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2005-328g
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2005-328g
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Last modified
8/10/2016 1:12:37 PM
Creation date
9/30/2015 9:12:57 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/04/2005
Control Number
2005-328G
Agenda Item Number
7.JJ.
Entity Name
Homeless Family Center
Subject
Assets Build Futures Program Children's Services Advisory Grant Contrac
Supplemental fields
SmeadsoftID
5198
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Date : 5 / 13 / 2005 Time : 2 : 31 PM To : @ 567 - 1454 <br /> Page : 001 - 002 <br /> DRQ CERTIFICATE OF LIABILITY INSURANCE DATE iiz o <br /> PRODUCER ( 772) S67 - 1188 FAX ( 772) 778- 1416 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> SCHLITT INSURANCE SERVICES INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1717 INDIAN RIVER BLVD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> SUITE 300 <br /> VERO BEACH , FL 32960 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Homeless Family Center , Inc . INSURER A: American States Ins . Co . <br /> 715 4th Place INSURER B: <br /> Vero Beach , FL 32962 INSURER C: <br /> INSURER D: <br /> INSURER E: <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 ADDOL TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTNE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY 01CG70087710 01/09/2006 01/09/2006 EACH OCCURRENCE $ 110009000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 r 00 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 r 00 <br /> A PERSONAL & ADV INJURY $ 11 000 , OO <br /> GENERAL AGGREGATE $ 3 , 000 , OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCLUDE <br /> POLICY QCT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS 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 /> OTHER THAN <br /> AUTO ONLY. AGG $ <br /> EXCE331UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND ORS TIA S 1T <br /> EMPLOYERS' LIABILITY A . <br /> ER <br /> ANY PROPRIETORIPARTNERFXECUTIVE E.L. EACH ACCIDENT $ <br /> OFRCERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> Is, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMrr S <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> ERTIFICATE HOLDER 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 /> .,Q. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Indian River County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1840 2 5th Street OF ANY KIND UPON THE INSURER, ITS AGENT'S OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 AUTHORIZED REPRE SOENTATFVE n 7A J <br /> 7effre Schl itt CPCU LAR <br /> ACORD 25 (2001 /08) OACORD CORPORATION 1888 <br /> 05 - 13 - 2005 13 : 33 HFC 7725671454 PAGE1 <br />
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