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2003-253F
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2003-253F
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Last modified
11/22/2016 11:54:27 AM
Creation date
9/30/2015 6:50:55 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/23/2003
Control Number
2003-253F
Agenda Item Number
7.D.
Entity Name
Healthy Start Coalition
Subject
TLC Newborn Program
Children's Services Advisory Grant Contract
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3414
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10 / 21 / 2003 TUE 12 : 36 FAX 561 563 9125 IRC HEALTHY START 2 002 / 002 <br /> 10 / 21 / 2003 11 : 27 7725699585 PAGE 01 <br /> ACOR© DATE WWDO" <br /> TN. CERTIFICATE 0t= LIABILITY INSURANCE DATE <br /> WBANACK INSURANCE AGENCY THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RM3MTS UPON THE CERTIFICATE <br /> 2045 14TH AVE. MOLDER. THIS CERTIFICATE DOES NOT AMENb, EXTEND OR <br /> P O BOX 130 ALTER THE COVERAGE AFFORDED 8Y THE aLIGENi er NDNp, <br /> VERO BFACH FL 32861 <br /> PHONE: 772492-9388 INSURERS AFFORDING COVERAGE MAIC 11 <br /> INSURED INSURERA: AUTO OWNERS INSURMCE COMPANY F <br /> INDIAN RIVER COUNTS' HEALTHY ST,E,RT, INC. j IN$URER 8: HARTFORD UNDERWRITERS IN8URtNCE COMP1 • <br /> Y <br /> 160510TH ANL. .. . . . <br /> VERO BEACH FL 32980 INSURER C: <br /> INSURER b: <br /> INSURER E: <br /> THE POUMES OF INSURANCE LISTED IICLDW MANE BECN 158UE0 TO TME INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWI7H9TANDIN6 <br /> ANY REOIIIREW"T, TERi.I OR CONOMON OF ANY CONTRACT eA OTHER D=k*NT WITH RESPECT YOWAICH THIS CRPTIPICATIt MAY pE 18EUEP OR <br /> MAY PERTAIN, rrE INSLIPAJIM AFFORWfiO by THE FOLICIE6 CifaCRIEIED HEREIN 19 IUBJECT To ALLTHE TERMII, EXCLU8lON8 AICD CONDIT"s OF <br /> SUCH <br /> POLICIES. AGGREGATE LIA S SHOWN WY HAVE t10EN FtOPXW NY PAID CLAWAs, , <br /> lL T1 P E OF lIIBDPAIIP.E --- T POLICY MQMfirA • - ? <br /> PWJD I LOFNTNIF Pcm-m F.V1RATM7M - -- <br /> QENERAL LIAMJTT 93411 .42740 MAR 10 08 MAR 10 04 CAGH OCCt)AITEMFE 6 1 ,OOOt000 <br /> COMERCWl GENEMLLLUILITV I MANAGE TU RENT90 . . . <br /> !I Hl*l0l E5wAens Ay I,®OQ <br /> l CLAIMS MADE ! X O=R MELT EXP My Mo PWWt11 111 go I S ow <br /> A i PERGON& i ASM INJURY Is 1 ,D40,t341J <br /> l I QFWRAkA43R60ATE I f, OD0,Dd0 <br /> GENT, AG4RE0ATI; 41MIT APPLES PER; I, , <br /> II s 1,OOI),004 <br /> PROOUCT$HroTR/IOP AGC. <br /> P MXY <br /> AUTOMOBILE IlABIlIY COMBNlED SINGLE LNtr S <br /> . . ANY AUTO (EI Itli6sn11. - , , , . . . <br /> ALU "Go AUTO$ i BODILY INJURY � - -- <br /> SCHEDULEDAJTOS <br /> HIRED AUT'0& I BODILY INJURY . <br /> NON-OWNECAuTOS I (Por 4Wan , 1 <br /> . .. _ . .. . FROPERTY004"CF I <br /> "RAGE LIARLITT <br /> AUTO ONLY - EA ACCIDENT S <br /> ANYAUTO � _.. _ .._. . <br /> . . I Any O i}{ER THAN _ EAACC., 1Ni . <br /> AUTO ONLY: '; <br /> EXCESS I UMIBEREILALWH[ITY EACH OCCURWMCE,- .. ; <br /> OCGUA l — GLAY5MADE AGGREGATE S <br /> I I <br /> DEDUCTIBLE <br /> . RETENTION <br /> WOWERB COIWENSATION AND 111100 001710 MAY S CS MAY 3441N6 ' OTHER <br /> - QAIPLOYERS LIAsa.Tly .. . ?�IfJ.L^Ta .. ._ . . . . . _ <br /> E.L. EACH ACCIDENT i 140 ,DOd <br /> UM ' E.L. DISEASE-EAEMPLOYEE1D0,DQts <br /> I IPEUM PROVOOM� kkW ! E-L. 0ISEA3114nLICY UNIT ., Q00,OOU <br /> OTHER: G <br /> I <br /> DESCRIPTION OF OPERATION8ILOGATION/YEHIGLL' /E?IGLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER 13 ALSO NAMED AS AN ADDINnONAL INSURED WITH REGARDS TO CONIMERGWt_ GENERAL LIABILITY COVERAGE . <br /> ALAO NOTE 10 DAYS NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMIUM <br /> CERTIF I JAPWTIONALIN111UPWIMUNeRLETTIft CANCELLATIgN <br /> SKOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY "LLENDEAVORTO WILSD <br /> DAyS WRfTEN NOTICE TO 7kE CERTIFICATE HOLDER NAWO TO TIE LEFT, BUT <br /> FAILURE TO OC SD SHALL IMPOSE NO ODUGAA IVH OR LWBILRY OF ANY KINQ UPON THE <br /> INDIAN RIVER COUNTY BOARD OF INSURER, ITS AGkNTS OR REPRESENTATIVES. <br /> COUNTY COMMISSIONERS AUTHORIZFo REPKE.SENTATWE <br /> 1044 25TH ST <br /> VERO BEACH, FL 32960fc <br /> Aftntlon: 80TH JORDAN ' r <br /> ACORD 26 (2001 /06) Cel#{fiaata M 68548 Mlchale N. PDysell <br />
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