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2019-111-E AMS - Nelson Alarms Churton Grove
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2019-111-E AMS - Nelson Alarms Churton Grove
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Last modified
2/26/2019 12:17:06 PM
Creation date
2/26/2019 11:45:37 AM
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Contract
Date
2/22/2019
Contract Starting Date
2/21/2019
Contract Ending Date
2/28/2019
Contract Document Type
Contract
Amount
$671.88
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R 2019-111 AMS - Nelson Alarms Churton Grove
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DocuSign Envelope ID: F638EDF1-1 C98-4839-8265-Fl 7C1 FB2CEBE <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <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 be endorsed.If SUBROGATION IS WAIVED,subject <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> INSURED NELSON ALARMS INC CERTIFICATE ORANGE COUNTY ASSET MANAGEMENT <br /> NAME AND CIO LEIGH ANN NELSON HOLDER SERVICE <br /> ADDRESS PO BOX 10 PO BOX 8181 <br /> RANDLEMAN, NC 27317 HILLSBOROUGH, NC 27278 <br /> ATTN: TAMMY COMAR <br /> COVERAGES <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 BE 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 /> X TYPE OF INSURANCE INSDDL SUB POLICY NUMBER V4VDMPOOLIICY EFF POLLIICY EXP LIMITS <br /> ® COMMERCIAL GENERAL LIABILITY CCP 0113241 5/26/2018 5/26/2019 GENERAL AGGREGATE $1,000,000 <br /> OCCURRENCE PRODUCTS-COMPIOP5 <br /> AGGREGATE $0 <br /> GENT AGGREGATE APPLIES PER POLICY PERSONAL&AUV INJURY $1,000,000 <br /> EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED $100 0O0 <br /> PREMISES Ea Occurrence <br /> MED EXP(Any one person) $5,000 <br /> EACH OCCURRENCE $ <br /> BUSINESSOWNERS AGGREGATE <br /> COMBINED SINGLE LIMIT $ <br /> AUTOMOBILE LIABILITY (Each accident) <br /> ❑ SCHEDULED AUTOS BODILY INJURY(Per person) $ <br /> ❑ HIRED AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED AUTOS PRO <br /> r a=id nDAMAGE <br /> Q $ <br /> ❑ GARAGE LIABILITY <br /> (Other) <br /> EACH OCCURRENCE $ <br /> ❑ EXCESS LIABILITY— AGGREGATE $ <br /> OCCURRENCE <br /> WC STATUTORY LIMITS <br /> ® WORKERS COMPENSATION NIA <br /> AND EMPLOYERS'LIABILITY WC 0213731 6/21/2018 6/2112019 E.L.EACH ACCIDENT $100,000 <br /> POLICY APPLIES TO THE WORKERS E.L.DISEASE-EA EMPLOYEE $100,000 <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $500,0()0 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 2/20/2019 <br /> COI 0910 <br />
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