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2019-345-E DEAPR - Solitude Lake Management Twin Creeks pond
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2019-345-E DEAPR - Solitude Lake Management Twin Creeks pond
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Last modified
6/21/2019 11:12:53 AM
Creation date
6/21/2019 10:49:13 AM
Metadata
Fields
Template:
Contract
Date
6/12/2019
Contract Starting Date
7/1/2019
Contract Ending Date
7/31/2019
Contract Document Type
Contract
Amount
$3,500.00
Document Relationships
R 2019-345 DEAPR - Solitude Lake Management Twin Creeks pond
(Attachment)
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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AA l l i a n z U n d e r w r i t e r s In s ur a n c e C o m p a n y <br />AUI-IL 3001 (06-08)Page 1 of 1 <br />Named Insured: <br />Policy Number: <br />Vector Diease Acquisition, LLC <br />U5L00010318 <br />Effective Date: May 24, 2019 <br />GENERAL CHANGE ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />POLLUTION LEGAL LIABILITY <br />Policy changes are indicated by an and amended to read as shown below. <br /> 1. Named Insured 14. Mailing Address of Named Insured <br /> 2. Policy Period 15. Policy Conditions <br /> 3. Form of Business 16. Business Description <br /> 4. Location(s) of all Premises you own, rent or occupy 17. Description or location of property <br /> 5. Location(s) added 18. Location(s) deleted <br /> 6. Total Advance Premium 19. Coverages <br /> 7. Limit(s) of Insurance 20. Deductibles <br /> 8. Covered Auto Symbol(s) 21. Rating Information <br /> 9. Additional Insured(s) added 22. Premium Basis <br /> 10. Premium Computation 23. Other <br /> 11. Audit Period 24. Forms/Endorsement deleted <br /> 12. Forms/Endorsement added 25. Item(s) listed below deleted from Schedule <br /> 13. Item(s) listed below added to Schedule <br />12. The following endorsement has been added to the policy: <br />Endorsement 21 – Definition of Insured Amendatory Endorsement, Form#: MANUSCRIPT <br /> Additional Premium payable at Endorsement Effective Date <br /> Return Premium payable at Endorsement Effective Date <br /> Installments amended per attached Premium Installment Endorsement <br /> No change in premium <br />Date of Issue: 05/29/19 <br />DocuSign Envelope ID: EE23F468-2756-49BC-81A9-835B92D0E90E <br />addedadde 22. Premium Basis <br />on oo 2323. Other. Othero2424Forms/Endorsement deletForms/Endorsement delet
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