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2009-065G
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2009-065G
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Last modified
3/3/2016 2:23:44 PM
Creation date
10/1/2015 3:20:25 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
03/10/2009
Control Number
2009-065G
Agenda Item Number
8.F.
Entity Name
Dasie Bridgewater Hope Center
Subject
Dasie Hope Center After School Program Grant
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
10498
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A CURD DATE (MM/DD/YYYY) <br /> TM . CERTIFICATE OF LIABILITY INSURANCE 12/03/2008 <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 /> P O BOX 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> VERO BEACH FL 32961 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Lexington Insurance Company <br /> DASIE BRIDGEWATER HOPE CENTER , INC . INSURER B : Progressive Southeastern 38784 <br /> POB 701483 INSURER C : Florida Retail Federation <br /> VERO BEACH FL 32970 <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 <br />, NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR <br /> MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND <br /> CONDITIONS OF SUCH <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> INSR ADDL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVELIMITS <br /> POLICY EXPIRATION <br /> LTR INSRD DATEMLM/DD/YY) DATE ( MM/DD/YY) <br /> GENERAL LIABILITY _ 41 LX62639361 000 11 /23/08 11 /23/09 EACH OCCURRENCE $ 1 , 0(J0 , OD0 <br /> X COMMERCIAL GENERAL LIABILITYDAMAGE TO RENTED. $ 2509000 <br /> PREMISES (Ea occurence) <br /> X CLAIMS MADE OCCUR MED . EXP (Anyone person) $ 10 , 000 <br /> A X PROFESSIONAL LIAB-CLAIMS MADE PERSONAL a ADV INJURY $ 12000 ,000 <br /> GENERAL AGGREGATE $ 31000 , 000 <br /> GEN' L AGGREGATE LIMIT APPLIES PER . ! PRODUCTS -COMP/OP AGG. $ 31000 , 000 <br /> PRO - <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY 03280032 -3 11 /02/08 11 /02/09 COMBINED SINGLE LIMIT <br /> X ANY AUTO , ( Ea accident ) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS 'II ( Per person) $ 1 V000 � 000 <br /> B X HIRED AUTOS <br /> '. BODILY INJURY $ <br /> X NON -OWNED AUTOS ( Per accident ) <br /> PROPERTY DAMAGE $ <br /> ( Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE � $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WC STATU- OTHER <br /> WORKERS COMPENSATION AND 05 ? 0-37343-0 11 /21 /08 11 /21 /09 TORY LIMITS <br /> EMPLOYERS' LIABILITY - - - - - - - -- - - <br /> . . <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE ELEACH ACCIDENT $ 500 , 000 <br /> OFFICER/MEMBER EXCLUDED7 E . DISEASE -EA EMPLOYEE $ 500000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below I EL DISEASE- POLICY LIMIT $ 5009000 <br /> OTHER ' <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY SUBJECT TO POLICY <br /> PROVISIONS . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF , THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER , <br /> INDIAN RIVER COUNTY BOARD OF ITS AGENTS OR REPRESENTATIVES . <br /> COUNTY COMMISSIONERS AUTHORIZED REPRESENTATIVE <br /> 1800 27TH STREET <br /> VERO BEACH , FL 32960 <br /> Attention : BETH MARTIN Paul G . Muller <br /> ACORD 25 ( 2001 /08 ) Certificate # 118065 © ACORD CORPORATION 1988 <br />
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