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HomeMy WebLinkAbout2015-130DIndian River County Grant Contract This Grant Contract ("Contract") entered into effective this 1st day of October 2015 by and between Indian River County, a political subdivision of the State of Florida, 1800 27th Street, Vero Beach FL, 32960 ("County") and Biq Brothers and Biq Sisters of IRC, 1846 18th Avenue, Vero Beach, FL, 32960 ("Recipient") Background Recitals A. The County has determined that it is in the public interest to promote healthy children in a healthy community B. The County adopted Ordinance 99-1 on January 19, 1999 ("Ordinance") and established the Children's Services Advisory Committee to promote healthy children in a healthy community and to provide a unified system of planning and delivery within which children's needs can be identified, targeted, evaluated and addressed C. The Children's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children's Services Advisory Committee in fulfilling its purpose D. The proposals submitted to the Children's Services Advisory Committee and the recommendation of the Children's Services Advisory Committee have been reviewed by the County. E The Recipient, by submitting a proposal or proposals to the Children's Services Advisory Committee, has applied for a grant or grants of money ("Grant" or "Grants") for the Grant Period (as such term is hereinafter defined) on the terms and conditions set forth herein. F The County has agreed to provide such Grant or Grants funds to the Recipient for the Grant Period (as such term is hereinafter defined) on the terms and conditions set forth herein. NOW THEREFORE, in consideration of the mutual covenants and promises herein contained, and other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the parties agree as follows. 1 Background Recitals The background recitals are true and correct and form a material part of this Contract. 2 Purpose of Grant or Grants The Recipient has been awarded a Grant for: Passport for Literacy; and Children of Promise. The Grant or Grants shall be used only for the purposes set forth in the complete proposal or proposals submitted by the Recipient attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes") 3 Term The Recipient acknowledges and agrees that the Grant or Grants is limited to the fiscal year 2015-16 ("Grant Period"). The Grant Period commences on October 1, 2015 and ends on September 30, 2016 4 Grant Funds and Payment The total approved funds for the Grant or Grants for the Grant Period is (Total Dollar Amount) $39,994.00 The approved funds for "Passport for Literacy" - $24,994.00 and "Children of Promise" is (Dollar Amount) $15,000. The County agrees to reimburse the Recipient for each separate Grant from such separate Grant funds for actual documented costs incurred for the separate Grant Purposes provided in accordance with this Contract. Reimbursement requests may be made no more frequently than monthly Each reimbursement request shall indicate the applicable Grant and contain the information, at a minimum, that is set forth in Exhibit "B" attached hereto and incorporated herein by this reference All reimbursement requests are subject to audit by the County In addition, the County may require additional documentation of expenditures, as it deems appropriate 5 Additional Obligations of Recipient. 5 1 Records The Recipient shall maintain adequate internal controls in order to safeguard the Grant or the Grants In addition, the Recipient shall maintain adequate records fully to document the use of the Grant of Grants funds for at least three (3) years after the expiration of the Grant Period The County shall have access to all books, records, and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense, upon five (5) days prior written notice All records for each Grant shall be maintained separately 5.2 Compliance with Laws. The Recipient shall comply at all times with all applicable federal, state, and local laws, rules, and regulations 5 3 Quarterly Performance Reports The Recipient shall submit quarterly, cumulative, Performance Reports for each Grant to the Human Services Department of the County within fifteen (15) business days following December 31, March 31, June 30, and September 30 5 4 Audit Requirements. If Recipient receives $100,000 or more in the aggregate from all Indian River County government funding sources, the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year Within 120 days of the end of the Recipient's fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget. The fiscal year will be as reported on the application for funding, and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient. The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for a prior fiscal year is past due and has not been submitted by May 1 5 4 1 The Recipient further acknowledges that, promptly upon receipt of a qualified opinion from its independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget. The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately The foregoing termination right is in addition to any other right of the County to terminate this Contract. 5 4.2 The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements, audit comments, or notes 5 5 Insurance Requirements. Recipient shall, no later than October 1, 2015, provide to the Indian River County Risk Management Division a certificate or certificates issued by an insurer or insurers authorized to conduct business in Florida that is rated not less than category A- VII by A.M Best, subject to approval by Indian River County's risk manager, of the following types and amounts of insurance (i) Commercial General Liability Insurance in an amount not less than $1,000,000 combined single limit for bodily injury and property damage, including coverage for premises/operations, products/completed operations, contractual liability, and independent contractors, (ii) Business Auto Liability Insurance in an amount not less than $1,000,000 per occurrence combined single limit for bodily injury and property damage, including coverage for owned autos and other vehicles, hired autos and other vehicles, non -owned autos and other vehicles, and (iii) Workers' Compensation and Employer's Liability (current Florida statutory limit) 5 6 Insurance Administration The insurance certificates, evidencing all required insurance coverages shall be fully acceptable to County in both form and content, and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given to the County In addition, the County may request such other proofs and assurances as it may reasonably require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract. The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Workers' Compensation insurance The Recipient shall, upon ten (10) days' prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business, of any and all insurance policies that are required in this Contract. If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages, or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option, terminate this Contract. 5 7 Indemnification The Recipient shall indemnify and save harmless the County, its agents, officials, and employees from and against any and all claims, liabilities, losses, damage, or causes of action which may arise from any misconduct, negligent act, or omissions of the Recipient, its agents, officers, or employees in connection with the performance of this Contract. 5 8 Public Records. The Recipient agrees to comply with the provisions of Chapter 119, Florida Statutes (Public Records Law) in connection with this Contract. 6 Termination. This Contract may be terminated by either party, without cause, upon thirty (30) days prior written notice to the other party In addition, the County may terminate this Contract for convenience upon ten (10) days prior written notice to the Recipient if the County determines that such termination is in the public interest. 7 Availability of Funds. The obligations of the County under this Contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County 8 Standard Terms. This Contract is subject to the standard terms attached hereto as Exhibit C and incorporated herein in its entirety by this reference IN WITNESS WHEREOF, County and Recipient have entered into this Contract on the date first above written INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS By.; ‹-Igla C airman Attest: Jeffrey R Smith Jerk of Courts Bv• Approved 14_4/ 1 � Jos=•h A. Baird County Administrator Appro ed as to form and legal sufficiency. n Reingold, County Attorney RECIPIENT �,ss�ocsEas ,�•••.. Big Brothers Big Sisters of Indian River County/Passport to Early Literacy/ CSAC of Indian River County PROGRAM COVER PAGE Organization Name: Big Brothers Big Sisters of Indian River County Executive Director: Judi Miller Address: 403 N US Highway 1 Fort Pierce, FL 34950 Program Director: Jenna Stinnett Address: 403 N US Hwy 1 Fort Pierce, FL 34950 E-mail: judibbbs@gmail.com Telephone: (772)466-8535 Ext 202 Fax: 772-828-2098 E-mail: jenna.stinnett@bbbsbigs.org Telephone: 772-466-8535 Ext 212 Fax: 772-828-2098 Program Title: Passport to Early Literacy Priority Need Area Addressed: Priority 1 Brief Description of the Program: (Taxonomy #HD -1800.8000 - Programs sponsored by states, local municipalities or nonprofits that prepare children usually ages 3 to 5, from low income at risk families, to -succeed in -school.)- This program- will help- fund-1-to=1 mentoring focusing on emergent literacy skills and social/emotional development of VPK children whose family members) are living in poverty. It will also build parent capacity through parent training. SUMMARY REPORT =(Enter Information In The Black Cells Onl Amount Regaeste'd from Funder for 2015/16: $ J 49,994.00 Total Proposed Program Budget for 2015/16: $ 112,770.00 Percent of -Total Program Budget 44 3% Current Program Funding (2014/15): $ - Dollar increase/(decrease) in request: $ 49,994 Percent increase/(decrease) in request **: #DIV/0! Unduplicated Number of Children to be served Individually: 100 Unduplicated Number -of Adults to be served Individually: 100 Unduplicated Number to be served via Group settings: 40 Total Program Cost per Client: 469 88 **If request increased 5% or more, briefly explain why: This is a new program proposal If these funds -are being used to match another source, name the source and the $ amount: Indian River Community Foundation - $48,791. The Organization's Board of Directors has approved this application on 4/27/2015 Joni Wvszkowski Name of President/Chair-Elect of the Board Judi Miller Name of Executive Director/CPO 7 Big Brothers Big Sisters of Indian River County/Mentoring Children of Prisoners Program/ CSAC of Indian River County PROGRAM COVER PAGE Organization Name: Big Brothers Big Sisters of Indian River County Executive Director: Judi Miller E-mail: judibbbs@gmail.com Address: 403 N US Hwy 1 Fort Pierce, FL 34950 Program Director: Jenni Palm Address: 403 N US Hwy 1 Fort Pierce, FL 34950 Telephone: 772-466-8535 Ext 202 Fax: 772-828-2098 E-mail: jenni.palm cr,bbbsbigs.org Telephone: 772-466-8535 Ext 213 Fax: 772-828-2098 Program Title: Mentoring Children of Prisoners to Children of Promise Priority Need Area Addressed: Priority 3 Brief Description of the Program: (Taxonomy #PH 1400.5000 - Programs that provide companionship, guidance and/or role models for individuals who are disadvantaged because of age, income, physical or developmental disabilities or family environment.) This program will help fund 1 - to -1 mentoring for children whose family member(s) are incarcerated in state or federal prison. "MCOP" builds and strengthens families with the help of caring adult volunteers who become mentors and role models so that children and youth increase their capacity to succeed to adulthood in a safe, healthy and productive manner. SUMMARY REPORT —(Enter Information In The Black Cells Only) Amount Requested from Funder for 2015/16: Total Proposed Program Budget for 2015/16: Percent of Total Program Budget: $ $ 15,000.00 56,618.00 26.5% Current Program Funding (2014/15): $ 15,000 Dollar increase/(decrease) in request: $ - Percent increase/(decrease) in request **: 0.0% Unduplicated Number of Children to be served Individually: 40 Unduplicated Number of Adults to be served Individually: 40 Unduplicated Number to be served via Group settings: 24 Total Program Cost per Client: 544.40 **If request increased 5% or more, briefly explain why: N/A If these funds are being used to match another source, name the source and the $ amount: Department of Juvenile Justice, $21,229. The Organization's Board of Directors has approved this application on 4/27/2015 ,/../ Joni Wyszkowski Name of President/Chair-Elect of the Board Judi Miller Name of Executive Director/CPO Si ,r ature S' nature 2 EXHIBIT B [From policy adopted by Indian River County Board Of County Commissioners on February 19, 2002] "D. Nonprofit Agency Responsibilities After Award of Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check. Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed If an agency repeatedly fails to provide adequate documentation, this may be reported to the Board of Commissioners In the event an agency provides inadequate documentation on a consistent basis, funding may be discontinued immediately Additionally, this may adversely affect future funding requests Expenditures may only be reimbursed from the fiscal year for which funding was awarded For example, no expenditures prior to October 1st may be reimbursed with funds from the following year Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners All requests for reimbursement at fiscal year end (September 30th) must be submitted on a timely basis. Each year, the Office of Management & Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point. Each reimbursement request for each separate Grant must include a summary of expenses by type These summaries should be broken down into salaries, benefits, supplies, contractual services, etc. If Indian River County is reimbursing an agency for only a portion of an expense (e g. salary of an employee), then the method for this portion should be disclosed on the summary The Office of Management & Budget has summary forms available If applicable, separate reimbursement requests must be made for each separate Grant. Indian River County will not reimburse certain types of expenditures These expenditure types are listed below a Travel expenses for travel outside the County including but not limited to, mileage reimbursement, hotel rooms, meals, meal allowances, per Diem, and tolls. Mileage reimbursement for local travel (within Indian River County) is allowable b Sick or Vacation payments for employees Since agencies may have various sick and vacation pay policies, these must be provided from other sources c. Any expenses not associated with the provision of the program for which the County has awarded funding d Any expense not outlined in the agency's funding application The County reserves the right to decline reimbursement for any expense as deemed necessary " — EXHIBIT B - EXHIBIT C STANDARD TERMS FOR GRANT CONTRACT 1 Notices. Any notice, request, demand, consent, approval or other communication required or permitted by this Contract shall be given or made in writing, by any of the following methods facsimile transmission, hand delivery to the other party; delivery by commercial overnight courier service, or mailed by registered or certified mail (postage prepaid), return receipt requested at the addresses of the parties shown below. County. Brad E. Bernauer, Director Indian River County Human Services 1800 27TH Street Vero Beach, Florida 32960-3365 Recipient: 2. Venue, Choice of Law. The validity, interpretation, construction, and effect of this Contract shall be in accordance with and governed by the laws of the State of Florida, only The location for settlement of any and all claims, controversies, or disputes, arising out of or relating to any part of this Contract, or any breach hereof, as well as any litigation between the parties, shall be Indian River County, Florida for claims brought in state court, and the Southern District of Florida for those claims justifiable in federal court. 3 Entirety of Agreement: This Contract incorporates and includes all prior and contemporaneous negotiations, correspondence, conversations, agreements, and understandings applicable to the matters contained herein and the parties agree that there are no commitments, agreements, or understandings concerning the subject matter of this Contract that are not contained herein Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior representations or agreements, whether oral or written It is further agreed that no modification, amendment or alteration in the terms and conditions contained herein shall be effective unless contained in a written document signed by both parties 4 Severability. In the event any provision of this Contract is determined to be unenforceable or invalid, such unenforceability or invalidity shall not affect the remaining provisions of this Contract, and every other term and provision of this Contract shall be deemed valid and enforceable to the extent permitted by law To that extent, this Contract is deemed severable 5 Captions and Interpretations Captions in this Contract are included for convenience only and are not to be considered in any construction or interpretation of this Contract or any of its provisions Unless the context indicates otherwise, words importing the singular number include the plural number, and vice versa Words of any gender include the correlative words of the other genders, unless the sense indicates otherwise 6 Independent Contractor The Recipient is and shall be an independent contractor for all purposes under this Contract. The Recipient is not an agent or employee of the County, and any and all persons engaged in any of the services or activities funded in whole or in part performed pursuant to this Contract shall at all times and in all places be subject to the Recipient's sole direction, supervision, and control 7. Assignment. This Contract may not be assigned by the Recipient without the prior written consent of the County - EXHIBIT C - A� ods CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Mary White EFF (on MM ODYIYYYY) EXP (MOM/DDIYYYY) John L. Kirby & Associates, Inc. PHONE FAX I X COMMERCIAL GENERAL 4196 Herschel Street (904) 387-9798 (A/C,No): (904) 387-9270 -IA/C.N9.gMl: EDDR mar lkirb_ com ADDRESS: y� Y• --I 8/10/2015 Jacksonville FL 32210 EACH OCCURRENCE $ 1,000,000 GEN'L 1 INSURER(S)AFFORDING COVERAGE NAIC p -$ 100,000 INSURERA: Great_ American Assurance Co 26344 INSURED (772) 466-8535INSURERB.Great American Alliance Ins Co AGGREGATE LIMIT APPLIES PER: POLICY L J PRO- 117 LOC OTHER: 26832 Big Brothers Big Sisters of PRODUCTS - COMP/OP AGG $ 3,000,000 St. Lucie, Indian River & Okeechobee Co., Inc INSURERC: _. _____ __. _______ 403 N. US Hwy 1 _ INSURERD. CAP113706501 8/10/2015 Fort Pierce FL 34950 INSURER E: $ 1,000,000 INSURER F : $ BODILY INJURY (Per accident) TIFICATE NUMBER: cert ID 218 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NAMED ABOVE FOR THE DOCUMENT WITH RESPECT HEREIN IS SUBJECT TO LIMITS POLICY PERIOD TO WHICH THIS ALL THE TERMS, INSR TYPE OF INSURANCE rAINSD DDL SWVD POLICY NUMBER EFF (on MM ODYIYYYY) EXP (MOM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY OCCUR Y GLP113706401 8/10/2015 8/10/2016 EACH OCCURRENCE $ 1,000,000 GEN'L 1 CLAIMS -MADE LJ DAMAGE TO RENT E0 PREMISES IEaocnxrence) -$ 100,000 MED EXP (Anyone person) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY L J PRO- 117 LOC OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ A AUTOMOBILE LIABILITY • XI ANY AUTO ALL OWNED r- AUTOS X HIRED AUTOS X i— SCHEDULED AUTOS AUTONON-OWNED CAP113706501 8/10/2015 8/10/2016 COMBINED SINGLE LIMIT accident $ 1,000,000 -(Ea BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PrPROPERTY DAMAGE --$ $ B X .-- UMBRELLA LIAB rX OCCUR EXCESS LIAR I CLAIMS -MADE UMB113706601 8/10/2015 8/10/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DEO X I RETENTIONS None $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERJMEMBER EXCLUDED? (Mandatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A PEROTH- STATUTE I ER EL. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ below E.L. DISEASE - POLICY LIMIT ; $ DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it mo e space is requi ed) Additional Insured: Indian River County per written contract or agreement per Form CG8224 (12/01). CERTIFICATE HOLDER CANCELLATION Childrene Services Advisory Committee of Indian River County 4675 28th Court Vero Beach FL 32967 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) ©1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD n-.... + ..c 1 BIGBR-1 OP ID: KE ACCO--R�� CERTIFICATE OF LIABILITY INSURANCE oA0711TE 312015YI 07H 3!2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Atlantic Pacific - Stuart 620 SE Central Parkway Stuart, FL 34994 Thomas N.Tardonla CONTACT NAME. Thomas N.Tardonia aC°NrE1o, Ext►: 772-223-0400 FAX No}: 772-223-1919 AODRl • ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 1 INSURER A:Guarantee Insurance Company 11398 INSURED Big Brothers Big Sisters of St Lucie County 403 N US Hwy 1 Ft Pierce, FL 34950 INSURERB INSURER C' INSURER D. $ INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITR TYPE OF INSURANCE ADOL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD!YYYY) POLICY EXP (MMtDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MAGE OCCUR DAMAGE PREMISES ({ESEa occurrrEence} $ MED EXP (Anyone person) 1 PERSONAL & ADV INJURY $ GENERAL AGGREGATE 1 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO JECi PER: LOC PRODUCTS. COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — — SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BOOILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE 1 $ DED RETENT ON $ A WORHERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? [ (Mandatory In NH) II yes. describe under DESCRIPTION OF OPERATIONS below N 1 A WCP100736402GIC 06/23/2015 0123/2016 PER STATUTE OTH- ER EL. EACH ACCIDENT $ 1,000,000 E.L. DISEASE • EA EMPLOYEE 1 1,000,000 E L DISEASE POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEI-ECLES (ACORD 101, Additional Remarks Schedule, may be attached if more spice is required) CERTIFICATE HOLDER CANCELLATION Children's Service Advisory Committee of Indian River Cty 4675 28th Court Vero Beach, FL 32967 ( CHILDSA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) ® 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD