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2009-065Q
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2009-065Q
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Last modified
3/4/2016 9:49:10 AM
Creation date
10/1/2015 3:21:41 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/09/2009
Control Number
2009-065Q
Agenda Item Number
8.F.
Entity Name
Early Learning Coalition Indian River, Martin & Okeechobee
Subject
Local Match for Working Poor Grant
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
10508
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From . Barbie Brown At R V Johnson Agency . Inc. FaxID. To . Brad Bernauer Date : 214!2009 11 : 13 AM <br /> Page : 2 of 3 <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID BB DATE (MMlDDNYYY) <br /> EARLY - 3 02 / 04 / 09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> R . V . Johnson Agency , Inc . ( JOK) HOLDER . THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 2041 E Ocean Blvd , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Stuart FL 34996 <br /> Phone : 772 - 287 - 3366 Fax : 77211111287 - 4439 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED <br /> Scottsdale Insurance Co . <br /> EarlLearning Coalition IRMO IIll I <br /> 10 SiE Central Parkwav # 400 - rr, -- <br /> Stuart FL 34994 <br /> COVERAGES <br /> F q_ I " IC - I II' ].LIF' - 1P _ iI TEC - " <br /> I -T � , IC uI - L - F FIE F "'ERI II1, 11'- - 1 , [ 11T�WDRJS- <br /> -' l l F r iI IIF:CI fEI T TEFI-I F f Ell TI f �I 111L r ' I. I I- Ir " I rN I E I '!_ I 1 I „111 <br /> I I `Hi EFTIF TE ISI - , rE I I IF-El I IF <br /> b. l r _FT -.IPI TI IC II GILF' t - [ ' C __ C r' IC IC - III _ IF I[ - TT" LL rl !L FEFI [ QLL <br /> I _ IIrl I- If[ l [ TI1 H 1 IF :LI - 1-r <br /> F1 41 IF IF . ll= FFk , , .TF II10 H 1I I -.. _ r , . FII AFF I I I F , �. . F ;�If ' IIJ <br /> rNS <br /> NSRD <br /> R-MDTF-.._ - -- - - - IP01. ICE - <br /> YEFFECTIV 'IP-0=7-EXFiRA7FMTj <br /> LTR PE OF INSURANCE POLICY NUM ---- - LIMITS <br /> BER ! <br /> TYDATE ( MMIDDIYY) I DATE (MMIDD/YY) <br /> GENERAL LIABILITY <br /> L 11 IFFElI C 11 , 000 , 000 <br /> A rIX aIEP -. I EIEr' - L , r CLS1562292TE- <br /> 01 / 05 / 09 01 / 05 / 10 ,,. F t 100 , 000 <br /> rf 5000 <br /> I IED E F ! n ;n- I I ,anr <br /> F 1 , 000 , 000 <br /> _ - _- - FI1FF I "I 4% Fk--FJF t 2100011000 <br /> EI L rE�, � rE uI nr un I [ EF [,I r rnr F A excluded <br /> AUTOMOBILE LIABILITY <br /> I .IEII IED M I LE L11 11T <br /> Ulf [ IT NOT COVERED BY OUR AGENCY C • 1 _-- j - - - <br /> —� E - EdL 111 .II-IF , <br /> HFFI ILFF =.I IT -1 - F, I „ <br /> I III EFi 11 IT, <br /> t-• - L9L 1111'-16 . . <br /> �_ r ^nJEFI n1IIT, _ Ful n l' fill T <br /> i I f I <br /> IF <br /> FEF r - E <br /> j GARAGE LIABILITY IIS Ill - Ems. JDEHr q. <br /> -- -- <br /> �.I 1 , FI IT, I NOT COVERED BY OUR AGENCY <br /> INTIICI- TI I "I:I - - <br /> -.I Ili- - I IL <br /> - I <br /> EXCESSIUMBRELLALIABILIT`( L. - HI - UPFtIiCE <br /> F� I_ = 1 it -. [ NOT COVERED BY OUR AGENCY FE TE '{ <br /> ( <br /> FETE .Irll Ill j <br /> WORKERS COMPENSATION AND Intl' <br /> EMPLOYERS' LIABILITY - -- - - - -- - - -- - <br /> II FF Fi' lEI 4 " IF IILF L ' L '- I-' i ; ' l NOT COVERED BY OUR AGENC" F I F I ll IFFIIT 'f <br /> Ir FF IIFI IFrFF . <br /> I� [ [ _ E - EI I SEE 'j' <br /> II I� . III IFI <br /> E - L FF- �I1=� C =I� ,. . L L � I _ E I- PLI LIMIT '{ <br /> OTHER I <br /> r I <br /> DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF , THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 * DAYS WRITTEN <br /> Indian River County Board of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> County Co=issioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Brad Bernauer <br /> 1801 27th Street REPRESENTATIVES . <br /> Vero Beach FL 32960 AUTHO DR RESENT r <br /> ACORD 25 ( 2001 !08) © ACORD CORPORATION 1928 <br />
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