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2016-369-E Aging - Nancy Alton for wellness instructor
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2016-369-E Aging - Nancy Alton for wellness instructor
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Last modified
8/9/2016 10:27:55 AM
Creation date
7/18/2016 10:26:39 AM
Metadata
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Template:
BOCC
Date
7/18/2016
Meeting Type
Work Session
Document Type
Contract
Agenda Item
Manager signed
Amount
$3,000.00
Document Relationships
R 2016-369-E Aging - Nancy Alton for wellness instructor
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID: D0743AF4-A904-420B-8ADC-488A6EF131AC <br /> CERTIFICATE OF INSURANCE <br /> Underwritten by Philadelphia.Indemnity Insurance Company <br /> PRODUCER <br /> Hoffman Insurance Services, Inc. <br /> 141 Linden Street <br /> PO Box 9002 <br /> Wellesley, MA 02482-9002 <br /> Phone: <br /> Fax: <br /> INSURED <br /> Nancy Alton <br /> 3917 Marklyn Place <br /> Hillsborough NC 27278 <br /> Policy Number: 8171 <br /> Master Policy Number: PHPK1445932 <br /> Renewal: Yes <br /> Program: ACE <br /> Certificate Number: T74618 <br /> Group Name: None <br /> Effective Dates: 05/14/2016 to 12:01AM 05/14/2017 <br /> Additional Insured: There are currently no additional insured. <br /> LIMITS OF LIABILITY <br /> Type of coverage afforded: Commercial General Liability/Professional Liability <br /> Limits of Coverage: E' <br /> Each Occurence Limit: $1,000,000 <br /> Professional Liability Limit: Included <br /> Personal and Advertising Injury Limit: $1,000,000 <br /> General Aggregate Limit*: $3,000,000 is <br /> Products/Completed Operations Aggregate Limit: $3,000,000 <br /> Damage To Premises Rented To You Limit: $100,000 <br /> Medical Expense Limit(Any One Person): $1,000 <br /> Abuse/Molestation Occurence Limit: $100,000 <br /> Abuse/Molestation Aggregate Limit: $300,000 <br /> *Other than Products—Completed Ops <br /> COVERAGE FORMS <br /> For a complete listing of forms, please go to <br /> Policy Coverage includes Online Training <br /> PREMIUM <br /> Certificate Premium: 172.00 <br /> Taxes/Surcharges: 0.00 <br /> Authorized By: Robert Kuchefski <br />
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