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2005-328h
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2005-328h
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Last modified
8/10/2016 1:15:11 PM
Creation date
9/30/2015 9:13:22 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/04/2005
Control Number
2005-328H
Agenda Item Number
7.JJ.
Entity Name
Boys & Girls Clubs of Indian River County
Subject
South County Branch Children's Services Advisory Grant Contract
Supplemental fields
SmeadsoftID
5199
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ACORgR ) CERTIFICATE OF INSURANCEISSUE (MM/DD/YY) <br /> 09- 26- 2005 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> Markel Insurance Company NO RIGHTS UPON THE CERTIFICATE HOLDER . THIS CERTIFICATE DOES NOT AMEND , <br /> P . O . BOX 3870 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Glen Allen , VA 23058 -3870 COMPANIES AFFORDING COIVERAGE <br /> COMPANY <br /> CODE SUB-CODE LETTER A MARKEL INSURANCE COMPANY <br /> COMPANY <br /> INSURED B <br /> LETTER ' <br /> Boys & Girls Club of Indian River County, Inc . COMPANY C <br /> PO Box 3068 LETTER <br /> Vero Beach, FL 32964 COMPANY <br /> D <br /> LETTER <br /> COMPANY <br /> E <br /> LETTER <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA ED ABOVE FOR THE <br /> POLICY PERIOD INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br /> WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br /> HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br /> _ �AID CLAIMS , <br /> O POLICY EFFECTIVE POLICY EXPIRATION <br /> TR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY1 LIMITS <br /> GENERAL LIABILITY GENERAL AGGREGATE $ 3 , 000, 000 <br /> A <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ 1 ,0001000 <br /> CLAIMS MADE 0 OCCUR . 8502CY220128- 5 09- 13 - 2005 09- 13- 2006 PERSONAL & A VERTISING INJURY $ 10000, 000 <br /> OWNERS & CONTRACTOR'S PROT . EACH OCCURRE CE $ 1 , 000, 000 <br /> FIRE DAMAGE (/any one fire) $ 100,000 <br /> MEDICAL EXPENSE (Any one person) $ 5 , 000 <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE <br /> X ANY AUTO LIMIT $ 1 , 000, 000 <br /> X ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per Person) $ <br /> X HIRED AUTOS 8502CY220128- 5 09- 13- 2005 09- 13- 2006 BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> GARAGE LIABILITY <br /> PROPERTY DAMAGE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE <br /> $ <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br /> `.YORKER 'S COMPENSATION <br /> AND EACH ACCIDENT $ <br /> EMPLOYERS' LIABILITY DISEASE - POLICY LI Fj 3 47 <br /> DISEASE - EACH A�61PL0YEE S' <br /> A OTHER <br /> Inland Marine <br /> Property 8502CY220128- 5 09- 13 - 2005 09- 13 - 2006 ^' <br /> DESCRIPTION OF OPERATION S/LOCATIONSNEHICLES/SPECIAL ITEMS �. <br /> ul <br /> Certificate holder is included as additional insured for operations conducted by the named insured . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ' BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> Indian River County MAIL__IQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br /> THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br /> Board of County Commissioners OR LIABILITY OF ANY KIND UPON THE COMPANY , ITS AGENTS OR <br /> 1840 25th Street REPRESENTATIVES . <br /> Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE 00 <br /> t4ww', wA <br /> I( r Cie 14 <br /> Bruce A . Kay JPO <br /> ACORD 25-S ( 7 /90) ( c) ' CORD CORPORATION 1990 <br />
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