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Agenda - 05-17-2005-5w
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Agenda - 05-17-2005-5w
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Last modified
8/29/2008 9:35:21 PM
Creation date
8/29/2008 10:23:44 AM
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BOCC
Date
5/17/2005
Document Type
Agenda
Agenda Item
5w
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Minutes - 20050517
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\Board of County Commissioners\Minutes - Approved\2000's\2005
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_ PR-:')-lRtdS 12N.i pM SP WPRp DUL:T IgH:n 919 556 9H26 /i/~\ <br />A~QBQ, CERTIFICATE OF LIABILITY INSURANCE D3/29/2005 <br />PAOauceR (440)246-4711 FAx (440)246-$406 <br />6rltton-Gallagher and Associates, Inc. <br /> <br />6240 SOM Center Rd. THIS CERTIFICATE IB 188UED A8 A MATTER OF INFORMATION <br />oNLYANDCONfE13bHORIOHTbUPON1HECERTIFICATE <br />HOLDER. TN18 CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE ICIES BEL <br />Cleveland, ON 44139 <br />INSURERS AFFORDING COVERAGE <br />NAIC y <br />_~~~ ~~~~~ <br />wwAED S 6 M Prvdutt Otis INBVflERA LexiR <br />gtOR IIISUrann Co <br />Rt 2 329 Beach Cove INGVaERe. Axis S cialty Ins C an <br />Youngsvtile, NC 27$96 weuacae _ <br /> INDVRER D _ __ <br /> IN6URER E ~- <br />GOVERAGE6 <br />7HE POLICIES OF INSURANCE H6YED BELOW HAVE BEEN t99UE0 TO THE INSURED NAMED ABOVE FOR THE POLN;Y PERIOD mDIGTED. NOTVV11119TANUIntf <br />TEaM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHIC <br />ANY REQUIREMENT H TM16 GERTIFIGTE MAY BE IBBIlEO OR <br />, <br />THE MSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 9UBFECT TO ALL THE TERMS. E%CLU90Nb AND CONDITIONS DF-8UC11 <br />MAY PERTAIN <br />, <br />POUCIE6 AGGREGATE LIMRB SHOWN Mqv HAVE BEEN REDUCED BY PAID CWMS. <br />~ <br />INM TYrE OE MUMNCE POUCV NUYElR r GT/ECftYB tICT E%nM Y LIYRf <br />DENEMLUAIwTY 2631393 03/19/200$ Ol/19/2D06 FACHOCCUflgENCE { 1 000 0 <br />x COANEERCULOENERALLLUILITY D O 7ED i ~ SD <br />CLAM{AYOE ~OCGVq MED E%P lA^Y~P~E6+N i <br />A PEAODNALAAOV YUDRY 1 I ODO <br /> GENERAL AOd1E0ATE / 2000 <br />CEXL ACf.REOATE LAST ARPLIEl PER. PRODUC76•COYP/DP ACtl E Z DDD <br />P«.L. x ;DER LDL _ <br /> _ <br />AUt pLNIMLL LUUIIm ~. ~-~ -~ - C04aiNED EINCIE UNIT <br />{ <br /> ANY ADiO (Ett¢NYnI <br /> <br />- ALL OYMEO AUT09 90bILY MA1RY <br />1 <br /> {CwE1NILFD AIRO6 IPr pertm) <br /> H%IEO AVT08 BODILY MWRY <br />1 <br /> NON•DYmCb N)TOa IPY AmEAny ~Jy <br /> PROP[gTY DAMADE <br /> <br />v IPt. tmRMt) 1 <br /> WMOC LU1!•I.m AUitl OfAY ~ EA ACCIDENT f <br /> NIY AUTO OTHER THAN EA ACtl 1 <br /> <br />_. <br />-_ AUTOONLY: ACO i <br /> e%atvvYEaeLU TUN%.Irr AAU70632105 04/O1/200$ 04/01/2006 EACX DCeuanENCE 1 4 000 OQ <br /> x OCCVq ~ LlNM6 WOE MIOgtOATE 1 4 DDD DD <br />8 1 <br /> <br />I DEOUCTIgtE { <br /> x REiENT10N i 3DrDD { <br /> KO!O(GTU COMPEN{ATRIN ANO <br />' VIC aTATU~ Oni~ <br />a <br />-" <br /> IMRARY <br />EYPLOYEAI <br />ANY PRUPRtETORNAATNEA/EXECV*NE EL EACXACCOENT 1 <br /> 0('fICE1GLIENREq E%CUAE09 EL DIEENF-EAEM'IDYE { <br /> X ~T~. EAwIlt v.PM ~ . <br /> OFCCUL PROV~f10Ny CNw <br />_ <br />_ <br />. EL OIEEAEE •PpLICY LDIR 1 <br /> MNTt _ <br />_ ,._ <br />OCtGAf POM OE OPEMTION%/ IiJGAtN)ME / V[MCLEE I C%CLUt10Mt ADDED OY ENDOAECMCNT I OLt1AL g10YlINNU m <br />Location:Chapel Hi11,NC Addit:lonal In6ured:Town of <br />Date:6/9/05 Chapel 1li11,Orenge County <br />B1ueCross S1ue5hield <br />of North Caroline <br />Chapel Hi11.,NC <br />aNOUID ANY or T11! A!W! OFJCR1aED AouD¢a oc cwceLLEA eEYOAE THE <br />[IIPIMTN)N OAtt THEREOF, Ri! IBElalq N{UI1Ea Yi1LL ENOE11VtlR TO YAE. <br />_~,_ DAYt igNTTEN NOTICE TO iNE CFATFICATE MOIDla NAMlD TO M LEFT, <br />out rAa.uRE Tv rAE. EueN NoT~ce ENALI aroa NOOYLIOAtIDN DR Luatm <br />ACORU 2a (2001!06) t~ ~ G/ m11CORD <br />
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