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2009-251M
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2009-251M
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Last modified
3/15/2016 10:47:38 AM
Creation date
10/1/2015 12:56:22 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/22/2009
Control Number
2009-251M
Agenda Item Number
8.M.13
Entity Name
Substance Awareness Council of Indian River County
Subject
Life Skills Training Program Grant Contract
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
7896
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DATE (MWDD/YYYY) <br /> ACORL) CERTIFICATE OF LIABILITY INSURANCE 01 /29/2009 <br /> TM. <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 /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P O BOX 130 <br /> VERO BEACH FL 32961 NAIC # <br /> INSURERS AFFORDING COVERAGE <br /> ' I <br /> _ . <br /> ---- - --- - --- -- - -1111-- <br /> INSURER A: Westport insurance Corp ___ <br /> INSURED <br /> SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC. INSURER e— Westport Insurance Corp <br /> 1151 19TH STREET INSURERC: Guarantee Insurance Co <br /> VERO BEACH FL 32960 INSURER D: <br /> INSURER E: <br /> COVERAGESERIOD INDICATED, <br /> BEEN <br /> ANY REEQUIREMENTNTERMNOR LIS I E.CONDITION OF ANYECONTRACTUED OR OTHER DOCUMENT WITH RESP CT TO WHICH TH ISP <br /> TO THE INSURED NAMED ABOVE FOK THE POLICYPCERTIIFICATE MAY BE ISSUED OR <br /> DING <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br /> SUCH <br /> D BY PAID CLAIMS. <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCE <br /> L BER POLICY EFFECTIVE <br /> INSR ADD' POLICY EXPIRATION LIMITS <br /> LTR INSR TYPE OF INSURANCE POLICY NUMDATE MMIDDM' DATE MM/DD/YY <br /> $ 1 '000 '000 <br /> . GENERAL LIABILITY WCP120009370300 01 /25109 01 /25110 r!DiAMAGOATI�0_=ENTEDCE $ 100000 <br /> X COMMERCIAL GENERAL LIABILITYoccurence)ny one person) $ 5 ,000 <br /> CLAIMSMADE [X] OCCUR ADV INJURY $ 1 ,000 , 000 <br /> A 1111 - - - GREGATE $ 3 ,000 ,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PERCOMPIOP AGG. $ 39000 ,000 <br /> r - " PRO- / LOC <br /> POLICY JECT <br /> ACOMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY $ <br /> ( Ea accident) <br /> ANY AUTO BODILY INJURY <br /> ALL OWNED AUTOS (Per person) $ <br /> ri SCHEDULED AUTOS <br /> --+-1111-- - - <br /> ; HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS I <br /> i PROPERTY DAMAGE $ <br /> -- --- - _ . ___ 1111 (Per accident) <br /> AUTO ONLY - EA ACCIDENT $ <br /> GARAGE LIABILITY $ <br /> OTHER THAN EAACC <br /> ANY AUTO AUTO ONLY: AGG $ <br /> 01 /25110 EACH OCCURRENCE $ 1 ,000 , <br /> EXCESS / UMBRELLA LIABILITY WUM120009370700 01125109 - - _ 000 <br /> . <br /> I 1- AGGREGATE $ 19000, 000 <br /> X OCCUR ! CLAIMS MADE <br /> $ <br /> DEDUCTIBLE $ <br /> r X J1 RETENTION $ 10,000 <br /> WC OTHER <br /> iWORKERS COMPENSATION AND GWGCIO0002483-109 01 /10/09 01110/10 TORYY LIMITS <br /> E. L. EACH ACCIDENT _ $ 100 ,000 <br /> EMPLOYERS' LIABILITY <br /> C ANY PROPRIETORIPARTNER/EXECUTIVE E. L. DISEASE-EA EMPLOYEE $ — 1001000 <br /> OFFICERIMEMBER EXCLUDED? <br /> E . L. DISEASE-POLICY LIMIT $ 5001000 <br /> I if yes, describe under <br /> ' SPECIAL PROVISIONS below <br /> 09370300 01125109 <br /> 01 /25110 <br /> OTHER- PROFESSIONAL LIABILITY WCP1200 $ 1 ,000 , 000 - PER INCIDENT <br /> i I $ 31000 ,000 - AGGREGATE <br /> A NO DEDUCTIBLE <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CANCELLATION <br /> CERTIFICATE HOLDER <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THERE SSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO T CERTIF ATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHALL IMPO NO OBLIG ION OR LIABILI F ANY KIND UPON THE INSURER, <br /> IT'S AGENTS OR REP SENTATIV <br /> INDIAN RIVER COUNTY <br /> BOARD OF COUNTY COMMISSIONERS AUTHORIZED REPRE ENT <br /> 1801 -27TH ST, BLDG A <br /> VERO BEACH , FL 32960 <br /> Attention : © ACORD CORPORATION 1988 <br /> ACORD 25 ( 2001108 ) Certificate # 118910 <br />
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