Loading...
HomeMy WebLinkAbout2019a�1 BOYS& -3 OF ID: SF CERTIFICATE OF LIABILITY INSURANCE I Dosld"ev" 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 WANED, subject to the terms and conditions of the policy. certain policies may require an endorsement. A statement on Nis certificate does not confer rights to me certificate holder In lieu of such endorsement(s). PpOWCER IIAWeOr Sandy Fays BIearn& Brown Insurance -Vero Vem Division uvc xe E,e772.469-7512 Evac. x.e 817 Beachland BlvdESa: afe bbccB.com Vero Beach, FL 32963 Jordan Slowed IlnUlaD M911RFAIN aiFxNMe COVBLAGE Boys & Girls Club of Indian River County 172917th Avenue Vero Beach, FL 32960 COVERAGES CERTIFICATE NUMBER: XIMGe xsURERA: Great American Ins Co of NY RYURERa: Great American Alliance lnsCo 122136 126832 OISURERC:'FFVA Mutual lnsu mance Co- 110385 YsuRERv: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, xeuReR e: RMURER e: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOING 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 SEEN REDUCED CLAIMS. sucti LLm MI MwWMNCa POIILY XUY9E0. �(B(YTPAID IYYNMYYYI IYWO Lem8 A XeoYYexeuL aExEarLLwanr MH OCCURRENCE Is 1,000,0 CAIMSAUDE ❑x OCCUR Y PAC1580596 IVIN2018 17/1312019 P n s 1,000,00 MEO EIw wP.o:II $ 20,00 PERSoxALaAml uuxY S 1,000,00 GEm ADDREWTELIMnMNESPEIt GQIEItKAGGREW.TE $ 3,000,00 X FYiMCO kLpr ❑Lx PRooucTs-wnw.ePAaG S 3,000,00 amER: Emp Ben. Is 1,000,00 MngMYIaEyMYrY COMxNFD 51NcaEuwr s 1,000,00 B X ANYAUTO 1500NT 12/1312018 1211312019 evonv llLWRYIItwol) s AXOWIEOI—III SCHEDULEDAUTOS AUTOSBOORV INwRY IOn cnwe) E X HIRW Am04 NDN`GWH AlIT08 NEOWMAGE S Is S X X ENCE 9I Ema LMa� B CWMSMADe UMBt580598 12132018 IV1412019 ACANEDATE IIs 4,OOD,00� am x Marokn0N3 1ao0D I II wDRNFRBcoMPexsATlox .0 EMPLOYERS' LM&LnY rIx % g{ANrlrt! FORin- C ARY PROFan e=11n, ov1Ne C840 -0030781.2018A GFFILEILMEMBERFXCWDEDi ❑ MIP 0911312018 08/7312019 ELEACHAGCIOExr s 50D,00 IWn.en, In NH) EJ-WSEASE-EAEMKO 5 SOD.0 11M bnWleunOer OE SCRIPTIONOFOPERATIONSWn- ELDISEASE-P0.ICYUMn 5 500,00 p Abuse/Molestation PAC7500596 12113/20181 12J73/2019 Par Oee 1,000,0 1 p Profenlonal Llab PAC1580596 121312018 12/13/2019 Ann Agg 3:000.00,1 DESCRIPTION OF OPERATIONS I LOCAO01 SI VEM E9 (ALOR01x.Ablltlaal RwnarFf 3[MEUY.,,uy M NNeAM IInwL rpNN h m1u1,M1 Locations: 1729 & 172517th Avenue, Vero Beach, FL; 1415 Friendship Ln, Sebastian, FL; 22 S Orange SL Feilsmere FL. Certificate holder is an additional Insured regarding the liability, as their Interests may general appear, as required per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF INE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City Sebastian THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN of ALLORDANCE WITH THE POLICY PROVISIONS. 1225 Main Street Sebastian, FL 32958 AUMORNED REPRESPRTATN! ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD