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2018-451-E Finance - The Arts Center outside agency agreement
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2018-451-E Finance - The Arts Center outside agency agreement
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Last modified
7/25/2019 12:40:29 PM
Creation date
8/24/2018 9:20:09 AM
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Template:
Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Agreement - Performance
Amount
$13,250.00
Document Relationships
R 2018-451 Finance - The Arts Center outside agency agreement
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA <br />ARTSCEN -01 <br />DMASON <br />AC ©�� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM /DD/YYYY) <br />07/25/2018 <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 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 <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />PHONE FAX <br />(A/C, No, Ext): (919) 968 -4472 (A/C, No): (919) 942 -4221 <br />Summers Thompson Lowry, Inc. <br />100 Europa Drive <br />Suite 571 <br />ADDRESS: info @STLinsure.com <br />Chapel Hill, NC 27517 -2393 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Great American Ins Co of NY <br />INSURED <br />INSURER 13: Great American Alliance Ins Co <br />26832 <br />INSURER C: FFVA Mutual Insurance Co <br />The Arts Center Inc. <br />INSURER D: <br />07/01/2018 <br />300 G East Main Street <br />Carrboro, NC 27510 <br />INSURER E <br />DAMAGETORENTED <br />PREMISES Ea occurrence <br />INSURER F: <br />MED EXP (Any one person) <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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM DD YYYY <br />POLICY EXP <br />MM DD YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />PAC4296967 <br />07/01/2018 <br />07/01/2019 <br />DAMAGETORENTED <br />PREMISES Ea occurrence <br />1,000,000 <br />$ <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY ❑ JECT PRO 1:1 LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />$ <br />BODILY INJURY Per person) <br />$ <br />ANY AUTO <br />PAC4296967 <br />07/01/2018 <br />07101/2019 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />UMB4296968 <br />07/01/2018 <br />07/01/2019 <br />DED X RETENTION$ 10,000 <br />Aggregate <br />$ 1,000,000 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />Y/N <br />ANY PROPRIETOR /PARTNER/EXE CUTIVE ❑ <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N / A <br />WC8400032267 <br />01/01/2017 <br />01/01/2018 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />500,000 <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 500,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />500,000 <br />$ <br />• <br />General Liability <br />PAC4296967 <br />07/01/2018 <br />07/01/2019 <br />Each Abuse <br />1,000,000 <br />• <br />General Liability <br />PAC4296967 <br />07/01/2018 <br />07/01/2019 <br />Each Act <br />1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />For Information Purposes <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Orange Count Government <br />9 Y <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />PO Box 8181 <br />Hillsborough, INC 27278 <br />AUTHORIZED REPRESENTATIVE <br />l.I F� S , 5 <br />ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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