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2018-388-E AMS - Gonzalez Link Interior Waterproofing Repair
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2018-388-E AMS - Gonzalez Link Interior Waterproofing Repair
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Last modified
8/17/2018 12:13:26 PM
Creation date
8/17/2018 11:46:00 AM
Metadata
Fields
Template:
Contract
Date
7/30/2018
Contract Starting Date
7/25/2018
Contract Ending Date
8/31/2018
Contract Document Type
Agreement - Construction
Amount
$9,750.00
Document Relationships
R 2018-388 AMS - Gonzalez Link Interior Waterproofing Repair
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 <br />A� [ice CERTIFICATE OF L1.4 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITL <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the <br />the terms and conditions of the policy, certain policies may require an e <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />STRICKLAND INSURANCE BROKERS INC <br />400 COMMERCE COURT <br />GOLDSBORO. NC 27534 <br />INSURED (aUNLALEZ PAINTERS & CONTRACTORS 1 <br />4301 BENNETT MEMORIAL ROAD <br />DURHAM, NC 27705 <br />INSURANCE DATE(MMIDDIYYYY) <br />,BILITY <br />06/252018 ALJ <br />Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />palicy(ies) must he endorsed. If SUBROGATION IS WAIVED, subject to <br />idorsement. A statement on this certificate does not confer rights to the <br />CONTACT <br />NAME: AROUND THE CORNER INS AGENCY INC <br />SIGNS. Ex t), 919 -286 -9500 FAx 919-286-9501 <br />AJC No <br />EMAIL <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: ATLANTIC CASUALTY INSURANCE COMPANY <br />3 <br />INSURER B <br />INSURER C <br />I NISURER D : <br />INSURER E <br />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 REOUIREMENT, 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR A S - POLICY EFF POLICY ExP <br />LTR TYPE Of INSURANCE POLICY NAJMBER MMJDDlYYYY ICY LIMITS <br />COMMERCIAL GENERAL LIABILITY L001039496 -2 03/1712018 03/172019 EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS- MADE � OCCUR _ o_ <br />A <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />X POLICY ❑ LOC <br />OTHER. <br />AUTOMOBILE LIABILITY <br />ANY ALTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />UMBRELLA LIAR OCCUR <br />EXCESSLIAO CLAIM DE <br />DED RETENTION <br />WORMERS COMPENSA17ON <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />CFFICERIMEMBEREXCLUDED? NIA <br />(Mandatory In NH) <br />If yes, desc+ibe under <br />DESCRIPTION OF OPERATInmq h.r,w <br />PREMISES EacCwrrence <br />$ 100,000 <br />MED EXP �Ary one perspnl <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 1,000.,000 <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS- COMPIOPAGG <br />$ 1,000.000 <br />E L EACH ACCIDENT $ <br />FL DISEASE -EA EMPLOY $ <br />EL DISEASE - POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 10I, Additional Remarks Schedule, maybe attached if snore apace Is requimd) <br />PER POLICY <br />CERTIFICATE HOLDER <br />ORANGE COUNTY <br />PO BOX 8181 <br />HILLSBOROUGH, NC 27278 <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 />AUTHORIZED REPRESENTATIVE <br />O 1988 -2014 ACORD CORPORATION. All rights rese <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />COM8INE SINGLELM_ <br />Ea accidert. <br />$ <br />BODILY INJURY (Perperson) <br />$ <br />BODILY INJURY (Peraccident) <br />$ <br />PROPERTYDAMAGE <br />Pe a- ld'ent <br />$ <br />UM/UIM <br />EACH OCCURRENCE <br />$ <br />$ <br />AGGREGATE <br />3 <br />E L EACH ACCIDENT $ <br />FL DISEASE -EA EMPLOY $ <br />EL DISEASE - POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 10I, Additional Remarks Schedule, maybe attached if snore apace Is requimd) <br />PER POLICY <br />CERTIFICATE HOLDER <br />ORANGE COUNTY <br />PO BOX 8181 <br />HILLSBOROUGH, NC 27278 <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 />AUTHORIZED REPRESENTATIVE <br />O 1988 -2014 ACORD CORPORATION. All rights rese <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
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