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2014-442 Finance - Community Empowerment Fund - Outside Agency Performance Agreement $5,000
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2014-442 Finance - Community Empowerment Fund - Outside Agency Performance Agreement $5,000
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Last modified
5/23/2017 10:53:15 AM
Creation date
9/2/2014 4:42:08 PM
Metadata
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Template:
BOCC
Date
8/29/2014
Meeting Type
Work Session
Document Type
Agreement
Agenda Item
Manager signed
Amount
$5,000.00
Document Relationships
R 2014-442 Finance - Community Empowerment Fund - Outside Agency Performance Agreement
(Attachment)
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2014
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COMMEMP OP ID:DC <br /> CERTIFICATE OF LIABILITY' INSURANCE D0811912011 YY) <br /> as11 s12a14 <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(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 /> CONTACT <br /> PRODUCER Phone:919-682AS14 NAME: Debbie Callahan <br /> The Sorgl Insurance Agency Fax:919-68211906 acONo Eac:919-682.4814 c No: 919-682-4906 <br /> 16 Consultant Place Suite 102 <br /> Durham, NC 27707 E-MAIL <br /> James E.Sorgi,CIC ADDRESS,dabble sor iinsuranCe.com <br /> INSURER(S).AFFORDING COVERAGE NAIC# <br /> INSURERA:Erie Insurance Exchange 26271 <br /> INSURED Community Empowerment Fund INSURERS: <br /> 133 112 E Franklin St,Ste 1055 INSURERC: <br /> Chapel Hill, NC 27514 <br /> INSURER D: <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 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 /> LTR TYPE OF INSURANCE POLICY NUMBER MMID MMlDD LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> HCOMMERCIAL GENERAL,LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS-MADE 1-1 OCCUR MED EX.P(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS NON-OWNED Per PROPERde;4 $ <br /> J $ <br /> HIRED AUTOS AUTOS <br /> UMBRELLA LIAB, OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-- AGGREGATE $ <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION X WC STATtJ- ER <br /> AND EMPLOYERS'LIABILITY TORY LIMITS ER <br /> YIN <br /> A ANY PROPRIETORIPARTNERIEXECUTIVE BINDER CEF0811 08111/2014 08/11/2015 E.L.EACH ACCIDENT $ 100,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ S�d,DO <br /> Q2 12 <br /> DESCRIPTION 0 A N"ttL eh ACORD 101,Additional Remarks Schedule,it more space is required) <br /> AUG L u 2014 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> a County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Oran <br /> g ty ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> 200 Cameron St AUTHORIZED REPRESENTATIVE <br /> Hillsborough,NC 27278 <br /> Ce?1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />
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