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2003-253L
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2003-253L
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Last modified
11/22/2016 12:19:36 PM
Creation date
9/30/2015 6:54:00 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/23/2003
Control Number
2003-253L
Agenda Item Number
7.D.
Entity Name
Homeless Assistance Center
Subject
Assets Build Futures Program
Childrens Services Advisory Grant Contract
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3422
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YY) <br /> 04 / 18 / 2003 <br /> PRODUCER ( 772 ) 567 - 1188 FAXTHIS GERTIFICAIE IS ISSUED AS7)� TTt: R OF INFORMATION <br /> ( 772 ) 778 - 1416 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> SCHLITT INSURANCE SERVICES INC HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> 1717 INDIAN RIVER BLVD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> SUITE 300 <br /> VERO BEACH , FL 32960 INSURERS AFFORDING COVERAGE <br /> INSURED Homeless Assistance Center , Inc . INSURER A: Royal Insurance Co . <br /> 715 4th Place INSURERS: Executive Risk Indemnity <br /> Vero Beach , FL 32962 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <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 /> LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS <br /> GENERAL LIABILITY R2ST419535 01 / 09 / 2003 01 / 09 / 2004 EACH OCCURRENCE $ 11000100 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 100 0 0 <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ 5100 <br /> A PERSONAL & ADV INJURY $ 1 , 0 0 0 , 0 0 <br /> GENERAL AGGREGATE $ 3 , 000 , 00 ( <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCLUDE 1 <br /> POLICY PROECT LOC <br /> J <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> 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 /> EXCESS LIABILITY 91647767 01 / 18 / 2003 01 / 18 / 2004 EACH OCCURRENCE $ <br /> OCCUR EICLAIMS MADE IRECTORS , OFFICERS & AGGREGATE $ 19000 , OOC <br /> B rRUSTEES LIABILITY $ <br /> DEDUCTIBLE <br /> X RETENTION $ 2 , 500 $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT $ <br /> E.L. DISEASE - EA EMPLOYEq $ <br /> E.L. DISEASE - POLICY LIMIT 1 $ <br /> OTHER 2ST419536 01 / 09 / 2003 01 / 09 / 2004 Aggregate $ 3 , 000 , 000 <br /> A on - Profit Each Occurrence $ 1 , 000 , 000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> ertificate Holder is Additional Insured for General Liability . <br /> CERTIFICATE HOLDER X ADDITIONAL INSURED ; INSURER LETTER A CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> 10 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE Q / /� <br /> Jeffrey Schlitt , CPCU / LAR / / U / #JjdLl" <br /> c <br />
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