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2013-221 AMS - Intellicom Inc for Magistrate Office Renovation $8,510
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2013-221 AMS - Intellicom Inc for Magistrate Office Renovation $8,510
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7/9/2013 3:17:33 PM
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BOCC
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7/8/2013
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Work Session
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Agreement
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R 2013-221 AMS - Intellicom Inc for Magistrate Office Renovation $8,510
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2013
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ACC> 2/20/CERTIFICATE OF LIABILITY INSURANCE D/20/`DDn2013 YYY) <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 policy(ies)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 NAONTACT Laura Riggs CBIA, CISR <br /> First Citizens Insurance Services PHONE (919)833-9761 FAX No):(419)716-2226 <br /> AJC P O Box 29611 a DRIESS.laura.riggs @firstcitizens.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> Raleigh NC 27626-0611 INSURERA:Sentinel Ins Co LTD 11000 <br /> INSURED INSURER B:HartfOrd Ins CO of Midwest 37978 <br /> Intellicom, Inc. INSURER C: <br /> 2 902 S Miami Blvd INSURER 0: <br /> Suite C INSURER E: <br /> Durham NC 27703 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:2013-2014 Master 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 WHICH 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 ADDL SUER POLICY NUMBER POLIC/YEYYF't POLICY EXP LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO R NTE) 100 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISE a oc urr nce $, , <br /> A CLAIMS-MADE a OCCUR X 22SBABN5619 /1/2013 3/1/2014 MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> X1 POLICY X PRO- LOC $ <br /> AUTOMOBILE LIABILITY EQ aBINED SINGLE LIMIT 1,000,000 <br /> A X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED X 2UECRB694$ /1/2013 /1/2014 BODILY INJURY(Per accident) $ <br /> AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accid n <br /> Uninsured motorist combined $ 1,000,000 <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _$ 5,000,000 <br /> EXCESS LIAR CLAIMS-MADE �2SBABN5619 /1/2013 /1/2014 AGGREGATE $ 5,000,000 <br /> QED I X I RETENTION$ $ <br /> B WORKERS COMPENSATION X X WC'1RY OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? 2WBCC19368 /1/2013 /1/2014 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County <br /> Dept of Purcashing & Central Sery <br /> POB 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough, NC 27278 <br /> P Edwards CISR, CBIA -4�fXAL!A_.>�- <br /> ACORD 25(2010105) O 1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025 i9niom)m Tha ARf Pn nnma nnei Inn^era rnnicfararl mnrlra^f Af 092n <br />
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