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2004 S Manager - Coulter, Jewell and Thames for Consulting Engineering Services Efland Sewer Buckhorn EDD
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2004 S Manager - Coulter, Jewell and Thames for Consulting Engineering Services Efland Sewer Buckhorn EDD
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Last modified
4/12/2011 3:17:52 PM
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4/12/2011 3:17:50 PM
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BOCC
Date
12/14/2004
Meeting Type
Regular Meeting
Document Type
Contract
Agenda Item
5k
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Agenda - 12-14-2004-5k
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\Board of County Commissioners\BOCC Agendas\2000's\2004\Agenda - 12-14-2004
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CERTIFICATE OF INSURANCE <br />T s t ~ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois <br />^ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, lltinois <br />^ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario <br />INOYK~NGE ^ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida <br />W ^ STATE FARM LLOYDS, Dallas, Texas <br />insures the following policyholder for the coverages indicated below: <br />Name of policyholder COULTER, NEWELL, TF3AME3 r PA <br />Address of policyholder 111 W. P3AIN S'Y', DURHAM, NC 27901 <br />Location of operations sAME As ~sovE <br />Descrriptlon of operations ENGINEERING, LANDSCAPE A13CHITECZJTE & LAND pLF1NNING <br />The policies listed below have bean issued to th® policyholder for the policy periods shown. The insurance described in these policies is <br />subject to 8,11 the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. <br />POLICY PERIOD LIMITS OF LIA81LlTY <br />POLICY NUMBER TYPE OF INSURANCE Effective Date ; Ex ration date (at beginning of policy period) <br />Comprehensive BODILY INJURY AND <br />93-sx-6946-9 Business Liability 10/14/04 10/14/05 PROPERTY DAMAGE <br />This Insurance includes- Products - Com leed orations <br />Contractual Liability <br />® Underground Hazard Coverage Each Occurrence $ ~., ooo, ooo <br />® personal Injury <br />^ Advertising injury General Aggregate $ 2, ooo, ooo <br />^ Explosion Hazard Coverage <br />^ Collapse Hazard Coverage Products -Completed $ 2, ooo, ooo <br />^ Operations Aggregate <br />POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br />EXCESS LIABILITY Effective Date ~ Expirati~t ~ (Combined Single Limit) <br />^ Umbrella Each Occurrence $ <br />^ Other Aggregate $ <br />Pan 1 STATUTORY <br />Part 2 BODILY INJURY <br />93-ci-9705-4 Workers' Compensation 08/15/05 08/15/od <br />and Employers Liability Each Accident $ too, ooo <br />Disease Each Employee $100, ooo <br />Disease -Policy Limit $ 5 0 0, 0 0 0 <br />POLICY PERIOD LIMITS OF LIABILITY <br />POLICY NUMBER TYPE OF INSURANCE Effective Date ~ Expiration Date (at beginning o! policy perlo <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFl=IRMATIVELY NOR NEGATIVELY <br />AMENDS, EXTENDS OR ALTERS THE COVERAGE AI'PROVEa BY ANY POLICY DESCRIBED HEREIN. <br />if any of the described policies are canceled before <br />its expiration date, State Farm will try to mail a written <br />notice to the certificate holder 60 days before <br />Name and Address of Certfficate Holder cancellat(on. If however, we fail to mail such notice, <br />no obligation or liability will be imposed on 5#ate <br />oRZUV~E covraT'it Farm orrm or its o~presentatives. <br />2 0 0 SOUTH CAMERON' STREET __ ~~"' ' ~ <br />P.O_ EOX 8181 <br />HII.L5IiOROUGH, NC 27278 S~~ig~ tUre of Authorized F~epresentative <br />08/25/05 <br />Title Date <br />Agent's Code Stamp <br />AFO Code 223 <br />556.994 a3 ~a4.1999 primed In U.S.A. <br />Z0 3J17d Q~idN03~ 3ISg3Q T600E8E6T6 TZ ~5Z 500Z/5Z/80 <br />
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