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2016-272-E DEAPR - Fortress Fencing, LLC to repair, replace fencing
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2016-272-E DEAPR - Fortress Fencing, LLC to repair, replace fencing
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Last modified
7/26/2019 3:36:23 PM
Creation date
6/1/2016 10:48:19 AM
Metadata
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Template:
Contract
Date
5/10/2016
Contract Starting Date
5/10/2016
Contract Ending Date
6/30/2016
Contract Document Type
Contract
Amount
$1,740.00
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DocuSign Envelope ID:A8E67FF6-COAF-46DO-B575-00543F84EF44 <br /> DocuSign Envelope ID:9F423729-A57A-4E25-8C7D-5BDA16661B7A <br /> p DATE(MINODt M) <br /> AC"Rnl CERTIFICATE OF LIABILITY INSURANCE F 111 .- o4/19rzo 116 <br /> THIS CERTIFICATE IS ISSUED AS A (NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If Ute certificate holder Is an ADDITIONAL INSURED,the pollcy(los)must have ADDITIONAL.INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the tornts and conditions of the policy,certain policies may require ail ondorsorriont. A statemoat on <br /> this cer(IfIcato does trot confer rights to(Its certificate holder In lieu of such endorsentont(s). <br /> Co <br /> PRODUCER frArdE; Charlie Dickerson <br /> The Insurance Pros.Inc. I oNS :(919)294-6613 C rta:(866)294-9470 <br /> 1210 Cole Mill Road <br /> Suite 101 n IL •chadlecrMAI! ncal�rosonilne.com <br /> DUfham,NC 27705 IItSUR+rS}AFFOROIttOCOVERAt3E NAiCN <br /> INSURERA:Erle Insurance Exchange <br /> INSURED tUSURERUP10lnsuranco Exchan 0 <br /> Fortress Fencing,LLC IN$URERC:Erie Insurance Exchange <br /> Po Box 1377 tnSUZaITCe Solutions <br /> Carfboro,NC 27510.3377 INSURERD: <br /> INSURER E <br /> INSURER F t <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, NOTWlTHSTANOINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WSTH 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 /> Ids ADD aR POLICYEFF POLICYVXP LIMEYS <br /> TYPE OF INSURANCE POLICY NUMBER 1 11ODrn`YYL MMIDDIYYYY <br /> A X COMMERCIALOENERALLIABILtTY 0382250720 212 6 212 7 EACH OCCURRENCE $ 1400000 . <br /> CLAIMS•rtADE OCCUR P K ws aooiuD $ .......^ 1000000 <br /> MEDEXP(Anyone rson) $ 6000 <br /> PERSOUAL&AOV INJURY $ 1000000 <br /> GFN'LAGOREOArEHMiTAPPOESPER-- GENERALAGGREOATE $ 2000000 <br /> X <br /> POLICY[A PRO• t J LOC PRODUCTS•COMPAIPAGO $ 2000000 <br /> JECT L_._.J <br /> OTHER: $ <br /> B AUTOrtOBILEUABILITY Q022240032 212212016 212212017 CO MB d t!SINGLE LIMIT 5 1000000 <br /> X ANY AUTO BODILY INJURY(PdrperSon) S <br /> OYt2ZED SCHEDULFO BODILY INJURY(Pe(acddem) S <br /> AUTOSONLY AUTOS <br /> HIRED X AUTOSOHLY X AUTO ONLY PROPERTYDAl,4AGE S <br /> We(PERT wjde It <br /> S <br /> C UMBRELLALIAS occUR 0262270228 212212016 212212017 eACHOCCURRFNGE $ 3000000 <br /> x EXCESS LIAR CLAIMS-MADE AGGREGATE s 11000000 <br /> DED o RETENBON$ s <br /> L) WORKERSCOMPENSATio.n WC100-0007808-2014A 3/9/2016 31912017 X sERLur, OATH <br /> AND EMPLOYERS'LtABILIrY YIN <br /> AttYPROPRIETORrPARTtIERtEXECUTIVC E,LEACHACCZDErrT $ 10QOU00 <br /> NIA <br /> OFFICEREMBER"CLUDED7 <br /> A,I <br /> F.L.(MandatoFy In rill) DISEASE•EA EMPLOYE $ 11000000 <br /> Ir yyes,dosuibo und <br /> SCRIP-HON OF OP <br /> ERAT3OZi5 6o:a,v E.L.DISEASE•POLICY LIMIT S 1000000 <br /> E <br /> DESCR IPnONOFOPERATIOdt$lLOCATIONS/VEHICLES(ACORDIO1,AdditionalRentat ksScheduro,mayhoattachtdifmo tstPaceltrequtred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ORANGE COUNTY DEAPR THE EXPIRATION DATE THEREOF= NOTICE WALL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> HILLSBOROUGH NC 27278 <br /> AUTHORIZEOREPRESENTATIVE <br /> U 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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