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2005-328f
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2005-328f
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Last modified
8/10/2016 1:10:49 PM
Creation date
9/30/2015 9:12:45 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/04/2005
Control Number
2005-328F
Agenda Item Number
7.JJ.
Entity Name
Gifford Youth Activity Center
Subject
Summer Cultural Camp Children's Services Advisory Grant Contract
Supplemental fields
SmeadsoftID
5197
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11 / 04 ' 2005 09 : 24 FAX 772 562 3466 SID BANACK INS , 12 001 <br /> sm N <br /> ' ACORD DATE (MWDDmry0l <br /> TM. CERTIFICATE OF LIABILITY INSURANCE Nava os <br /> PRODUCER <br /> 4TRIS CERTIFICATE Ia ISSUED A$ A MATTER OF INFORMATION <br /> 2 0435Ui0(3AL S HOBBS OF FLA INC /SID BANACK INS. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2TN AVE. HOLDER. THOS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P O BOX 130 ALTER THE E AFFORDED BY THE POLICIES IsEL <br /> OW, <br /> VERO BEACH FL 3296E <br /> INSURERS AFFORDING COVERAGE MAIC III <br /> INSURED ( INSURER A GRANITE STATE IN3-d-6— <br /> GIFFORD YOUTH ACTIVITY CENTER INSURER g: Progressive American Insurance Co. 24252 <br /> 4875 43RD AVE I _ . ,_ <br /> VERO BEACH FL U96T INSURER C: � `- <br /> INSURER D: - - <br /> INSURER E <br /> COVERAGES <br /> THE POUCIES OF INSURANCE LISTEO OELOW NAVE BEEN 103UED TO THE INSURED NAMED ABOVE FOR THE POLICYPQFt*D INDICATED. NOTWTMSTANDING <br /> ANY AEUMM5 ENT, TERM OR CONDITION OF ANY CONTRACT OR OTTER DOCUMENT WITH RESPECT TOWHICH THIg CERTIFICATE MAY BE 135011) OR <br /> MAY PERTAK THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 1{BRFW IS SUBJECT TO ALITHE TERMS, EXCLUSIONS AND CONDITIONS Of SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE PEEN REDUCED BY MID CLAW, <br /> LTRNEE OF WSUMNCE POLICY NUMBER POLICY EFFBCTWE roucYMpIRATIOM 1 LIMITS <br /> LTR I DATE DAn1 <br /> GENERA- LIMILITY 024.X-0489330.0/000 MAY 15 05 MAY 73 06 EACH OCCURRENCE S 1 , 00 1000 <br /> X COMMERCIAL GENE LIABIUT� BOE TO ft7M3 S 100 000 <br /> CL/UMS MADE( X OCCUR MEO. EXP (My one pown) S 3004() <br /> A I I PER30W I ADV IWURY 11000,000 <br /> GENERAL AGGREGATE Is 31000/GOO <br /> GEML AGGREGATE LIMIT' APPLIES PER, ,P UCTSCONPIOP AGG I g 1 00000000 <br /> POLICY NOJECT LOC . .. _..'"- --- - <br /> AUTOMOBILE LABILITY 02626305-1 APR 23 05 <br /> X ANY AUTO APR 23 06 IFO�MONEDISINGLE LIMIT i s 11000,000 <br /> ALL OWNED AUTOS <br /> ---111 BODILT INJURY <br /> SCHEDULED AUTOS I I ! Iry Deraw) g <br /> X {I HIRED AUTOS <br /> NON•CWNEDA�UTOS <br /> X I I BODILY INJURY <br /> SRY <br /> :x (Pw v0dent <br /> PROPERTY DAMAGE g <br /> per mcr*rE) <br /> GARAGE 1U01NTV <br /> ANY AUTO I AUTO�LI=EA ACCiOEN—T — I�3--- <br /> OTHER THAN EA ACC 1 s <br /> AUTO ONLY; —S <br /> EXCESS I UMBRELt�LIAt1UTY EACH OCCURRENCE S <br /> J OCCUR i�JI CLAIMS MADEAG REG GA7E g — <br /> OEOUCYIELE I - S _ . . <br /> RETENTION g - <br /> ; g <br /> WORKERS COMPENSATION AND I WDaTATU- O ER <br /> sMPLOYll" LM!UTY ca_ j <br /> ANY ►ROFM 0WARTN9Kq ECYTNE Elm WH ACCIDENT g <br /> OFFICER&WmX EML0907 E.L. DISE.45EFA ENPlOYEE I — <br /> e yolkaarnea unor _ . ,_ _ <br /> MECIAL frgYiEgIN bMw E.L. DISEASE-POLICY LIMIT 13 <br /> OTHER: <br /> I <br /> DESCRIPTION OF OPERATIONSiOCATIONSNEH(CLESIEXCLUSIONS ADDED DY ENDORSEMENT) SPECIAL PROVISIONS <br /> $ 1 ,000 DEDUCT18LE BODILY INJURY AND PROPERTY DAMAGE COMBINED PER OCCURRENCE <br /> INDIAN RIVER COUNTY IS NAMED AS AN ADDITIONAL INSURED WITH REGARDS TO THE GENERAL LIABILITY AND AUTO POLICIES WITH <br /> RESPECTS TO THE OPERATIONS OF THE NAMED INSURED, <br /> CERTIFICATE HOLDER —CANCELLATION <br /> SHOULD ANY OF TH9 A6QVE DESCRIBED POLICIES BE CANCELLED BEFORE TME <br /> EXPIRATION DATE THEREOF, THF ISSUING COMPANY WILL ENDEAVOR YO MAIL 10 <br /> DAYS MITTEN NOTICE TO THE CERTIFICATE NOLD%R NAMED TO THE LEFT, BUT <br /> FAILURE TO DO SO SNAUL W106E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INDIAN RIVER COUNTY INSURER, ITS AGENTS OR REFRESENTATIVES. <br /> 11340 25TH STREET AUTHORIZi'D REPRESENTAT;VE <br /> VERO !BEACH, FL. 32960 <br /> Attention: woo <br /> Idney M a a�0!� � <br /> ACORD 25 (2001108) Certificate # 90774 ® ACORD CORPORATION 1988 <br />
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