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2004-229M
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2004-229M
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Last modified
9/27/2016 2:10:03 PM
Creation date
9/30/2015 8:02:18 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/12/2004
Control Number
2004-229M
Agenda Item Number
7.I.
Entity Name
H.O.P.E. Academy
Subject
HOPE Academy Program for Suspended Students
Children's Services Advisory Committee
Archived Roll/Disk#
3223
Supplemental fields
SmeadsoftID
4310
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CORDDATE <br /> TM. CERTIFICATE OF LIABILITY INSURANCE OCT 1804 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SID BANACK INS ./A HILB ROGAL 8r HOBBS CO. 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: AUTO OWNERS INSURANCE <br /> PROJECT H .O. P . E. , INC . INSURER B : HARBOR SPECIALTY INS CO _ <br /> 4545 38TH AVENUE <br /> VERO BEACH FL 32967 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br /> OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br /> OF SUCH <br /> POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR NSR DATE MMIDDIYY DATE MM/DD/YY <br /> GENERAL LIABILITY 002312-20591732-04 SEP 6 04 SEP 6 05 EACH OCCURRENCE $ 1 ,000 , 000 <br /> X COMMERCIAL GENERAL LIABILI DAMAGE TO RENTED $ 50 ,000 <br /> PRFMIRF.0, (FA <br /> -- -- <br /> CLAIMS MADE ' OCCUR MED. EXP (Any one person) $ 59000 <br /> --- — - <br /> PERSONAL & ADV INJURY i $ . 11000 ,000 <br /> - GENERAL AGGREGATE $ 11000, 000 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 1 ,000, 000 <br /> POLICY F PROJECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> ( Per person) $ <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br /> -- NON-OWNED AUTOS (Per accident) $ <br /> j ! <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WC STATU- OTHER <br /> WORKERS COMPENSATION AND 009000005492204 APR 29 04 APR 29 05 <br /> EMPLOYERS' LIABILITY ( mav I IMITS <br /> E. L. EACH ACCIDENT $ 100 ,000 <br /> B ANY PROPRIETORIPARTNERIEXECUTIVE -- <br /> OFFICER/MEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ 1009000 <br /> If yes, describe under -- - --- -_ - _ <br /> SPECIAL PROVISIONS below E. L. DISEASE-POLICY CY LIMIT $ 500, 00 <br /> 00 <br /> OTHER : <br /> i <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED WITH RESPECTS TO COMMERCIAL GENERAL LIABILITY. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 <br /> DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> SCHOOL DISTRICT OF INDIAN RIVER COUNTY INSURER, IT'S AGENTS OR REPRESENTATIVES. <br /> 1990 25TH STREET AUTHORIZED REPRESENTATIVE <br /> VERO BEACH , FL. 32960 <br /> Attention : Idney M a a� /` <br /> ACORD 25 ( 2001 /08) Certificate # 81348 © ACORD CORPORATION 1988 <br />
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