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2014-517 AMS - Cruz Concrete Experts LLC for labor to install basketball court at RENA Community Center $2,000
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2014-517 AMS - Cruz Concrete Experts LLC for labor to install basketball court at RENA Community Center $2,000
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Last modified
5/24/2017 3:26:13 PM
Creation date
10/7/2014 9:47:09 AM
Metadata
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BOCC
Date
10/7/2014
Meeting Type
Work Session
Document Type
Contract
Agenda Item
Manager signed
Amount
$2,000.00
Document Relationships
R 2014-517 AMS - Cruz Concrete Experts LLC for labor, install basketball court at RENA Community Center
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2014
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�rjvvvt/ vvvt <br /> DocuSign Envelope ID:460EC398-6CEE-4CAF-831A-1D646823727C <br /> CERTIFICATE OF LIABILITY INSURANCE [:E)AT(3(MMIDDlYYYY) <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 POIICy(IOS)must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the.terms and conditions of tho policy,certain Policies may require an ondorsornont. A statomont on this certificate does not confer rights to the <br /> [01t.eiA ifie holder In Ilou of such endorsoment(s). <br /> DUCER <br /> mpare Insurance Agency LLC PHONE <br /> 31 Creadmoor Rd Suite 206 MAIL (919) 863-0150 N • X19) oc]-oiss <br /> .taiaha @comparaina.org <br /> jgh NC 2 7 613 INSURERS A FFORDING COVERAGE NAIC o <br /> RED CZ"tl. INHURPR A•Hm:rtord Mutual Inauranco Concrete Exp®rt LLC <br /> Linens St IN kdrx INSUR°R C I <br /> INSURER 0: <br /> h INSURER C; <br /> NC 27253- INSURSRF; <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 REDUCCO BY PAID CLAIMS, <br /> LTR TYPG OF INSURANCE LICY NUMDGR MMLI CFP u <br /> A GENERAL LIASILITT MM/ ry LIMITS <br /> 9110413 0/04/2013 0/04/2014 EACH OCCURRENCE S 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY <br /> CLAIMS-MADE P MICR � � S 100,000 <br /> OCCUR / / MED EXP An ono roon S 10,000 <br /> PERSONAL&ADV INJURY s 1,000,000 <br /> GIINFRAL AGGREGATE S 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER; / / PRODUCTS•COMNOP AGG S 2,000'2q <br /> POLICY X PRO- LOC <br /> AUTOMOEIUS LIABILITY d <br /> / C0m8IN -LIMI <br /> ANYAUTO ; n <br /> ALL OWNED SCHEDULGD / / / / BODILY INJURY(Par paroan) S <br /> AU AUTOS / / / / BODILY INJURY(Par aceldmt) S <br /> HIT AUTOS AUTO 1wNeD / / / / P r p AM s <br /> UMBRELLA LIAM OCCUR / / / / <br /> EXCESS UAD EACH OCCURRENCF. S <br /> CLAJMS-MADE / / / / AGGREGATE S <br /> GO RETCNTI N S / / / / <br /> A AND dMPS YERS'LIAIUr 020413 0 04 2013 10/04/2024 X I'ATU- H• S <br /> AND OMPLOYBRS'LJABI(J7Y <br /> ANY PROPRIETOR/PARTNFR/EXECUTIVGY/N , <br /> OFFICeR/MEMOCR EXCLUDCD? ❑ NIA E. EACH, <br /> (Mandatory 3 <br /> (Mandatory In NH) 1,000,000/ / / / <br /> Irg,dowdba under F L DISEASE•EA FMPLOYE S 1 000 000 <br /> DESCRIPTION OF OPERATIONS baloN CL.DISEASE-POLICY LIMIT S 1'.000,00 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/-CHIC LPS (Amch ACORD 101,Adainonai Rama 8ahaaulo,jr more a as 1 <br /> RTTN. TAt41Y Pa Is roQUlroe) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ( ) - (919) -644-3001 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO HOX 6181 <br /> aAUTI40Rrzao C SENTATtvC Hillsboro WC 27276- <br /> ACORD 26(2010105) / <br /> INS025(201005),01 0198 •2010 ACORD CORP I All rights reserved. <br /> The ACORD namo and logo are registered mar of ACORD <br />
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