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2018-569-E Health - Race for Equity strategic plan development
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2018-569-E Health - Race for Equity strategic plan development
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Entry Properties
Last modified
9/18/2018 8:40:01 AM
Creation date
9/18/2018 8:37:08 AM
Metadata
Fields
Template:
Contract
Date
9/17/2018
Contract Starting Date
9/17/2018
Contract Ending Date
12/31/2018
Contract Document Type
Agreement - Services
Amount
$8,000.00
Document Relationships
R 2018-569 Health - Race for Equity
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID:86C0110E-D4C8-42DD-AD14-FBC0338AF5D5 E)eclaratl'on5 raW.. <br /> This is a description of your coverage <br /> GEIC0 ref: t-S�C1 841-3400 Please retain for your feovrds. <br /> gelco.com ber: 4249-15-38-36 <br /> GOVERNMENT EMPLOYEES INSURANCE COMPANY policy Number: <br /> One GEICO Boulevard coverage period: <br /> Fredericksburg, VA 22412-000 3 a9-02-18 through 03-Q2-19 insured. <br /> 1201 a.m. local time at the address of the nam1 <br /> Date Issued: July 30, 2018 <br /> item 1: <br /> DEITRE LYNN EPPS <br /> 2237 BRISBANE WOODS WAY <br /> CARY NC 27518-9257 <br /> Email Address: deitre.epps @grnail.com <br /> Named Ensured -- Additional Driver <br /> Deitre L Epps Keith Allen - - - <br /> ~T Vehicle Location Finance Company/ <br /> Vehicle VIN Lienholder <br /> 1 2018 Toyota Camry 4T1B11HKlJU102348 Cary NC 2751$ <br /> Navy Fcu <br /> Covera � <br /> A Liability Coverage <br /> Bodily injury Liability $72.24 <br /> Each P�ersonlEach occurrence $50,OOUl$1fl0,000 <br /> property Damage Liability $,25,000 $95.94 <br /> Each Occurrence <br /> B Medical Payments $3,000 $17.90 <br /> Each Person <br /> C Combined Uninsured/Underinsured <br /> Bodily Injury Liability <br /> Each PersonlEach Occurrence $50,OOOf$100,000 $12.00 <br /> Properly Damage <br /> Each Occurrence $25,000 $1 ,00 <br /> D Damage To Your Auto <br /> Other Than Collision Lass Acv Minus $250 $35.00 <br /> Collision $250 Ded $197.00 <br /> Towing & Labor Costs Non-Ded $6.40 <br /> J <br />} <br /> 7 <br /> 7 <br />} <br /> W <br />} <br /> y <br /> 7 <br /> 4� <br /> 7 <br /> f+ <br /> T-C <br /> a DEC—PAGE (I13-14) (Page 1 of 2) Coverages Continued on Back <br /> Renewal Policy Page 7 of 14 <br />
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