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2017-139-E ES - FESCO Emergency Sales for new ambulance
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2017-139-E ES - FESCO Emergency Sales for new ambulance
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Entry Properties
Last modified
7/23/2019 12:35:28 PM
Creation date
4/18/2017 11:11:29 AM
Metadata
Fields
Template:
Contract
Date
2/6/2017
Contract Starting Date
5/31/2016
Contract Document Type
Contract Amendment
Agenda Item
12/13/16
Amount
$217,457.00
Document Relationships
2016-283-E Emergency Svc - FESCO Emergency Sales for the purchase of new ambulance
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2016
R 2017-139-E ES - FESCO Emergency Sales for new ambulance
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2017
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DocuSign Envelope ID:C2F49OD9-6BOB-4E73-8B7D-64FF4518OD42 FESCO-1 OP ID: NS <br /> 144r__°R°°° CERTIFICATE OF LIABILITY INSURANCE DATE 01/12/2017Y) <br /> �•�---''' 01/12/2017 <br /> PRODUCER Phone:410-312-7800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> McFarlin Insurance Agency,LLP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 8325 Guilford Rd,Suite A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Columbia,MD 21046 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Jeffrey S.Anderson <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Laake Enterprises Inc. INSURER A:Travelers Indemnity Co. 25666 <br /> d/b/a Fescomergency Sales <br /> 7010 Troy Hill Drive INSURER B: <br /> Elkridge, MD 21075 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR D'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR N RD TYPE FINSURANCE DATE MM/DD DATE MM/DD <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> • X COMMERCIAL GENERAL LIABILITY GA-9123L783-17-CAG 01/22/2017 01/22/2018 PREMISES o a oNcEence $ 300,000 <br /> Iv OCCUR MED EXP(Any one person) $ 1,000 <br /> X PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> POLICY JEOT X LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> • X X ANY AUTO GA-9123L783-17-CAG 01/22/2017 01/22/2018 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (PER PERSON) $ <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (PER ACCIDENT) $ <br /> PROPERTY DAMAGE $ <br /> (PER ACCIDENT) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ 1,000,000 <br /> • X X ANY AUTO GA-9123L783-17-CAG 0112212017 01122/2018 OTHER THAN EA ACC $ 1,000,000 <br /> AUTO ONLY: AGG $ 3,000,000 <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 8,000,000 <br /> • X X OCCUR CLAIMS MADE YSM-CUP-9114L762-TIL-17 01/22/2017 01/22/2018 AGGREGATE $ 8,000,000 <br /> X(IDEDUCTIBLE $ <br /> RETENTION $ 0 $ <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY TORY LIMITS <br /> ER <br /> • ANY PROPRIETOR/PARTNER/EXECUTIVE F— YKUB-9112L41-8-17 01/22/2017 01/22/2018 E.L.EACH ACCIDENT $ 500,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If es,describe under 500,000 <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> • Property Section Y-660-9114L762-TIL-17 01/22/2017 01/22/2018 Various <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Orange County Emergency Services is named as additional insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> ORANGE COUNTY EMERGENCY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> SERVICES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 510 MEADOWLANDS DRIVE <br /> HILLSBOROUGH,NC 27278 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVEJeffrey S.Anderson <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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