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2005-328q
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2005-328q
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Entry Properties
Last modified
8/10/2016 1:46:58 PM
Creation date
9/30/2015 9:16:48 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/04/2005
Control Number
2005-328Q
Agenda Item Number
7.JJ.
Entity Name
Center for Emotional and Behavioral Health
Subject
Group Therapy Program for Children and Adolescents
Children's Services Advisory Grant Contract
Supplemental fields
SmeadsoftID
5208
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see <br /> . ... 46f, eexJO 1. ,1, . 44 mi. ir. '1 ' / /d5b34�b4 NO , 1304 Q <br /> AC.98D. CERTIFICATE of LIABILITY INSURANCE t?F <br /> 3 11 1 05 <br /> PRODUCER 2NDI THIS CER71FtCAT6 IS ISSUED AS A MATTER OF IIdFCNtMA1'!gN <br /> ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFICATE <br /> IDID NOT II68 "OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 6525 VarriaoA Blvd „ Suite 200 ALTER TWE COVERAGE AFFORDED OY THE POLICIES BELOW. <br /> Charlotte VC 28211 <br /> PhOne : 800 - 72 !1 4145 - Paxr704 - 365 - ? 114 INSURIMAFFCROINGCOv6RACZ MAIC # <br /> otstalteo WSURE:RA : Admiral Invarance Co . <br /> �^-- �.I�w.wi '.w._ .. M .hwnr .�. . s . . - . r . nr.... v. . -.r.��.Mlw♦.� -�IFFl.wA....r.... _ .r <br /> INSWRERB; aswetew iwtwwa ,v JAN. Co . <br /> Indian River Memorial Hospital <br /> Greg Drer aA I INSURER C' � <br /> OOV 36t Street INSUREAM <br /> aro beach FL 33960 <br /> rNSUReN p ; <br /> COVERAGES <br /> THE POLICMS OP INSUHAWA LIMD RC-a0W HAV: BEEN ISSUR0 TO THE IN$URRD NA6A0 A" FrOp THj POwCY r+ERIOD IAOIOATRO. NOTIArHlT&NOrNQ <br /> ANY RE000fWNT, TERM OR GON mom 0r ANY CONTRACT OROTMEROOO MIENT WITM ItW40TTO wmc" P-IW CQRTIFd;ATr3 MAY M ;$SUED OR <br /> MAY PERTAIN. TNF INSUR4106 AFiORMO yY THE POLiCISS OESCFaM HEREIN Ii $VWECT TO ALL YHE TpRTAS . EXCLUSONS ANO CONDITIONS OF SUCH <br /> P0LIC M ASOMATE LIM'TS SMOWN MAY NAVE KieN REDUCED DV RAID CLAIMS, <br /> VRmC 1 006IC1' NUUBRN PA D A s O LBMT7; <br /> sRMRALLIARVYY I F.ACH000URRENCE Q5 , 000 . 000 <br /> X 1 X COMMERCIAL 08NEAAl LiAMLIY" CAPTIVE ISZRwell <br /> itjpl / 05 11 01/ 06 j-aR�yl�i s <br /> X CLAWS %"us �_ � O.CUR �t+ED ISKp IMY mepertm) 7 <br /> Q00 000 <br /> c12KRALAGOMOAM i 695 P 000 , 000 <br /> WAK AOOR£OATE LVAT PER <br /> APPLIES I 1 aRODUCTi • COt0LA7P AGG 3 5 O OO , 0 Q Q <br /> POLICY ° i . . .. . <br /> i AUrCM21LE L AMLrrY <br /> )( ANY AUTO COMDINIM MME LIMO' ! a Q 0 0 Q O <br /> (E� nuiwu) ^ <br /> ALL OWNED ALrrOS <br /> 14» tv INJURY f <br /> B X SC1FMLEOAMS i MZA90833367 11 / 01 / 05 21/ 01 / 06 IParpen°n► <br /> n X: PUTEDALIT03 TQx,]►$ o633367 11 / 01105 li / OV06 i001LYuuuRY 6 <br /> 8 N MowmmAvros KZ 80833367 11 / 01. 105 11 / 01 /06 <br /> wP , . _n ,. . �. P�Ilv4PEMdApTyeMjAntgOE <br /> GARACELYMnLTv AUToouLY - F.AACCIOENT ! <br /> -� ANYA'JTo OTNERTHAN ! <br /> AUTOONLY' Aster i <br /> DtC6CSA 04MLLA L"ttrry I CACH OOCLMLNCL <br /> A CCcuR X❑ CLAIMSMAD@ cRL - au - 14033 - 1002 - 04 11 / 01 / 05 j 11 / 01 /06 AaoR52ATE ifZ0 , 000 , 000 <br /> Exceed _ _ <br /> DEDUCTISLE j AAave SIR ! <br /> RETENTION 3 I 9 SaeJ S i 5Id i <br /> W310441115 00100GATIONANO TpPtYtMAR3 fiR <br /> E)RPLOY6RS LUIMLITI' <br /> UFFy PROPRIETORNAATNEftXX6CvTI1A E.L�ACCIDETJT S <br /> FIC61VM8MTE)ER EXCLUDED* Y.L. DISMA Q . EA OftOYEE t <br /> myym drscowl ural <br /> $P"P& PROVISIONS Wow E.L. DISEASE - POLICY LN"T I a <br /> OTITftlt <br /> f <br /> DE.SCRIP'►IONOI� 6►ERAT�ONt + �oCa*ION. rv>:MiCt ' I K L IONSADDeDsvwtDoasra�BNTf5PEC1ALPA0V{SEO1Vi <br /> Certificate Holder is added as Additional rngUred With reapeee to their <br /> interest in contract wiv% the Namd lasured . <br /> CERTIFICATE ?FOLDER CANCELLATION <br /> ZNp2riATt <br /> M" OP TPIR AVOW MCMI POt4CIOS e! CAMM146 D WNFORE TN! dKF1%A <br /> OATR TNFRROF, 7Ha 1#BLIND INSURER MLL YeNoW►VOR TQ MAI. 3 O PAY; rlmrm <br /> NOYICC TO TKA VARTTFIC,ATE HOL06111 NAM&D TO TKF LEFTS 0VT FAILVRC TO 00 JO /MAML <br /> Indian River County IWOMNOOBLIGATION ORLIAWLiTrOFANY NINOUPONTNTW40*lR, I1'RAr,.RNTS0* <br /> 1640 26th Street REPRE 5tTATM <br /> Vero Basch 8L 32960 AUT rogarRc• TA vE <br /> V <br /> ACORD 2312001108) 0 ACORD CORPORA ON 1969 <br />
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