dr. Linger
Children's Services Advisory Committee
Archived Roll/Disk#
3223
Supplemental fields
SmeadsoftID
4309
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
37
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMIDD/YYYY) <br /> PRODUCER INDIA. 1. Milli 11 / 04 / 04 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF IN FORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Florida Hospital Assoc Ins Svc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1675 Terrell Mill Rd . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Marietta GA 30067 <br /> Phone * 800 - 476 - 7601 Fax : 770 - 850 - 0988 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED _ <br /> INSURER A: Continental Casualty company <br /> Indian River Memorial Hospital INSURER B. - <br /> Greg Morgan INSURERC: <br /> 1000 36th Street <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 REQUIREMENTe 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 /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMro MUCM�DATE MMI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY UAMAk3ftTO RENTED'—'--• <br /> PREMISES Es ocarenee S <br /> CLAIMS MADE OCCUR MED EXP (Any one person) S <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE f <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG f <br /> POLICY F1 29 0 LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO <br /> COMBINED SINGLE LIMIT f <br /> (Ea acddent) <br /> ALL OWNED AUTOS <br /> BODILY INJURY i <br /> SCHEDULED AUTOS (Per person)) <br /> HIRED AUTOS 7 - -- — <br /> NON-OWNEDAUTOS BODILYINJURY i <br /> (Per ao*lent) <br /> PROPERTY DAMAGE f <br /> (Per acddent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT f <br /> ANY AUTO <br /> OTHER THAN FA ACC f <br /> AUTO ONLY: AGG f <br /> EXCESWUMBRELLA LIABILITY <br /> EACH OCCURRENCE i <br /> OCCUR CLAWS MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> S <br /> RETENTION f <br /> i <br /> WORKERS COMPENSATION AND <br /> S <br /> A EMPLOYERS' LIABILITY 7C TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE W- 128588438 01 / 01 / 04 01 / 01/05 E.L. EACH ACCIDENT s $ 1 , 000 , 000 <br /> OFFICER/MEMBER EXCLUDED? <br /> V yes, desatbe under E.L. DISEASE - FA EMPLOYEE 1 , 0 0 0 , 0 0 0 <br /> SPECIAL PROVISIONS below <br /> OTHER E.L. DISEASE - POLICY LIMIT S $ 1 , 0 0 0 , 0 0 0 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAI- PROVISIONS <br /> Proof of coverage for above Named Insured . <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIANC 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 /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Indian River County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1840 25th Street REPRE TATLVES. <br /> Vero Beach FL 32960 AU 1. IVRIZEDREPRE TA VE <br /> ACORD 25 (2001 /06) © ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.