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2013-359 EDC-Buxton Corportation for Business Recruitment Retentiion Analysis $15,000
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2013-359 EDC-Buxton Corportation for Business Recruitment Retentiion Analysis $15,000
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9/10/2013 2:30:03 PM
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9/9/2013
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R 2013-359 EDC-Buxton Corportation for Business Recruitment Retentiion Analysis $15,000
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Client#:66735 18BUXTOCOM <br /> DATE(MM/DDNYYY) <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE 8/16/2013 <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 CONTACT <br /> NAME: <br /> Wortham Insurance&Risk Mgt PHONE 817 336-3030 FAX 817 336-8257 <br /> AIC No Ext: A/C,No <br /> 1600 West Seventh Street E-MAIL <br /> ADDRESS: <br /> Fort worth,TX 76102-2505 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 817 336-3030 INSURER A National Fire Insurance Co of H 20478 <br /> INSURED INSURER B:Continental Casualty Company 20443 <br /> Buxton Company INSURER C:Valley Forge Insurance Company 20508 <br /> 2651 S.Polaris Drive INSURER D:Scottsdale Insurance Company 41297 <br /> Fort Worth,TX 76137 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 /> LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MM/DDY EFF MM/DDY EXP LIMITS <br /> A GENERAL LIABILITY 5088174785 D510312013 05/031201 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISESOEa occTu ence $300,000 <br /> CLAIMS-MADE 51 OCCUR MED EXP(Any one person) s5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO LOC $ <br /> JECT <br /> A AUTOMOBILE LIABILITY 5088174821 5/03/2013 05/03/2014.COEa MBINED ccident SINGLE LIMIT 1,000,000 <br /> a <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> X HI/R <br /> ED AUTOS X NO OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> B X UMBRELLA LIAB X OCCUR 5088174740 5103/2013 05/03/2014 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 <br /> DED I X RETENTION$10,000 $ <br /> C WORKERS COMPENSATION WC2093007771 5103/2013 05/03/201 X To y L,m,T OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? � NIA <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 /> D Errors&Omissions EKS3078687 11/11/201211/11/201 3,000,000 <br /> 25,000 ded/SIR <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> The policy is endorsed with a blanket additional insured endorsement as per the attached CG2010 07/04 <br /> Additional Insured-Owners,Lessees or Contractors-Scheduled Person or Organization by the manuscript <br /> endorsement G56015B 11191. <br /> CG2404 05/09 Waiver of Transfer of Rights of Recovery Against Others to Us <br /> SCA23500C 10111 Extended Coverage Endorsement BA Plus <br /> (See Attached Descriptions) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ANY Orange County Economic THE SHOULD <br /> EXPIRATTIIONHDATE VTHEREOFE NOTTICEIEWILLL CANCELLED <br /> BE DELIVERED NE <br /> Development ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 1177 <br /> 131 W.Margaret Lane-Ste 205 AUTHORIZED REPRESENTATIVE <br /> Hillsborough,NC 27278 <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD <br /> #S393470/M375057 180AS <br />
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