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2009-251N
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2009-251N
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Last modified
3/15/2016 10:49:52 AM
Creation date
10/1/2015 12:56:32 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/22/2009
Control Number
2009-251N
Agenda Item Number
8.M.14
Entity Name
Substance Awareness Council of Indian River County
Subject
PREVENT! Program Grant Contract
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
7897
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DATE (MM/DD/YYYY) <br /> ACOPID TM. CERTIFICATE OF LIABILITY INSURANCE 01129/2009 <br /> PRODUCER Phone: (772) 562-3369 Fax: (772) 562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HILB ROGAL 8r HOBBS OF FLORIDA, INC . - VERO BEACH ONLY AND HOLDER. THIS NCERTI FERS CANO TE DOES IGHTS UPON OT AMEND,THE <br /> EXTEND OR <br /> 2045 14TH AVE . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P0BOX 130 <br /> VERO BEACH FL 32961 NAIC # <br /> INSURERS AFFORDING COVERAGE <br /> __. <br /> INSURER A: Westport Insurance Corp <br /> INSURED <br /> SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC. INSURER B: Westport Insurance Corp <br /> 1151 19TH STREET INSURER C : Guarantee Insurance Co <br /> VERO BEACH FL 32960 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> LISTED BELOW HAVE TO THE INSURED NAMED ABOVE FOR THE POLICY PERI <br /> THE POLICIES OF INSURANCE BEEN ISSUEDOD 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF <br /> SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> /NSR ADD' POLICY NUMBER POLICY EFFECTTV POLICY EXPIRATION LIMITS <br /> LTR /NSR TYPE OF INSURANCE DATE MMIDDlYY DATE MM/DD/YY $ 1 ,000,000 <br /> GENERAL LIABILITY WCP120009370300 01125/09 01 /25/10 pA Ge TO REN EDRRENCE $ 100 , 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) <br /> --- <br /> I EXP (Any one person) $ 5,000 <br /> I CLAIMS MADE [X� OCCUR --- --- - — - <br /> - PERSONAL & ADV INJURY $ — 11000 ,000 <br /> A _ _ _ <br /> - - - - -- - ' GENERAL AGGREGATE $ 3,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: ,/ PRODUCTS-COMP/OP AGG. $ 3 ,000,000 <br /> POLICY <br /> PRO- LOC <br /> E <br /> AUTOMOBILE LIABILITY COMBINED <br /> JCT <br /> SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY <br /> ALL OWNED AUTOS (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS -- t <br /> PROPERTY DAMAGE $ <br /> _ __ __--- ---- (Per accident) <br /> AUTO ONLY - EA ACCIDENT $ <br /> GARAGE LIABILITY $ ------ - <br /> OTHER THAN EAACC <br /> ANY AUTO AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY WUM120009370700 01125109 01 /25110 EACH OCCURRENCE - _ $ - 1 ,000,000 <br /> ---10 <br /> I _ _ I AGGREGATE _- $ -_- - 17000 ,000 <br /> _. . <br /> X OCCUR I CLAIMS MADE i $ <br /> DEDUCTIBLE $ <br /> r X i RETENTION $ 10, 000 <br /> WC 5TATU- OTHER - <br /> WORKERS COMPENSATION AND GWGC100002483-109 01 /10/09 01 /10/10 TORY LIMITS _ <br /> E. L. EACH ACCIDENT — $ 100, 000 <br /> EMPLOYERS' LIABILITY <br /> C ANY PROPRIETORIPARTNERIEXECUTIVE E. L. DISEASE-EA EMPLOYEE $ —_ 1001000 <br /> OFFICERIMEMBER EXCLUDED? <br /> E . L. DISEASE-POLICY LIMIT $ 500 ,000 <br /> I If yes, describe under <br /> SPECIAL PROVISIONS below <br /> 01 /25110 $1 , 000,000 - PER INCIDENT <br /> OTHER : PROFESSIONAL LIABILITY WCP120009370300 01125109 / $ 39000 , 000 - AGGREGATE <br /> A NO DEDUCTIBLE <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> X• <br /> CANCELLATION <br /> CERTIFICATE HOLDER <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DASSUING IN <br /> WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTI ATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHAION OR LIABILI F ANY KIND UPON THE INSURER,IT'SAGENTSOINDIAN RIVER COUNTYBOARD OF COUNTY COMMISSIONERS <br /> AUTHORIZED RIIIIIlIe <br /> 1801 -27TH ST, BLDG A <br /> VERO BEACH , FL 32960 �� <br /> Attention : © ACORD CORPORATION 1988 <br /> ACORD 25 ( 2001 /08 ) Certificate # 118910 <br />
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