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2017-646-E Co. Mgr. - Community Empowerment Fund to coordinate entry database maintenance and development
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2017-646-E Co. Mgr. - Community Empowerment Fund to coordinate entry database maintenance and development
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Last modified
12/12/2017 7:35:01 AM
Creation date
12/12/2017 7:33:51 AM
Metadata
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BOCC
Date
11/29/2017
Meeting Type
Work Session
Document Type
Contract
Agenda Item
Manager signed
Amount
$10,000.00
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DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 <br /> ACCAIW DATE(MIVI/DWYYYY) <br /> ............-- CERTIFICATE OF LIABILITY INSURANCE 12/31/2016 <br /> THIS CERT1FICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> [- <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> L'1104- -- <br /> BB&T INSURANCE SERVICES INC/PHS A/ <br /> ( C.No.Ex1): (866) 467-8730 irAx <br /> (A/C.NC* (888) 443-6112 <br /> 272545 P: (866) 467-8730 F: (888) 443-6112 ,-DmADR"-Ess: <br /> PO BOX 29611 INSUREFi(S)AFFORDING COVERAGE NAIGI <br /> CHARLOTTE NC 28229 INSURER A. Sentinel Ins On LTD <br /> i NS URED <br /> INSURER B. <br /> INSURER C <br /> COMMUN I T Y. EMPOWERMENT FUND INSURER TT <br /> 208 N COLUMBIA ST STE 100 INSURER E. Mill <br /> CHAPEL HILL NC 27514 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> :INSR TYPE OF INSURANCE ADDL SUBI? POLICY NUMBER POLICY EFT POLICY EV' LIMITS <br /> ."C INSIC if VD WM/DU/TIM DIM/DLVTITY) <br /> 3 <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2, 000, 000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE HOCCUR 1$ , 000, 000 <br /> PREMISES(Ea occurrence) -- <br /> A El General Liab 22150M EN9653 01/26/2017 01/26/2016 MED EXP(Any one person) S10, 000 <br /> _ <br /> PERSONAL&ADV INJURY s2, 000, 000 <br /> GENERAL AGGREGATE $4, 000, 000 <br /> GEN°L AGGREGATE LIMI1APPLIES PER: <br /> PRO- <br /> .POLICY 1___j,,„_,rq LOC PRODUCTS-comp/oP AGG s4, 000, 000 <br /> MOTHER: <br /> COMBINED SINGLE LIMIT S2, 000, 000 <br /> AUTOMOBILE LIABILITY (Ea accident) <br /> 1ANY AUTO BODILY INJURY(Per person) $ <br /> A _ <br /> AUTOS ONLY <br /> OWNED r SCHEDULED <br /> 22 SBM 559653 01/26/2017 01/26/2018 BODI LY INJURY(Per accident) s <br /> AUTOS <br /> x HIRED - NON-OWNED PROPERTY DAMAGE <br /> :S. <br /> i AUTOS ONLY AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> _ <br /> EXCESS LIM r CLAIMS-MADE AGGREGATE <br /> .4_ _IRETENTION$ 1 TC <br /> PER 011-1- <br /> frOaXERS al.UPENSITION <br /> STATUTE ER <br /> AND EMPLOY OW LLABLLITY <br /> I ANY PROPRIETORJPARTNERJEXECUTIVEWN <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.I.,,DISEASE-GA EMPLOYEE <br /> If yes,describe under NI A E.L.EACH ACCIDENT <br /> 9 <br /> E.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below <br /> .- 1- <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIC(.63ORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured's Operations. <br /> ..,,, <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> CREH-SNOW LLC <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 331 W MAIN ST STE 202 <br /> ----7 --C___., -7a_at..-4 ---- <br /> DURHAM, NC 27701 <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> i <br />
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