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2012-266 AMS - Cameron & Cameron Painting Inc Link GSC Exterior Cleaning $18,200
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2012-266 AMS - Cameron & Cameron Painting Inc Link GSC Exterior Cleaning $18,200
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8/1/2012 3:31:41 PM
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8/1/2012 3:31:39 PM
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BOCC
Date
7/27/2012
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Work Session
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Contract
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2012-266 S AMS - Cameron & Cameron Painting Inc for Link GSC Exterior Cleaning $18,200
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2012
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} % <br /> A`R O® CERTIFICATE OF LIABILITY INSURANCE D��3/ol' ) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT NAME: Pam Harrell <br /> Murray M. White Inc. Ai No.Exte (336)889-4747 I Mg.No):(336)889-7033 <br /> 1911 N Main Street EMAIL amemurra <br /> ,ADDRESS:P ymwhiteinc.COm <br /> P 0 Box 2196 INSURER(S)AFFORDING COVERAGE NA1C/ , <br /> High Point NC 27261 INSuRERA:Omega US Ins <br /> INSURED INSURERB:Progressive Southeastern Ins C 38784 <br /> B. Cameron & Cameron, Inc. MsuIERc:Torus Specialty Ins Co <br /> 1418 Avondale Drive INsuRER D Markel American Ins Co <br /> Suite 3 INSURERE; <br /> Durham NC 27701 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:CL1271901019 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI-BCH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE INSR WVD POLICY NUMBER IMM/DY/YYYY) (MM/ODII YYPY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> © COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 <br /> A ■■ CLAIMS-MADE t 3 l OCCUR 2219919 7/19/2012 7/19/2013 MED EXP(Any one person) S 5,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> X POLICY n jFC 1 1 LOC $ <br /> AUTOMOBILE LIABILITY COMBINEEMSINGLE LIMIT $ 1,000,000 <br /> IN ANY AUTO BODILY INJURY(Pa person) S <br /> B = ALLOV IED ■ SCHEDULED 01745331-0 7/19/2012 7/19/2013 BODILY INJURY(Per accident) S <br /> NON-OWNED PROPERTY DAMAGE S <br /> © HIRED AUTOS ■ AUTOS a (Per eccidern <br /> 11 Unnsured motorist combined S 85,000 <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> 1,000,000 <br /> C ■ EXCESS UAB ■ CLANS-MADE AGGREGATE $ 1,000,000 <br /> OED RETENTIONS 220069 7/19/2012 7/19/2013 S <br /> WORKERS COMPENSATION I VVC STATU-I IOTH- <br /> AND EMPLOYERS'LIABIUTY Y/N TORY LIMITS FR <br /> ANY PROPRETOR/PARTNERIEXECUTIVE I 1 N/A E.L.EACH ACCIDENT 5 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) EL DISEASE-EA EMPLOYEE S <br /> II es,deaeION under <br /> DESCRIPTION OF OPERATIONS be:ow EL DISEASE-POLICY LIMIT_5 <br /> D Motor Truck Cargo 1M523501 7/17/2012 7/17/2013 $I.00Dded <br /> Broad Form <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) <br /> The certificate holder is added as additional insured. Cancellation notice per policy conditions <br /> attached. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> County of Orange ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Financial Services <br /> PO Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough, NC 27278 <br /> Murray White, Jr./PAM ..Y„ .•-S.--:\. „_e=.,.„., <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025(201005)01 The ACORD name and logo are registered marks of ACORD <br />
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