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2018-058-E DEAPR - David A Smith and Associates Land appraisal of Bennett property
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2018-058-E DEAPR - David A Smith and Associates Land appraisal of Bennett property
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Last modified
7/31/2018 4:11:33 PM
Creation date
3/1/2018 12:07:28 PM
Metadata
Fields
Template:
Contract
Date
2/20/2018
Contract Starting Date
2/20/2018
Contract Ending Date
6/30/2018
Contract Document Type
Agreement - Services
Amount
$1,500.00
Document Relationships
R 2018-058 DEAPR - David A Smith and Associates Land appraisal of Bennett property
(Attachment)
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: BEB8068C- CE83- 4A4A- 99F5- 7687BE529A08 <br />Ll —M <br />LIA 4dmfnlstra #ors & Insurance Services <br />APPRAISAL AND 'VALUATION A S P E N <br />PROFESSIONAL LIABILITY INSURANCE POLICY <br />DECLARATIONS <br />ASPEN AMERICAN INSURANCE COMPANY <br />(A stock insurance company herein called the "Company ") <br />175 Capitol Blvd, Suite 100 <br />Rocky Hill, CT 06067 <br />Date Issued Policy Number Previous Policy Number <br />01/18/2018 AA1007922 -03 AA1007922 -02 <br />THIS IS A CLAIMS MADE AND REPORTED POLICY. COVERAGE IS LIMITED TO LIABILITY FOR ONLY THOSE <br />CLAIMS THAT ARE FIRST MADE AGAINST THE INSL!RED DURING THE POLICY PERIOD AND THEN REPORT - <br />ED TO THE COMPANY IN WRITING NO LATER THAN SIXTY (60) DAYS AFTER EXPIRATION OR TERMINATION <br />OF THIS POLICY, OR DURING THE EXTENDED REPORTING PERIOD, IF APPLICABLE. FOR A WRONGFUL <br />ACT COMMITTED ON OR AFTER THE RETROACTIVE DATE AND BEFORE THE END OF THE POLICY <br />PERIOD, PLEASE READ THE POLICY CAREFULLY. <br />Item <br />1. Customer ID: 167112 <br />Named Insured: <br />SMITH, DAVID ALLEN <br />3622 Lyckan Parkway <br />Durham, NC 27705 <br />2. Policy Period: From: 01/27/2019 To: 01/27/2019 <br />12:01 A.M. Standard Time at the address stated in 1 abov.. <br />3. Deductible: $1,000 Each Claim <br />4. Retroactive Date: 0112712014 <br />5. Inception Date: 01/27/2016 <br />6. Limits of Liability: A. $500,000 Each Claim <br />B. $500,000 Aggregate <br />7. '_Nail all notices, including notice of Claim, to: <br />LIA Administrators Sir Insurance Services <br />1600 Anacapa Street <br />Santa Barbara, California 93101 <br />(800) 334 -0652; Fax: (805) 962 -0652 <br />8. Annual Premium: $994.00 <br />9. Forms attached at issue: LIA002 (12114) LIA NC (02116) LIA NC NOT (11115) LIA012 (12/14) <br />LIA013 (10114) LIA025A (11/14) <br />This Dcclarations Page, together with the completed and signed Policy Application including all attachments and exhibits thereto, and <br />the Policy shall constitute the contract between the Named Insured and tlr i any. <br />01/18/2018 By-� <br />ate Authorized Sig ature <br />LIA -00I (12/14) Aspen American Insurance Company <br />
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