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2016-208-E Library - Flow Circus, Inc. for Summer Reading Library Performance
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2016-208-E Library - Flow Circus, Inc. for Summer Reading Library Performance
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Last modified
12/18/2018 9:42:57 AM
Creation date
4/15/2016 3:54:57 PM
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Template:
Contract
Date
3/16/2016
Contract Starting Date
6/24/2016
Contract Ending Date
6/24/2016
Contract Document Type
Contract
Amount
$450.00
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R 2016-208-E Library - Flow Circus, Inc. for programming
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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J <br /> DocuSign Envelope ID:6DO02AOC-0905-4ADO-B43C-E12A6421CFEO <br /> 0 111 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> ACORO <br /> MARKEL" 4/27/2015 <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 Stephanie Weiss <br /> Specialty Insurance Agency PHONE FAX <br /> Performers of the U.S. (A/C.No EXt: 715-246-8908 A/C No): 715-246-4257 <br /> E-MAIL lt i <br /> s eca Insurancea enc <br /> P.O.Box 24 ADDRESS: certs @ p Y 9 Y.com <br /> New Richmond,WI 54017 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: Evanston Insurance Company 35378 <br /> INSURED Paul E.Miller INSURERB: <br /> dba Flow Circus <br /> 518 West Juniper Avenue INSURER C: <br /> Wake Forest, NC 27587 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 IN SR WVD POLICY NUMBER MM/DD MM/DD <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED 300,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS-MADE � OCCUR MED EXP(Any one person) $ 5,000 <br /> A X X 2CN0129-4551 04/25/2015 04/25/2016 PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> X POLICY PE 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 AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N TORY LIMIT ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> D? <br /> OFFICER/MEMBER EXCLUDE ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A BUSINESS PERSONAL PROPERTY- AGGREGATE $ <br /> INLAND MARINE <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.: <br /> Paul E. Miller dba Flow Circus <br /> CERTIFICATE HOLDER CANCELLATION <br /> Paul E.Miller <br /> dba Flow Circus SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 518 West Juniper Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Wake Forest, NC 27587 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE A <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />
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