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2005-346B
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2005-346B
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Entry Properties
Last modified
8/11/2016 12:09:36 PM
Creation date
9/30/2015 9:20:46 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/11/2005
Control Number
2005-346B
Agenda Item Number
7.S.
Entity Name
Indian River County Healthy Start Coalition
Subject
TLC Program Children's Services Advisory Grant Contract
Supplemental fields
SmeadsoftID
5236
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11 / 04 % 2005 14 : 54 FAX 772 562 3466 SID BANACK INS . 10001 ), 001 <br /> ACORD DATE WDD/YYYY) <br /> ---T�. CERTIFICATE OF LIABILITY INSURANCE 7 NOV 4os <br /> • PRODUCER THIS CERTIFICATE IS *SUED AS A MATTER OF INFORIAATION <br /> HILB ROGAL & HOBBS OF FLA, INCJ31D BANACK INS. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2045 114TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P O BOX 130 ALTER E AFFORDED BY THE POLIC!13 BELOW. <br /> VERO BEACH FL 32981 <br /> INSURERS AFFORDING COVERAGE NAIL 1k <br /> INSURED INSURER A: AU <br /> TO.OWNERS INSURANC COMPANY + <br /> INDIAN RIVER COUNTY HEALTHY START, INC. I INSURERS: HARTFORD UNDERWRITERS INSURANCE COMP Y <br /> VERO BEACH FL 32960 1003 19TH DVH. INSURERC: UNITED STATES LIABILITY INSURANCE COMPAN <br /> VERO <br /> INSURER D: <br /> f INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISfEC BELOW MAVB BEEN 1SSUE0 TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NGTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEIN7 WITH RESPECT TONRIICH THIS CERTIFICATE MAY 0E ISSUEO OR <br /> MAY PERTAIN, THE P[SURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOJTIONS OF SUCH <br /> POUCIER AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAiD CLAW. <br /> "M` rotor INSURANCE—�POLICY - <br /> LTM IN NUMBER �YM�CTNE FDATELM ooffn/1 LIALTS <br /> GENERAL LIABILITY <br /> NDo1005544G AUG 105 ALIG 8 00 �+ Occu Ice L 1 , 00,0 <br /> COMWRCIAL GENERAL LW ICI p�MACA TO RENTED <br /> I s a- •,�.., s 50,000 <br /> C t I t;LwMs MADE�� OCCUR MUD, EXP (Arty one p&wm) s _ 5V000 <br /> PERSONAL A AOV INJURY S 11000, 000- <br /> 1I GENERALAOGREGATE S _ 190004000 <br /> cEJNLAGGREGATE UMrrAPPLrsPER <br /> 1 , , <br /> I ' PROOUCrS.COMP/0J' AcG, S 000 <br /> 000 <br /> POL Cr .R r `1 Loc f -- <br /> I <br /> 1OJT 0a10rLE ��� COMSINEN#SINGLE LIMIT <br /> 7 (Ee accJd.n!I s <br /> ALL aWNFo AUTOS BODILY INJURY <br /> SCHEOULEDAuros I (Perper7on) �— <br /> HIREDAU7011 I BODILY INJURY IS <br /> NON-0WM® AUTOS (Per amidam) <br /> FPROPERTY DAMAGE j3 <br /> Dv xrldent) <br /> GARAGE LJAOLJTY <br /> AUTO ONLY - EA ACCIDENT S <br /> —� <br /> ANY AUTO j OTHER THAN EA ACC , S <br /> AUTO ONLY. s <br /> EXCESS I UMBRELLA LIABLITY EACH OCCURRENCi ! <br /> I� OCCUR 17CLAIiASMADE I AGGREGATE T is <br /> IIDEDUCTIBLE <br /> F------ RETENTION S I g <br /> . S <br /> WORKAM COMPENSATION AND 21 WEC ODY700 MAY 3 05 MAY 3 06 rrc arAfv OTHER <br /> EMWLoYE119' LIAMILM WHINE _. <br /> B ; My �AIT� i IE.LEACH ACCIDENT 4 100, 000 <br /> OFFICtRansm 11 in, auNft wdwSEI L.DISEABE-EA EMPLOYEE $ 100, 000 <br /> aPECIALPRovEtnrq ~1oM E.L. DJSUSE-PoUCV LMT S 5000000 <br /> OTHER; DIRECTORS AND OFFICERS ND0100MS"G I AUG a O5 AUG 8 OB ;110000000 <br /> C ' <br /> I <br /> DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLESJEXCLUSIONS ADDED BY ENDORSEIIIENTI SPECIAL PROVISIONS <br /> CERITIFICATE HOLDER NAMED AS AN ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AS PER POLICY FORM AND <br /> PROVISIONS <br /> .CIERTIFICATE H0LQgR — CANC ON <br /> SW)ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL t0 <br /> DAYS WRITTEN NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LBF', BUT <br /> INDIAN RIVER COUNTY FALURE INSURER, O 0S0 90 S OR IMPOSE <br /> M PR$Et o OgU ATION OR LMLIrV CF ANY KIND 'UPON THE <br /> 1840 25TH STREET <br /> VERO BEACH FL 32960 AUTHORIZED REPRESENTATIVE <br /> At6xltlon_ 470.179a IdRdy a c , air *d* 14 <br /> ACORD 25 (2001108) CertlriCrts 4 90762 0 ACORD CORPORATION 1988 <br />
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