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2009-065L
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2009-065L
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Last modified
3/4/2016 9:31:27 AM
Creation date
10/1/2015 3:21:05 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/10/2009
Control Number
2009-065L
Agenda Item Number
8.F.
Entity Name
Childcare Resources of Indian River
Subject
Psychological Services Grant
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
10503
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ACORD CERTIFICATE OF LIABILITY INSURANCE QA 01/1512009 Y �" f <br /> 7M. <br /> PRODOCER Pnone. (772) 562-33/39 Fax (772) 562�3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HILB ROGAL & HOBBS OF FLORIDA, INC . - VERO BE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2045 14TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> P 0 BOX 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW , <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIL # <br /> INSURED INSURER A: HARTFORD CASUALTY INSURANCE CO. <br /> CHILD CARE RESOURCES OF INDIAN RIVER, INC . INSURER Bi HART INS CO OF SOUTHEAST 027120 <br /> 1801 24TH STREET INSURER C: <br /> VERO BEACH FL 32960 <br /> INSURER D. <br /> iNECURER E : <br /> COVERAGES <br /> 7Hc KLICIES OF INSURANCE LISi'ED BELOW HAVE BEEN ISSUES) TC THE ENSURED NAMED ABOVE FOR THE POLICYPER!OO INDICATED, N01WITHSIANC' <br />i?7C <br /> ANY REQUIREMENT . 'T€:RM OR CONDITION OF ANY CO9TR,4CT OR OTHER Di'.TCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR <br /> MAv PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OFSCWP6ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCI._USIONS AND CONDITIONS <br /> OF SUeli <br /> PtC:iCIES . AGGREGAIE LIMITS SHOWN MAY HAVE BFEN REDUCE [) BY PAID CLAWS <br /> ihAf O" POLICY EFFECTIVE POLICY EXMRAT)DN <br /> TYPE OF INSURANCE POLICY NUMBER OATS MWDD+YY DATE MMIDO" LIMITS <br /> GENERAL LIABILITY 21 SBA FP5973 DV 10/14/08 10/14109 EACH OCCURRENCE $ 1 ,000.000 <br /> X COMMERCIAL GENERAL i IABiLITY DiMA F 10RENTE0 T 300,000 <br /> PREMISES (Fa 4c , lin ) <br /> CLAIMS MADE X OCCUR MFD EXP u'Any one porsnn; $ 10,000 <br /> A YES PERSONAL & ADV INJURY $ 1 , 000,000 <br /> : GENFRAL. AGCRFGAIF $ 2,000 , 000 <br /> GF%'L AGGREGATE LRAIT APPLIES PER PROW IC I S- CpMP1i 1p AGG $ 2 , 0001000 <br /> PRO <br /> POLICY JE.CT LOC . <br /> AUTOMOBILE LIABILITY 21 SBAFPS973 DV 10/14/08 10/14109 COMBINED SINGLL I IMIT <br /> ANY AUTO (Fa accident) s 1 ,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) S <br /> SCHEDULED ALTOS <br /> A YES X H)RED AUTOS <br /> BG011 Y ISd,jl1RY � <br /> X NOWOOMED AUTOS We IxC,dactj <br /> PROPERTY DAMAGE. <br /> ,. (Per accCerrt; <br /> GARAGE LIABILITY AUTO ONi Y 4 EA, ACCIDENT S <br /> ANY AUTO OTHER 2>1AM ; AA'C S <br /> AUTO ONLY <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE '. S <br /> OCCUR CLAIMS MADL AGGREGATE S <br /> S <br /> DEDUGTIBt.t <br /> RETENTIONWC FA <br /> w .� <br /> WORKERS COMPENSATION AND 21WECDQ8422 10114/08 10114109 1OInns 0 <br /> EMP"KOYERS' LIABILITY <br /> F . EAC}< ACLu)LN1 s 501 <br /> B ANY ''�TROPRIETORIPARTNERIEXFCUTIVE <br /> OFFll'°ERIMEM6ER EXCLUDED? E L. D;SEA3 F.A EPtPLOYEe 5 500 , 000 <br /> it yes. deacrle, under <br /> SPEC.AL PROVISIONS below E. L. DISEASE-POL1rY LiMiT , 5 '500,000 <br /> OTI FR <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHtCLES1EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AND BUSINESS AUTO LIABILITY AS <br /> PER POLICY FORM AND PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANLELLF0 Et: FORt s` iE <br /> EXPIRATION DATE THEREOF , THE ISSUING INSURER Wit ENDEAVOR TC) MA ., t6 z;F+Y :J <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE LEi bbl FA. . t+RE <br /> TO CTO SO SHALL NAPOSE NO OBLIGATION OR LIARiL'TY OF 1'tNY KbNt) UPfSN Ti iFlNS+ Nr' <br /> INDIAN RIVER COUNTY ITS AGENTS OR REPRESENTATIVES <br /> 1801 27TH STREET AUTHORPWeD REPRESENTATIVF <br /> VERO BEACH FL 32960-3365 <br /> Attention: Michas <br /> ACORD 25 (2001108) Certificate 4 1 '18704 ig) ACORD CORPORATION 1988 <br />
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