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2005-328m
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2005-328m
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Entry Properties
Last modified
8/10/2016 1:29:56 PM
Creation date
9/30/2015 9:15:18 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/04/2005
Control Number
2005-328M
Agenda Item Number
7.JJ.
Entity Name
St. Peters Human Services
Subject
Boy's Development and Training Institute Program
Children's Services Advisory Grant Contract
Supplemental fields
SmeadsoftID
5204
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AaORV CERTIFICATE OF LIABILITY INSURANCE TOp E ��rt ; � „ � , � f <br /> PRODUCER THIS�CF.RTfFtCATE IS ISSUCL) AS A MAUER OF INFORMATION <br /> ONLY ANIS CONFERS NO RICHTS UPON THE CERTIFICATE <br /> Ha LCher InsurNncc , Inc . HOLDER . THiS C, ERTIFICATC DOES NOT AMEND, EX I-END OR <br /> P . O . r1ox 5d068a I ALTLR THE COVERAGE AFFORUL= D BY THE POLICIES BELOW. <br /> Orlando EZ 32854 - 0689 <br /> Phone : 407 - 841w2586 53x : 407 - 881 - 7 SAA INSURERS AFFORDING COVERAGE NAIC4 <br /> . . ._ _�__�. ... <br /> INSURED IN -. URER A rail _ <br /> �•iw r a i •. + uran - e _ - a _ ._ _ _. <br /> St . PAters Academy Charter Seh <br /> St . Peters Human serva- cas , Inc, <br /> 4250 36th Avent1O f; suNFRc <br /> Vero Beach FL .32967 - 1711 i-- -- - -- - — � -- - <br /> IN60RER c . I <br /> COVERAGES _ _ - -- <br /> i HA i't)1 .,:1[ ;i :YF lNJ::R�iit E Lm ! zG -0,1V ; 'LAVC '?[ ry .'Er' TO ru _ .i .',t i!{G:C NAVA. � - jii JE FC2 THE PCL ICY�' F[�' 1('Jt <br /> 'NQIi,nTtD iJC`TJJ ITH ;;•'.1N71N .: �_� <br /> ANY REQUIREMENT TERM OR : ONCITfGfJ Y' AN •:O N I ?r I "n n t'r :+ 1'IrH Rk .0C . T TD 't, lJC I tHIS tF frC UR <br /> MAY PER'. AIN, THE INbURANCE AFFORDED OY THE Pull(, t_;a Dt=w I21L.Ff1 it! h }- ,ti : :nU�. 16 . T TC? . y ..l kE '. iP61 , ;.r: LI , , I/ .. <br /> ,i : D G ':i Nl ' IT t_ !•!3 _ ( ' •U :: FI <br /> I•Ct. IC;r 'j 'a�GRFGATF LtP IV1 yHC, 6N hihi ; +A .rC IAR -- . - <br /> AD1J�. . . .. ._. . . .. _, <br /> >SiSCTCY EFFFEfi�J€ ?84t:GY axFtiPEiT10N t <br /> LTR 1NSRO TYVE OF INSURANCE POULY NUMEER OATS (MM/UD(YYl - DA, iMM/OO/YY} UM T <br /> : GENERAL LIABILITY- <br /> A x rX- ! cc41Me4CL1tn= eFa� uas' I . rY I PNPK1. 3721 ]_ 09 / 17 / 05 1 09 / 17 / 06 L eau t_ 3 _'I =, clronrPI � <br /> ; lUUC} 00 <br /> _ I- 'tit--._ . �G . {i a � y 'nt- -10 <br /> 1 r r i r Ai t U � rF , _ r , L nVf NILNV 1000000 0 3 / 17 / Ub <br /> —= <br /> PO <br /> rGJ'l :.f:C.nE.r•A. tE LtlN' ( r>•t• :.. • . t � 1 = -1? .. t 'ti ;)1- J T : ,_ , ' tP iP .r I2000000 <br /> I PCLiCY I i jffT 1 6UD <br /> AUTOMORtLL LtACILiTY i �' :;,+API N2O ;It-! -:}t i=. :Plf <br /> i Ed :K.0 Itlf 11f, <br /> I <br /> ALL '„IVvFICu Ai1Ta;, ! f'iiI II ! jrT/ <br /> mei ¢m GR <br /> FC iLrD T01, <br /> j C H:REo auros j �crx ! I ula <br /> AUTO.- <br /> } ` ( Far dCQtlanlj > <br /> nt T 1 :. <br /> t <br /> PRCPrRTY -"AMAC O <br /> GARAGF LIABILITY AUTO ONL Y - FA ACC ( EI � —� <br /> �— f .x A' .i <br /> ANY ;UTO f j �, I HE + IHAr., <br /> AUTO JNL Y A 6 £ <br /> i <br /> CXCG=UMBRELLA LIABILITY rl R , h( C 11000000 I <br /> e� x LkDAStIAOe. I ?RE 8041459 0 � / 1 ? I05 09J77 / 06 A� :RCf1aTF ---- 5100 } 0 ) 0 ... <br /> _ . .,K <br /> I <br /> •13, 'I RETENTION $ 10000 <br /> WORKERS COMPENSATIUN ANO ,-._ - <br /> EMPLOYERS* LIAOILnvyTr 9306885 ' 09 / 17 / U5 09 / 17 / 06 tL = cH � Iu' I T ; 1c000U <br /> ANY PROPRIETOR(PAR f NEFiEf ECU i wtn �- <br /> j GFFI�F_R(ME EIEP. EXCLUOPLV .6.,SC. Er tat - f ri : 10 I� U (� 0 <br /> it. yes . desenbeurAler -A55 - Pf„ t, ICY LIVIT $ 500000 <br /> PCCIAL PRO�iISF�NS b6fUw - <br /> OTHER ! I <br /> I <br /> I j <br /> I <br /> OESCHWTION Of OPERATIONb t LOCATIONS t VV IrICLES 1 LXCL U.5iONS ADOEU CIY CN DORSEMENT +PliCtAL WROV:Skl: : <br /> Certificate holder is included as adda t. onral i. nnured regarding <br /> general .Liability . LIzaY>ylity it .Lsmitad tc .i. fJaS or dxmay arlsing Cut of <br /> negligent acts of the insured . * Except as required by Florida Statute . <br /> CERTIFICATE HOLDER CANCELLATION <br /> F•� SWOUL0 ANY 01% .1,HE ACSOVC 0[5CRfflLD FOLICtrf, tIE CANCEiLfn 13FFORE TIIE C)(PIRkTION <br /> zNnExzv <br /> OATS THEREOF, TWE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 �} f DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TU THE LFItT, BUT V-A&URC= TO nO 50 30WL. <br /> Indian River Cdun ty , Florida IMPOSE NO 05LK3ATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITR AC�F_NTN OW <br /> 1840 25th Strrlat <br /> Vero Beach FL 32 `360 - 3365 Rev!tE4ENTAnvCs. _ <br /> AUT <br /> r <br /> ACORD 25 ( 20011-46) r.F5 ACORD CORPORATION 1988 <br /> TOTAL F , 02 <br /> OCT 17 , 2005 09 : 57 407 841 2688 Page 2 <br />
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