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2009-065N
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2009-065N
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Last modified
3/4/2016 9:34:01 AM
Creation date
10/1/2015 3:21:21 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/10/2009
Control Number
2009-065N
Agenda Item Number
8.F.
Entity Name
Indian River County Healthy Start Coalition
Subject
Healthy Families Program Grant
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
10505
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ORD, CERTIFICATE OF LIABILITY INSURANCE DATE (MMID <br /> 01/21/20092009) <br /> PRODUCER (352) 787- 3441 FAX (888) 883 - 8680 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Lassiter - Ware Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1317 Citizens B7vd , HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Leesburg , FL 34748 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Penny Garrett INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Indian River County Healthy Start Coalition In INSURERA Mount Vernon Fire Insurance Co 26522 <br /> 1615 10th Avenue INSURER B: <br /> Vero Beach , FL 329604231 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 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 /> ILTR RSRrNSR DDII TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY NPP2103140 05/01/2008 05/01/2009 EACH OCCURRENCE S I , 000 , 00 <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 , 00i <br /> CLAIMS MADE D OCCUR MED EXP (Any one person) S sroot <br /> A PERSONAL & AOV INJURY $ Exc77ude <br /> GENERAL AGGREGATE S 2 9 000 , <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S Exc7 ude <br /> POLICY PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS ( Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NOWOWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIOENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR ❑ CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS' LIABILITY TO Lim <br /> ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE El EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED7 E.L. DISEASE - EA EMPLOYEE S <br /> If yes. describe under <br /> SPECIAL PROVISIONS below E . L. DISEASE - POLICY LIMIT S <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> CERTIFICATE DER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Indian River County 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br /> Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1801 27th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960- 3365 AUTHORIZED REPRESENTATIVE <br /> Ted Ostrander , Jr . /PENNYGti�ti <br /> ACORD 25 (2001 /08) ©ACORD CORPORATION 1988 <br />
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