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2017-660 OPT - Signarama signage
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2017-660 OPT - Signarama signage
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Last modified
7/23/2019 3:51:40 PM
Creation date
7/16/2018 5:00:48 PM
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Template:
Contract
Date
12/14/2017
Contract Starting Date
12/14/2017
Contract Ending Date
6/30/2018
Contract Document Type
Agreement - Construction
Amount
$1,390.64
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R 2017-660 OPT - Signarama signage
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2017
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TheACORDnameandlogoareregisteredmarksofACORD <br />CERTIFICATE HOLDER <br />©1988-2014ACORDCORPORATION.Allrightsreserved. <br />ACORD25(2014/01) <br />AUTHORIZED REPRESENTATIVE <br />CANCELLATION <br />DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE <br />LOCJECTPRO-POLICY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />OCCURCLAIMS-MADE <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES(Eaoccurrence)$DAMAGE TO RENTED <br />EACHOCCURRENCE$ <br />MEDEXP(Anyoneperson)$ <br />PERSONAL&ADVINJURY$ <br />GENERAL AGGREGATE$ <br />PRODUCTS - COMP/OP AGG$ <br />$RETENTIONDED <br />CLAIMS-MADE <br />OCCUR <br />$ <br />AGGREGATE$ <br />EACHOCCURRENCE$UMBRELLA LIAB <br />EXCESS LIAB <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS <br />PERSTATUTE OTH-ER <br />E.L.EACHACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />$ <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />Ifyes,describeunder <br />DESCRIPTION OF OPERATIONS below <br />(Mandatory in NH) <br />OFFICER/MEMBER EXCLUDED? <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALLOWNEDSCHEDULED <br />HIRED AUTOS NON-OWNED <br />AUTOSAUTOS <br />AUTOS <br />COMBINED SINGLE LIMIT <br />BODILYINJURY(Perperson) <br />BODILYINJURY(Peraccident) <br />PROPERTY DAMAGE $ <br />$ <br />$ <br />$ <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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSD <br />ADDL <br />WVD <br />SUBR <br />N / A <br />$ <br />$ <br />(Eaaccident) <br />(Peraccident) <br />OTHER: <br />THIS CERTIFICATE IS ISSUED AS A MATTER 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 the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />COVERAGESCERTIFICATENUMBER:REVISIONNUMBER: <br />INSURED <br />PHONE(A/C, No, Ext): <br />PRODUCER <br />ADDRESS:E-MAIL <br />FAX(A/C, No): <br />CONTACTNAME: <br />NAIC# <br />INSURER A : <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />INSURER(S)AFFORDINGCOVERAGE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />INS025 (201401) <br />6/28/2017 <br />Colonial Insurance Agency Hillsborough <br />PO Box 490 <br />HILLSBOROUGHNC27278 <br />(919)732-2191 (919)732-2192 <br />Greer And Associates Inc dba Signarama <br />Design Studio of Durham, DesignElement <br />3702 Hillsborough Rd Ste 1 <br />DurhamNC27705-2953 <br />Owners32700 <br />CL1762802294 <br />A <br />X <br />X <br />X <br />351717296/30/20176/30/2018 <br />1,000,000 <br />300,000 <br />10,000 <br />1,000,000 <br />3,000,000 <br />3,000,000 <br />Premises/Operations <br />A X <br />49250657046/30/20176/30/2018 <br />1,000,000 <br />Uninsured/Underinsured 1,000,000 <br />A <br />X <br />X 10,000 4925065702 6/30/2017 6/30/2018 <br />2,000,000 <br />2,000,000 <br />A 35148890 6/30/2017 6/30/2018 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />Job Location: 2551 Homestead Rd Chapel Hill NC 27517 <br />Certificate holder is additional insured with respects to General Liability by signed written contract <br />before a loss. <br />CARLA MOORE/CARLA <br />Orange County <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />abarnes@orangecountync.gov <br />DocuSign Envelope ID: F6488F9A-23DB-466D-8916-C1E2BC3ABAD3
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