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2005-328b
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2005-328b
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Last modified
8/10/2016 10:59:27 AM
Creation date
9/30/2015 9:11:32 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/04/2005
Control Number
2005-328b
Agenda Item Number
7.JJ.
Entity Name
Exchange Club Castle
Subject
Safe Families Program Children's Advisory Committee Grant Contract
Supplemental fields
SmeadsoftID
5193
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, 1Vv V� GVVJ li ' JV <br /> Ac ww CERTIFIGATE 0� LIABILITY INSURANLt ' 11 / 04 / 05J� <br /> - � IU <br /> EXCHA- 1 <br /> ►RUDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HARBOR INSURANCE AG910Cy HOLDER. THIS CERTIFICATE DOE$ NOT AMEND, EXTEND OR <br /> 2222 Colonial Road , Saito 100 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> Fort Pierce TL 34950 - 5309 <br /> Phoae : 772 - 461 - 6040 Faxo172w460 - 2315 INSURERS AFFORDING COVERAGE NAICaI� <br /> INSURER INURER A: Philadelphia Indemnity Ins Co <br /> Thee chanes Club Ce ter � Hartford Ins Co of the Midwest <br /> fo the Prevention o� S <br /> i INSURER 0: <br /> Ch ld Abuse DBA INSURER C: <br /> 8xchange Club C . A , S . T * L . B . <br /> PO Bqx 12 908 INSURER 0: <br /> Yt Pierce FL 34979 RG <br /> MSUR� E: <br /> COVERAGES <br /> Tk9 POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY "RIOD INDICATED, NOTWITHSTANDING <br /> ANY REQUIREMONT, TERM OR CONOfTICN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDE13 BY THE POLICIES DESCRIBED HEREIN IS SUIJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INIVIq LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE M1WD PIlaA 09 M DIYYI LIMITS� ., <br /> EM <br /> L GENERAL LIABILITY EACH OCCURRENCE 13110001000 <br /> A I X XX COMMERCIAL GENERAL LIABILITY PHPXI12827 03 / 76 / 05 03 / 26 / 06 PFffmI s Kex 52001000 <br /> CLAIMS MADE Li OCCUR MED IiXP (Any or* Person) S $ , OQO „ <br /> PERSONAL a ADVINJORY � $ 1 000 , 000 <br /> GENERAL AGGREGATE s3 000 , 000 <br /> GEN'L AGOREGATE LOAT APPLIES PER! PRODUCTS • OOMPloP A03 5 OOO OOO <br /> POLICYIn 7 LOC <br /> AUTOMOBILE LIABILITY COMSINEO SINGLE; UMIT = <br /> ANYAIJTO I (EeaWdem) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SC41EDULED AUTOS (Per penal) _ <br /> HIRED AUTOS GODLY INJURY S <br /> N0""60 AUTOS (Per ?CelOenU <br /> PROPERTY DAMAGE 6 <br /> (Por accid6m) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO 0 THERTI�A� EA ACC S <br /> AUTO ONLY; AGC! 5 <br /> bccESMIMORELLAL,IABILm EACH occURRENCE t _ <br /> OCCUR <br /> El CLAIMS MADE AGGREGATE �a <br /> fi <br /> f DEDUCTIBLE _ S <br /> r— RETENTION S S <br /> WORHw COuDENswnON AND IT RY LIMITS X ER <br /> EMPLOYEiq'IETLIABLRY EACH ACCIDENT S 500 Q00 <br /> 8 21�PBA49567 12 / 01 / 04 12 / OZ / OS E• . <br /> ' ANY PROPRORIiARTNERlE7(ECUTIVE 1 —•— <br /> OFFICERArREMBER0CLUOEW E.L. DISEASE • EAEN1PLovEE S $ OO OOO <br /> wL ,I�sto"N S o�w E .L. DISEASE • POLICY LIMIT s 50 0 000 <br /> OTHER <br /> A Professional Liab . PKPX112027 03 / 26 / 05 03 / 26 / 06 Occurrent $ 10000 , 000 <br /> A sexual / hV Abuse PHPK122927 03 / 26 / 05 03 / 26 / 061 Aggregate $ 2 000 000 <br /> DESCRIPTION OF OP RATIONS I LOCATION& I VEMGLU I EXCLUSIONS ADDED BY ON60RSEMENT I 4PECIAL PROVISION <br /> * 10 days tori- payment of premium . Certificate Holder is named as as <br /> Additional Insured for General Liability coverage . <br /> CERTIFICATE HOLDER CANCELLATION <br /> INDIAw 2 SHOYLD ANY OF THE ABOVE DESCRISEO POLICIES SE CANCKLLED BEFORE THE EXPIRATION <br /> DATE THEREOF, TME 18511,1410 INSURER MALL ENDEAVOR TO MAIL 30 * DAYS WOU'rTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMES) TO THE LEFT, WT FAILURE TO 00 SO SHALL <br /> Indian River County IMPOSK NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 1840 25th 0traet <br /> Veto Beach FL 32960 REPRESENTATIVES, <br /> AUTHOMiED 149PRESF.NTATi <br /> r <br /> Cind McCa3. 1 <br /> ACORD 25 (2001 /08) 0 AC RD CORPOPATION 1 BFB <br />
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