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2019-176-E AMS - Williams Scotsman Inc ES trailer
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2019-176-E AMS - Williams Scotsman Inc ES trailer
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Entry Properties
Last modified
3/29/2019 11:38:26 AM
Creation date
3/29/2019 9:18:06 AM
Metadata
Fields
Template:
Contract
Date
3/13/2019
Contract Starting Date
3/18/2019
Contract Ending Date
9/13/2019
Contract Document Type
Agreement - Services
Amount
$8,658.00
Document Relationships
2019-184-E AMS - Williams Scotsman Inc. contract amendment
(Message)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2019
R 2019-176 AMS - Williams Scotsman Inc ES trailer
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DocuSign Envelope ID:9BFA37E2-D334-4AF6-BE2F-3DEC4FCCF3C4 <br /> �-�® DATE(MMIDWYYYY) <br /> `CO CERTIFICATE OF LIABILITY INSURANCE W0212018 <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{les)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 an <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT _ <br /> MARSH USA INC. NAME' <br /> PHONE FAX <br /> 1050 CONNECT GJT AVENUE,SUITE 700 WCP No): <br /> WASHINGTON,DC 2003Fr50 E�ufAIL <br /> Attn:DC.CerIRequeslSlebel&arsh.00ln fax:212-948-0503 AODxEss: _ _ <br /> INSURERS AFFORDING COVERAGE NAIC 0 <br /> CN102621174-ST NO-GAWU-18.19 INSURER_A:Zurich American Insurance Company 16535 <br /> INSURED INSURER B:Everest National Insurance CO 10120 <br /> Williams Scotsman,Inc.& —- <br /> Williams Scotsman International,Inc. INSURER C:American Zurich Insurance Company 40142 <br /> 901 South Bond Street,Suite 60D INSURER D: <br /> Baltimore,MD 2123"351 <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: CLE-005686002.18 REVISION NUMBER: 11 <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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF rPOLIC EXP - --- --LfMITS <br /> LTR <br /> A x COMMERCIAL GENERAL LIABILITY GLO2983562.18 1110112018 11/01/2019 EACH OCCURRENCE $ 2,OD0,000 <br /> DAMAGE TO -- <br /> CLAIMS-MADE Fx—]OCCUR PREMISES EaEoccurrence S 500OO <br /> — MEO EXP{Any qne personl $ 5,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GENT.AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ 4,000,0W <br /> X POLICY❑jECT LOC PRODUCTS-COMPIOP AGG $ 4,40D,000 <br /> OTHER: S - <br /> A AUTOMOBILE LIABILITY BAP2983563-18 11/0112018 1110112019 COMBINEDSINGLELIMIT $ 5,400,ODfI <br /> Ea accldenl <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Par accident) $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY .tPer aodde S <br /> S <br /> }( UMBRELLA UAB X DCCUR XC5CU00114-181 1110112018 11l0112419 EACH OCCURRENCE $ 5:000,00.0 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE 5 5,f.U0,0�0 <br /> DED RETENTION $ <br /> C - RKERSCOMPENSATiON WC2983580-18 (ADS) TIOU20118 11/01/2019 x pEK OTH- <br /> AND EMPLOYERS'LIABILITY YIN WC2983561-15 (WI) 111411201E 111Q112U19 STATUTE ER - <br /> A ANYPROPRtETOR1PAR7NERIEXECUTIVE E.L.EACH ACCIDENT $ 110M.000 <br /> OFFICERRr1EMBEREXCLUDE07 [EN] NIA <br /> (MandatorymNH) E.L.DISEASE-EA EMPLOYEE $ 1,900,000 <br /> If yes,describe under 1 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <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 /> I <br /> Williams Scotsman,Inc,& SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCInLLEE)BEFORE <br /> Wiliams Scotsman Inlemaflonal,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 901 South Band Street,Suite6D0 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Baltimore,MD 21231-3357 <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> I Timothy M Kelly <br /> D 1988.2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACCRD <br />
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