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2015-151-E AMS - Owens Roofing, Inc. for Skills Development Center-Sector A Roof Replacement $99,209
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2015-151-E AMS - Owens Roofing, Inc. for Skills Development Center-Sector A Roof Replacement $99,209
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6/10/2016 8:12:10 AM
Creation date
3/12/2015 2:39:05 PM
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Date
3/12/2015
Meeting Type
Work Session
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Contract
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R 2015-151-E AMS - Owens Roofing, Inc. for Skills Development Center-Sector A Roof Replacement
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2015
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WORKERS COMPENSATION&EMPLOYERS LIABILITY <br /> DocuSign Envelope ID: F8FCAFA8-FBB2-47AF-964F-11 E53C70E4A1 <br /> Post Office Box 150005 Policy Number: WCP 1022197 02 <br /> Raleigh, North Carolina 27624-0005 Named Insured: OWENS ROOFING INC <br /> Agent: SENN DUNN INS,A MMA AGENCY 0000385 <br /> EXTENSION OF INFORMATION PAGE <br /> ENDORSEMENT SCHEDULE - ITEM 3.D. <br /> State Form Nbr. Ed. Date Description <br /> US WC000000C (1/15) POLICY PAGE ENDORSEMENT <br /> US WC000414 (7/90) NOTE OF CHG IN OWNERSHIP END <br /> US WC000419 (1/01) PREMIUM DUE DATE ENDORSEMENT <br /> GA WC000114 (1/14) TRIPRA PENDING LAW CHANGE <br /> GA WC000403 (4/84) EXP RATING MOD FACTOR END <br /> GA WC000404 (4/84) PENDING RATE CHG ENDORSEMENT <br /> GA WC000421 C (9/08) DOM TERR, EQUAKE, IND ACC END <br /> GA WC000422A (9/08) TRIPRA DISCLOSURE ENDT <br /> GA WC100402 (1/13) GA NON-COOP W/PREM AUDIT END <br /> GA WC100601 B (7/14) GA CANCEL/NONRENEWAL/CHG END <br /> NC WC000114 (1/14) TRIPRA PENDING LAW CHANGE <br /> NC WC000310 (4/84) SPROP/PARTNER/OTH CVG END <br /> NC WC000313 (4/84) WAIVER OF SUBROGATION <br /> NC WC000403 (4/84) EXP RATING MOD FACTOR END <br /> NC WC000404 (4/84) PENDING RATE CHG ENDORSEMENT <br /> NC WC000406A (7/95) PREMIUM DISCOUNT ENDORSEMENT <br /> NC WC000421 C (9/08) DOM TERR, EQUAKE, IND ACC END <br /> NC WC000422A (9/08) TRIPRA DISCLOSURE ENDT <br /> NC WC320301 C (1/14) NC AMENDED COVERAGE ENDORSE <br /> Sc WC000114 (1/14) TRIPRA PENDING LAW CHANGE <br /> SC WC000403 (4/84) EXP RATING MOD FACTOR END <br /> SC WC000404 (4/84) PENDING RATE CHG ENDORSEMENT <br /> Sc WC000421 C (9/08) DOM TERR, EQUAKE, IND ACC END <br /> Sc WC000422A (9/08) TRIPRA DISCLOSURE ENDT <br /> VA WC000114 (1/14) TRIPRA PENDING LAW CHANGE <br /> VA WC000403 (4/84) EXP RATING MOD FACTOR END <br /> VA WC000404 (4/84) PENDING RATE CHG ENDORSEMENT <br /> VA WC000412 (1/90) CONTNGT EXP RTG MOD FACT END <br /> VA WC000422A (9/08) TRIPRA DISCLOSURE ENDT <br /> VA WC450602 (7/93) VA AMENDATORY ENDORSEMENT <br /> VA WC450604 (1/97) VA-CCPAP ADJUSTMENT END. <br /> i <br /> i <br /> Issued Date: 12/05/2014 <br /> We000001A INSURED COPY <br />
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