Laserfiche WebLink
DATE <br /> f ACORD. CERTIFICATE OF LIABILITY INSURANCE U022 09 - 09 . 2004 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SID BANACK INSURANCE / PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER . THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 1227667 P : ( 866 ) 467 - 8730 F : ( 877 ) 538 - 8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW . <br /> Pe 00 BOX 29611 <br /> CHARLOTTE NC 28229 INSURERS AFFORDING COVERAGE <br /> ' <br /> INSURED INSURER A: Hartford Ins Co of the Southeast <br /> INSURER B: <br /> COMMUNITY CHILD CARE RESOURCES , INC INSURER C: <br /> 11801 24TH STREET INSURER D : <br /> I 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 /> INSRPOLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , 0001 000 <br /> A COMMERCIAL GENERAL LIABILITY 21 SBA FP5 9 7 3 10 / 14 / 04 10 / 14 / 05 FIRE DAMAGE (Any one fire) s300 , 000 <br /> CLAIMS MADE U OCCUR MED EXP (Any one person) I $ 101 000 <br /> X BUS1neSS Llab <br /> PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE s2 , 000 5 0 0 0 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2 , 000 , 000 <br /> POLICY I I RO <br /> PECT X LOC <br /> J <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A ANY AUTO 21 SBA FP5973 10 / 14 / 04 10 / 14 / 05 ( Ea accident) 1 $ 1 , 0001 ,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS ( Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> IPer accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> i OTHER THAN EA ACC $ <br /> AUTO ONLY : AGG $ <br /> EXCESS LIABILITY _ EACH OCCURRENCE $ <br /> OCCUR u CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WCTORY IMITS <br /> STATU- OTH- <br /> EMPLOYERS ' LIABILITY <br /> ER <br /> I <br /> E .L . EACH ACCIDENT $ <br /> E .L. DISEASE - EA EMPLOYEE $ <br /> E .L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 1 X I ADDITIONAL INSURED; INSURER LETTER: A 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 /> 1 84 O 25th Street OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> Vero Beach , FL 32960 <br /> AUTHORIZED REPRESENTAJWE <br /> ACORD 25—S ( 7/97) ° ACORD CORPORATION 1988 <br />