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2009-065J
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2009-065J
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Last modified
3/4/2016 9:24:52 AM
Creation date
10/1/2015 3:20:51 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Change Order
Approved Date
03/10/2009
Control Number
2009-065J
Agenda Item Number
8.F.
Entity Name
Boys & Girls Club of Indian River County
Subject
Vero Beach Branch Grant
Children's Services Advisory Committee
Supplemental fields
SmeadsoftID
10501
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ACORDTM CERTIFICATE OF LIABILITY INSURANCE 9/10/2o08Y) <br /> PRODUCER ( 800 ) 794 - 0268 FAX : ( 772 ) 231 - 4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Brown & Brown , formerly Felten / HBA Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 2911 Cardinal Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> PO Box 643488 <br /> Vero Beach FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Philadelphia Insurance Co <br /> Boys & Girls Club of Indian River County , Inc . INSURER B : Florida Retail Federation <br /> P . O . BOX 3068 INSURER C <br /> INSURER D' <br /> Vero Beach FL 32964 - 3068 INSURER E . <br /> rOVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED . NOTWITHSTANDING <br /> ANY <br /> REQUIREMENT , TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN , <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS <br /> OF SUCH POLICIES <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSIRD TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 100 , 000 <br /> A CLAIMS MADE 7 OCCUR PHPK343055 9 / 13 / 2008 9 / 13 / 2009 MED EXP An one person $ 51000 <br /> PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ 3 , 000 , 000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> --- <br /> POLICY JPECRO-T F7 LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1 / 000 , 000 <br /> ANY AUTO (Ea accident) <br /> ::::: <br /> A ALL OWNED AUTOS PHPK343055 9 / 13 / 2008 9 / 13 / 2009 FBODILY <br /> INJURY <br /> X SCHEDULED AUTOS rson) $ <br /> X HIRED AUTOS INJURY <br /> X NON-OWNED AUTOS <br /> cident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY . qGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE g <br /> RETENTION g <br /> $ WORKERS COMPENSATION AND WC STATU- OTH- <br /> RY LIMITS ER <br /> EMPLOYERS' LIABILITY T - -- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E . L . EACH ACCIDENT $ 5001 000 <br /> OFFICER/MEMBER EXCLUDED? 520 - 25864 9 / 13 / 2008 9 / 13 / 2009 <br /> If E . L . DISEASE - EA EMPLOYEE $ 500 , 000 <br /> yes , describe under <br /> SPECIAL PROVISIONS below E . L . DISEASE - POLICY LIMIT $ 500 / 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATION SNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Certificate holder is named additional insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Indian River County Board EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> 1840 25th St FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> Vero Beach , FL 32960 INSURER, ITS AGENTS OR REPRESENTATIVES . <br /> AUTHORIZED REPRESENTATIVE <br /> Joseph R . Chiarella <br /> ACORD 25 ( 2001 /08 ) © ACORD CORPORATION 1988 <br /> IAIcn94 ,n , no , no., Gino , n, -. <br />
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