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2016-203-E AMS - SERVPRO of S. Durham & of OC for mold remediation in crawlspaces/living quarters in jail
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2016-203-E AMS - SERVPRO of S. Durham & of OC for mold remediation in crawlspaces/living quarters in jail
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Last modified
12/18/2018 9:41:55 AM
Creation date
4/11/2016 4:50:30 PM
Metadata
Fields
Template:
Contract
Date
3/16/2016
Contract Starting Date
3/4/2016
Contract Ending Date
3/31/2016
Contract Document Type
Contract
Amount
$12,056.28
Document Relationships
R 2016-203-E AMS - SERVPRO of S. Durham & of OC for mold remediation in crawlspaces and living quarters in jail
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID:A460572D-33FD-41D4-B642-30AC78EOA8CD <br /> AC" <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 02/18/2016 <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 the <br /> 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: Louise Churchill <br /> Herring&Bickers Insurance Agency PHONE FAX <br /> 2344 Operations Drive (A/C,No,Ext): (A/C,No):(919)479-1868 <br /> Suite 101 E-MAIL <br /> ADDRESS: <br /> Durham <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> NC 27705 INSURER A:Erie Insurance Exchange 26271 <br /> INSURED <br /> Servpro of South Durham&Orange County INSURER B: <br /> P O Box 14027 Durham NC 27709 INSURER C: <br /> (607 Ellis Rd Unit 50A Durham NC 27703) <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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1000000 <br /> DAMAGE TO RENTED $1000000 <br /> PREMISES(Ea occurrence) <br /> MED EXP(Any one person) $5000 <br /> A Y N Q45-2950683 09/29/2015 09/29/2016 PERSONAL&ADV INJURY $1000000 <br /> GE GENERAL AGGREGATE $2000000 <br /> JX El El PRODUCTS-COMP/OP AGG $2000000 <br /> $ <br /> 1ER:0 deductible <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL A AUTOS OWNED X SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS Y N Q09-2940028 09/29/2015 09/29/2016 <br /> X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE $ <br /> Per accident <br /> 7 <br /> X UMBRELLA LAB X EACH OCCURRENCE $ 5000000 <br /> EXCESS LAB OCCUR AGGREGATE $ 5000000 <br /> A CLAIMS-MADE N N Q33-2970158 09/29/2015 09/29/2016 <br /> X $ <br /> DED RETENTION$ <br /> WORKERS COMPENSATION X PER OTHER <br /> AND EMPLOYERS'LIABILITY y/ry <br /> STATUTE <br /> E.L.EACH ACCIDENT $500000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> A OFFICER/MEMBEREXCLUDED? Y N/A N Q93-2900502 09/29/2015 09/29/2016 <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-EA $500000 <br /> DESCRIPTION OF OPERATIONS below EMPLOYEE <br />
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