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2019-053-E AMS - Trademaster Whitted building water
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2019-053-E AMS - Trademaster Whitted building water
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Entry Properties
Last modified
2/5/2019 9:39:59 AM
Creation date
2/4/2019 4:26:27 PM
Metadata
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Template:
Contract
Date
1/29/2019
Contract Starting Date
1/18/2019
Contract Ending Date
1/19/2019
Contract Document Type
Agreement - Services
Amount
$18,499.13
Document Relationships
R 2019-053 AMS - Trademaster Whitted building water
(Attachment)
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DocuSign Envelope ID:6C2332D5-ADC3-4FCA-83F8-9D6CO08C250A <br /> CERTIFICATE OF LIABILITY INSURANCE DATE{A7MlDDIYYYY, <br /> 04117�018 <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 BELOW.THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br /> PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(iesy must have ADDITIONAL INSURED provisions or he endorsed. if <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsements, <br /> PRODUCER CONTACT <br /> FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CE TER <br /> HOME OFFICE:P.O.BOX 328 A CNHO Exl:888-3334949 A7C Nv.5074464664 <br /> OVJATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER FEDINS.COM <br /> INSURER S)AFrORUIHG COVERAGE HAIL 4 <br /> INSURER A:FEOERATE_D MUTUAL INSURANCE COMPANY 13935 <br /> INSURED 348-7055 INSURER B: <br /> TRADEMASTERS SERVICES INCORPORATED INSURER C: <br /> 5012 NEAL RD <br /> DURHAM,NC 2770,2362 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:34 REVISION NUMBER:2 <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 RE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE DL SLISR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> L INSR WvD MMIDDWYYY MMIDDIYYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE X DAMAGE T OCGUR ISES EeRENIED <br /> ocwrrenoe $10D,ODO <br /> MED EXP(Any one person) EXCLUDED <br /> A Y N M7203 02/11/2018 02111/2019 PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,ODD,000 <br /> IOTHER: <br /> PoueY ❑JEcr ❑LoG PRODUCTS-COMPIOPAGO $2,ODD,00D <br /> AUTOMOBILE LIAWLtTY COMBINED SINGLE LIMIT $1 DO0 <br /> E acc t <br /> X ANY AUTO BODILY INJURY IPer person) <br /> A OWNED AUTO,.,ONLY SAUUTOSULED Y N 9337203 02/1112018 02/1112GI9 BODILY INJURY IPer accident) <br /> HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY Pea ide <br /> X UMBRELLA LJAB X OCCUR EACH OCCURRENCE $5,000,000 <br /> A EXCESS LIAB CLAiMS•MADE N N 9337204 02/11/2018 02/11/2019 AGGREGATE $5,00010D0 <br /> DEO RETENTION <br /> WORKERS COMPENSATION X PER STATUTE OTH- <br /> I <br /> AND EMPLOYERS'LIABILITY Y 1 N ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT $1,0DD,000 <br /> A OFHCE RIME MBE R EXCLUDED? ❑NIA N 9337205 02/11/2018 02/11/2019 <br /> E.L DISEASE-EA EMPLOYEE <br /> (Mandatory in NHi 1,000,040 <br /> 11 yes,describe under El O15EASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below S1,D40,040 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES IACORD 101,Addi 6onal Remarks Schedule,may be atlachad it more spate 14 rog4i red) <br /> SEE ATTACHED PAGE <br /> CERTIFICATE HOLDER CANCELLATION <br /> 348-705-5 342 <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTA7IVE <br /> 0 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD Name and logo are registered marks of ACORD <br /> I <br />
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