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2004-229A
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2004-229A
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Last modified
9/27/2016 1:41:21 PM
Creation date
9/30/2015 7:59:48 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/12/2004
Control Number
2004-229A
Agenda Item Number
7.I.
Entity Name
Community Child Care Resources,Inc.(CCCR)
Subject
Psychological Services Program
Children's Services Advisory Committee
Archived Roll/Disk#
3223
Supplemental fields
SmeadsoftID
4297
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ACORD. CERTIFICATE OF LIABILITY INSURANCE U022 09 - 09DATE <br /> - 2004 <br /> PaooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SID BANACK INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER . THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 222809 P : ( 772 ) 562 - 3369 F : ( 772 ) 562 - 3466 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW . <br /> 2045 14TH AVENUE <br /> VERO BEACH FL 32961 INSURERS AFFORDING COVERAGE <br /> INSURED INSURER A: Hartford Underwriters Ins Co <br /> INSURER B: <br /> COMMUNITY CHILD CARE RESOURCES , INC INSURER C : <br /> 1801 24TH STREET INSURER D : <br /> VERO BEACH FL 32960 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 /> INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR DATE MM/DD/VY DATE MM/DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE <br /> $ <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ <br /> CLAIMS MADE U OCCUR MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> I <br /> GENERAL AGGREGATE $ <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> j POLICY JECT LOC <br /> I <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS )Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> I OTHER THAN <br /> AUTO ONLY : AGG $ <br /> EXCESS LIABILITY _ EACH OCCURRENCE $ <br /> I <br /> OCCUR u CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> I $ <br /> RETENTION $ $ <br /> TATUTH- <br /> WORKERS COMPENSATION AND WCR I 1' LIMIT X O <br /> TOR <br /> R <br /> A EMPLOYERS ' LIABILITY 21 WE C DQ 84 2 2 10 / 14 / 04 10 / 14 / 05 E .L . EACH ACCIDENT s500 , 000 <br /> E . L . DISEASE - EA EMPLOYEE s500 , 000 <br /> E.L . DISEASE - POLICY LIMIT s500 , 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDO RSEM ENTIS PECIAL PROVISIONS <br /> Those usual to the Insured ' s Operations , Indian River County is also an <br /> Additional Insured per the Business Liability Coverage Form SS0008 . <br /> CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: 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 /> 30 DAYS WRITTEN NOTICE ( 10 DAYS FOR NON- PAYMENT) TO THE CERTIFICATE <br /> Indian River County HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> 184 25th Street OBLIGATIONREPRESENTOR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Vero Beach , FL 32960 AUTHORIZED REPRESENTAUVE <br /> ACORD 25-S ( 7/97) a ACORD CORPORATION 1988 <br /> I <br /> I <br />
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