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2018-591-E AMS - Gonzalez Painters bldg. 501 and 503
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2018-591-E AMS - Gonzalez Painters bldg. 501 and 503
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Last modified
9/25/2018 4:29:45 PM
Creation date
9/25/2018 10:19:54 AM
Metadata
Fields
Template:
Contract
Date
3/5/2018
Contract Starting Date
3/5/2018
Contract Ending Date
4/16/2018
Contract Document Type
Agreement - Services
Amount
$7,800.00
Document Relationships
R 2018-591 AMS - Gonzalez Painters bldg. 501 and 503
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: B4598CF2-6F8A-4922-ACB5-367A3EA103E8 <br /> Ktl.tlVtL 19tf/'1-d/'LF91! 1'L:'L'J <br /> 24-Aug-2017 10:24 HetCarrier Telecom SpanASP Pax ICA p.3 <br /> ACC-PRE)® CERTIFICATE OF LIABILITY INSURANCE 08I24I2017TLM <br /> THIS CERTIFICATE 13 ISSUED A9 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 I <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURERIS),AUTHORIZED <br /> RFPRFAPNTA"OR PROMICtPR,AND THE C;FRTIKIP.ATr NCI DPq <br /> IMPORTANT: If the oartifthte holder is an ADDRIONAL IN5URED,the Pollay(lan)MUM be endorsed, If SUBROCATION IS WAIVED,nubject 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 Ileu of such endorsement(s), <br /> VHOVUCLll COnTn�T AKUUNU I Hk l:UliNtR INS ACdkNI:Y INU <br /> STRICYLAND INSURANCE BROKERS INC "0801-.W:AN�I <br /> X100 COMMERCE COURT 019.266.9500 I jNC,No): 010-286-9501 <br /> GOLDSBORO,NO 27534 aaulss: <br /> INSURERS)AFFORDING MVRMGE NAICR <br /> IN8URtH A:ATLAN71C CASUALTY INSURANCE COMPANY <br /> INSURED INSUHnX H l <br /> 4OIIZALG?1P INTERP,,CaNTr�IoTopE))Nc <br /> 4301 BENNETT MEMORIAL RD INSwetRCl <br /> C,HAPFI HII I N( 27514 INSURkItD: <br /> INauRbR b <br /> INSURER P: <br /> COVERAGES CERTIFICATE=NUMBER: REVISION NUMBER: <br /> THIS 16 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 166UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTwrTHSTANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CLRIIFIOAIL MAY UL 0SULU OM MAY NLMIAIN, 1111-INSURANC,L AFFOMULU BY IIIL POLICILS ULW RIULU IILMLIN IS SUUJL(II 10 ALL IIIL ILMMS, <br /> LXCLUMONS AND OONUI I IONS OF SUCI I POLICILS.LIMI1 S SI)OWN MAY I IAVL ULLN RLDUOLD 13Y PAIU O+LA)M3.aR <br /> IYY1;4Y IN9URTIICC AaeL WH "W4V NUM"hR PMIDDY pM Dyy'�Y� uW18 <br /> ma X COMMERCIAL OEWRALLIA6lUTY L00103949&-1 03/17/2017 WA7018 rACAiorA'AIRPrNCr $1,000,000 <br /> a AIMSWor O iAkg I' MII0K b�i NNIIH) s100000 <br /> A mw k�d+ moreraon. $5,000 <br /> PrRSONAI AAMWIRY $1.0 00,000 <br /> GrN1 AP,GRrf3A7Y I IMR APO IFS PER: (TNrRAI AP,f;RP(,ATr $2,000,000 <br /> X 1'C%.IU7 El JM1 11 LUC I'ftUUUCIS•GWAIVUI'AUU 51,000,000 <br /> U $ <br /> AUTOMOaLLE L"LtfY eMINI-F)SWOVI0A $ <br /> AWAUIU DOpILYWJIrRYQ'erp+xvon) S <br /> Al OWNrp CA IrOIII rn <br /> AVm3 aWILYN.1URYQ'araowom) S <br /> IIRr0AlR05 hNNrn PROPPRTY nAMAfir <br /> AUIUS i�u $ <br /> UMAJIM $ <br /> unwRLw L4tu OOCUR EACH Occuloo- x s <br /> FXCk'83 LIAO CI NM,'i MAr)r AM-'a GATT $ <br /> nrn IIYRMIONS $ <br /> WORKERSCOMPENSATION � <br /> AND EVPLOYERS'LIA6ILRY <br /> ANY PROMIR TONPARTNERfEXECUf1VE (-7 <br /> lirhlrxJUA'tMnC(G(OL4Ut1J? off N/A r.l.rnulnrxinrrrr 4 <br /> 'Myaanadmogr�y�lpn�N�Ho)fr k.LL`I5tA5k•kAkMl'LUYt $ <br /> �SrC�,RIP77ON tY-(�.PfrATIQNSh:bw k.1-UIS'kASk-IK.YK:Y UlAII S I <br /> OESCRIPT)ON OF OPERATIONS I LOCATIONS I VEaICLEaµCORD 1Df,AJcilfona)Rvinw}ta 9cfirUul.,may In rllachod if nKxa opvaa in nwifea) <br /> PER POLICY <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY <br /> PO BOX 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE bRUVMED IN I <br /> HILLS20-ROUGH NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE ,,�,� <br /> CAA 1988-2014 ACORD CORPORATION, All rights reserved, <<. <br /> ACORD 25(2014101) The ACORD Dams and logo are registared marks of ACORD <br />
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