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2012-123 AMS - Carolina Sunrock LLC for 5501 S Franklin Street Handicapp Access Improvements
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2012-123 AMS - Carolina Sunrock LLC for 5501 S Franklin Street Handicapp Access Improvements
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Last modified
7/24/2012 10:30:38 AM
Creation date
6/4/2012 4:32:00 PM
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BOCC
Date
6/4/2012
Meeting Type
Work Session
Document Type
Agreement
Agenda Item
Manager Signed
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I SUPPLEMENT TO CERTIFICATE OF INSURANCE I DATE I <br />04/11/2012 <br />URED: Carolina Sunrock, LLC <br />Additional Description of Operations /Remarks from Pace 1: <br />Additional Information: <br />Named Insureds: Carolina Sunrock LLC; Sunrock Group Holdings Corporation; Rock Resources, LLC; <br />Person Capital, LLC; Safway, LLC; RDU Rock, LLC; Chappell Rock, LLC; Dutchville, LLC; <br />Six Forks Capital, LLC; SPCAR LLC; Granville Investments, LLC; Tar River Farm LLC; <br />Brassfield Capital Resources LLC; Third Rock, LLC; Zebulon Rock, LLC; Butner Properties LLC <br />GENERAL LIABILITY: <br />• Additional Insured -Broad Vendor as Required by Written Contract per form No. HG0001. <br />• Additional Insured - Lessors of Equipment as Required by Written Contract per form No. HG0001. <br />• Additional Insured - Lessors of Land or Premise as Required by Written Contract per form No. HG0001. <br />• Additional Insured -Any Other Party as Required by Written Contract per form No. HG0001. <br />• Primary and Non - Contributory as required by Written Contract per form No. HG0001. <br />• Waiver of Subrogation as Required by Written Contract per Form No. HG0001. <br />AUTOMOBILE: <br />Auto Liability: Trucks /Tractors /Trailers $1,000 Ded. Comp 4 Coll; $2,000 Dad. for Comp & Coll <br />for Private Passenger Vehicles valued over $40,000. <br />• Additional Insured Lessor as Required by Written Contract Form No. HA 99 16 09 10. <br />• Additional Insured as Required by Written Contract Form No. HA 99 16 09 10. <br />• Primary and Non - Contributory as required by written contract Form No. HA 99 16 09 10. <br />• Waiver of Subrogation as Required by Written Contract per Form No. HA 99 16 09 10. <br />• MSC 90 - $1,000,000 <br />WORKERS' COMPENSATION: <br />* Waiver of Subrogation as Required by Written Contract. Form No.WC 00 03 13. <br />A.J <br />
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