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2018-055 AMS - Alliance for Historic Hillsborough 36 mo lease
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2018-055 AMS - Alliance for Historic Hillsborough 36 mo lease
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Last modified
7/31/2018 4:09:42 PM
Creation date
2/11/2019 2:54:55 PM
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Template:
Contract
Date
12/4/2017
Contract Starting Date
1/1/2018
Contract Ending Date
12/31/2020
Contract Document Type
Lease
Amount
$9,360.00
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ACOR ®� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />02/14/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Gretchen LaNier <br />NAME: <br />Colonial Insurance Agency Hillsborough <br />PHONE (919)732 -2191 FAX (919)732 -2192 <br />A/C No Ext : AIC No): <br />103 Millstone Dr. Suite A <br />E -MAIL g etchen r colonial -a .com <br />ADDRESS: @ g enc y <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />PO Box 490 <br />HILLSBOROUGH NC 27278 <br />INSURERA: Auto - Owners <br />18988 <br />INSURED <br />INSURER B: <br />CLAIMS -MADE � OCCUR <br />Alliance For Historic Hillsborough <br />INSURERC: <br />150 E King St <br />INSURER D : <br />INSURER E : <br />50,000 <br />$ <br />Hillsborough NC 27278 -2685 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CL1821402631 REVISION NLIMRER- <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 CONTRACTOR 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 <br />LTR <br />TYPE OF INSURANCE <br />AUUL <br />INSD <br />51JUKI <br />WVD <br />POUCYNUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />MM /DD /YYYY <br />LIMITS <br />X <br />COMMERCIALGENERALLIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />DA A S(E. occurrence) <br />PREMISES Ea ocairrence <br />50,000 <br />$ <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />A <br />35097265 <br />11/03/2017 <br />11/03/2018 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />X POLICY D PRO ❑ LOC <br />JECT <br />PRODUCTS - COMP /OPAGG <br />$ 2,000,000 <br />Premises /Operations <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON- OVMIED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />Per aciident <br />$ <br />UMBRELLA LIAR <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />DELI I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />A <br />AND EMPLOYERS' LIABILITY Y <br />ANY PROPRIETOR /PARTNER/EXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />35097281 <br />11/03/2017 <br />11/03/2018 <br />X STATUTE ER <br />E.L. EACHACCIDENT <br />$ 100,000 <br />E.L. DISEASE- EA EMPLOYEE <br />$ 100,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 500,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Certificate Holder is listed as Additional Insured, <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 />I AUTHORIZED REPRESENTATIVE <br />Hillsborough NC 27278 <br />©1988 -2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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