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Home My WebLink Aboutexhibit1B" UtCET Belafante Tacoicy Center Inc. Community Development Sports Proposed Budget Oct. 2004 - Sept. 2005 Line Item Original Budget Amount Salaries 47,232 00 FICA f MICA 5 3,514 a0 Unemployment $ 300.00 Group Insurance 5 950.00 Professional Service: Auditing 5 1,503.00 Security 5 1,000 00 Build 1Gmd MTCE 5 2,000 00 Program Supplies 5 5,000.00 Maintenance Sup. 5 2,000.00 7ransportenon 5 3,000 CO Space 5 1,090 00 Copwur!CopIOr MTCE $ 1,838.00 Auto Ins 5 3,000 00 General Liability $ 3,000.00 Fees and Outs $ 3,000 00 Vehicle Matnt $ 2,000 00 Telephone S 2,000,00 Special Events S 1,725.00 Utilities $ 2,828.00 Total 86,675.00 Belafonte Tacolcy Center Inc, Community Development Sports Proposed Budget Oct. 2004 - Sept. 2005 Line !tern Budget Amount Deputy Director $ 2,362.00 Gine Ford Rec. Leader111 S 25,750.00 Cedric Hooper Rec. Leader $ 15,000.00 Robert Lockett MngrAdmin Srvc $ 1,500.00 Tonle Blanco Accountg. Mngr, $ 2,150.00 Terofyn Fields Maintenance Sup. $ 470.00 Keiehell Graham $ 47,232,00 —VACORD CERTIFICATE OF LIABILI PRODUCER Wilson,Washburn & Forster Ins. Email: infoC,wwfins.cozn 10301 So. Dixie Hwy. Ste. 300 Pinecrest FL 33156-3151 Phone:305-666-6636 Fax:305-662-7778 INSURED 6161EiWt9thaAvecy Center Miami FL 33127 TY 1 N S U RAN C E CSR IG SELAF- DATE (MMIDD/YYYY) 03/03/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND'OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Royal Indemnity Company . INSURER B: INSURER C, INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAT ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSrt LAUU'L MM140M') LTR INSRC A A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR GEM. AGGREGATE LIMIT APPLIES PER: 1 JECT- - POLICY LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR n CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? if yes, describe under SPECIAL PROVISIONS below OTHER A Professional Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS City of Miami as additional insured as respects to agreement Liability only. POLICY NUMBER R2SP243992 R2ST341395 POLICY EFFECTIVE DATE 02/22/04 02/22/04 CERTIFICATE HOLDER R2ST341394 CITYOF2 City, of Miami Department of Parks & Recreation Attn: Ed Blanco 444 SW 2 Avenue Miami FL 33128 02/22/04 CANCELLATION PDATEY(MM/DDIYY)) TION 02/22/05 02/22/05 02/22/05 for G ED. NOTWITHSTANDING MAY BE ISSUED OR CONDITIONS OF SUCH LIMITS EACH OCCURRENCE S1,000,000. UAMAGt 1 U PI,EN IEU PREMISES (Ea accurence) $ 100,000. MED EXP (Any one person) s 5,000. PERSONAL 8 ADV INJURY $ 1,000,000 ., GENERAL AGGREGATE 5 3, 00C, 000. PRODUCTS - COMP/OP AGG S 3,000,000. COMBINED SINGLE LIMT 51,000,000. (Ea accident) BODILY INJURY S (Per person) BODILY INJURY S (Per accident) PROPERTY DAMAGE $ (Per aeddentf AUTO ONLY - EA ACCIDENT 5 OTHER THAN EA ACC $ AUTO ONLY: AGG S EACH OCCURRENCE S AGGREGATE $ 5 5 S WC STAN- OTW TORY LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE • EA EMPLOYEE S E,L. DISEASE • POLICY LIMIT S Per claim 1,000,000. Aggregate 2,000,000. neral ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION -OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Thomas E. Washburn, CPCU ACORD CORPORATION 1988 ACORD 25 (2001/O8) COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAT ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSrt LAUU'L MM140M') LTR INSRC A A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR GEM. AGGREGATE LIMIT APPLIES PER: 1 JECT- - POLICY LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR n CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? if yes, describe under SPECIAL PROVISIONS below OTHER A Professional Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS City of Miami as additional insured as respects to agreement Liability only. POLICY NUMBER R2SP243992 R2ST341395 POLICY EFFECTIVE DATE 02/22/04 02/22/04 CERTIFICATE HOLDER R2ST341394 CITYOF2 City, of Miami Department of Parks & Recreation Attn: Ed Blanco 444 SW 2 Avenue Miami FL 33128 02/22/04 CANCELLATION PDATEY(MM/DDIYY)) TION 02/22/05 02/22/05 02/22/05 for G ED. NOTWITHSTANDING MAY BE ISSUED OR CONDITIONS OF SUCH LIMITS EACH OCCURRENCE S1,000,000. UAMAGt 1 U PI,EN IEU PREMISES (Ea accurence) $ 100,000. MED EXP (Any one person) s 5,000. PERSONAL 8 ADV INJURY $ 1,000,000 ., GENERAL AGGREGATE 5 3, 00C, 000. PRODUCTS - COMP/OP AGG S 3,000,000. COMBINED SINGLE LIMT 51,000,000. (Ea accident) BODILY INJURY S (Per person) BODILY INJURY S (Per accident) PROPERTY DAMAGE $ (Per aeddentf AUTO ONLY - EA ACCIDENT 5 OTHER THAN EA ACC $ AUTO ONLY: AGG S EACH OCCURRENCE S AGGREGATE $ 5 5 S WC STAN- OTW TORY LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE • EA EMPLOYEE S E,L. DISEASE • POLICY LIMIT S Per claim 1,000,000. Aggregate 2,000,000. neral ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION -OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Thomas E. Washburn, CPCU ACORD CORPORATION 1988 ACORD 25 (2001/O8) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION -OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Thomas E. Washburn, CPCU ACORD CORPORATION 1988 ACORD 25 (2001/O8)