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2019-063-E AMS - Intellicom ES exterior wall data cable replacement
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2019-063-E AMS - Intellicom ES exterior wall data cable replacement
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Last modified
2/11/2019 11:40:56 AM
Creation date
2/11/2019 9:36:27 AM
Metadata
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Template:
Contract
Date
2/6/2019
Contract Starting Date
2/6/2019
Contract Ending Date
7/1/2019
Contract Document Type
Contract
Amount
$22,078.00
Document Relationships
R 2019-063 AMS - Intellicom ES exterior wall data cable replacement
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DocuSign Envelope ID:A8A67740-1AF4-4E94-9B11-523896817AB4 <br /> FDATE(MMfpplYYYY) <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE <br /> 0312812018 <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 /> PRCOUCER CONTACT Steven Stacy <br /> NAME: <br /> Pelnik Insurance AHD No Efle: (919)459-8000 FAX(AIC No; (866)714-3576 <br /> 100 Ridgeview Drive E-MAIL Steve.Stacy@Peinik,com <br /> ADDRESS: <br /> .Suite 100 INSURER(S)AFFORnING COVERAGE NAIC p <br /> Cary NC 27511 INSURERA: Selective ins Go of America 12572 <br /> INSURED INSURER a: Builders Mutual Insurance Co 10844 <br /> INTELLICOM INC AND PLC COMMUNICATIONS,INC INSURER C <br /> 2902 S MIAMI BLVD STE C INSURER D <br /> INSURER E <br /> DURHAM NO 27703-9042 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: GL1832616358 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 MAYBE 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 AUUL15UIJH POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MM1D01YYYY MMICCNYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 1,000,000 <br /> CLAIMS MADE Fx OCCUR PREMISE$ Eaxcerrence S 500,000 <br /> MED EXP(Any one person) 5 15.000 <br /> A S 2162397 04/01/2018 04/01/2019 PERSONAL&ADV INJURY S 1.000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 5 3,000,000 <br /> POLICY 19 JECT LOC PRODUCTS-COMPIOPAGG 5 3,000,000 <br /> OTHER s <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) s <br /> A OWNED SCHEDULED S 2162397 04/0112018 04/01/2019 BODILY INJURY(Per accident) S <br /> AUTOS ONLY AUTOS <br /> X HIRED v NON-OWNED PROPERTY DAMAGE 5 <br /> AUTOS ONLY /'� AUTOS ONLY Per acatlent <br /> Auto Elite Pac $ <br /> X UMBRELLA LIAB X OCCUR EACHOCCURRENCE S 6,000,000 <br /> A EXCESS LIAR CLAIMS-MADE S 2162397 04/01/2018 04/01/2019 AGGREGATE 5 6,000.000 <br /> X DED RETENTION S 0 $ <br /> WORKERS COMPENSATION X PER STATUTE ERH AND EMPLOYERS'LIABILITY Y I N <br /> ANY PROPRIETORIPARTNERlEXECUTIvE 1.000.000 <br /> B OFFICERWEMBEREXCLUDED? NIA PWC101038003 0410112018 04/01/2019 4 EAc�Acc;oENr s <br /> (Mandatory in NH) E.L,DISEASE-EA EMPLOYEE 5 1,000,000 <br /> If yes,describe under n 1,000.000 <br /> c.^�C^..IPT:ON OF OP[RATOr.S L-c7aw- EL 04SEASE-POLiC LiMiT 5 <br /> Leased Rented Equipment <br /> A S 2162397 0410112018 0410112019 Limit 100,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE: <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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