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2019-501-E AMS - Riley Surveying Efland station
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2019-501-E AMS - Riley Surveying Efland station
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Last modified
8/22/2019 4:06:07 PM
Creation date
8/22/2019 2:39:58 PM
Metadata
Fields
Template:
Contract
Date
8/1/2019
Contract Starting Date
8/1/2019
Contract Ending Date
8/31/2019
Contract Document Type
Agreement - Services
Amount
$6,850.00
Document Relationships
R 2019-501 AMS - Riley Surveying Efland station
(Attachment)
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DocuSign Envelope ID:8D52AF4C-1EDC-4D62-A3C0-94DC276AC40F <br /> ACCOR <br /> CERTIFICATE FLEA DATE WWDDNY� <br /> LIABILITY INSURANCE 7aW2019 <br /> THIS CERTIFICATE fS IS5UE0 AS A MATTER OF INFORMATION ONLY AND CONFERS NO BIGHTS �IIaI]N THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY Off NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI(;�ES <br /> BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTMJTZ A CONTRACT BETWEEN THr= ISSUING lu'sURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT_ If tho certificate holder is an ADDITIONAL INSURED,the policAies)must bo endorsed. tF SUBROGATION IS WAIVED, subject tD the <br /> term and aonditlans of the pu€ir;yr COrta,rrl Policies may "ulm an endorsernem. A atatemerrt an this ewiFlcat& does not eorlfor rights to the <br /> certificate holder In lien of such endorsomerrt(.$), <br /> PRO6LIgE GregLopem4in, CPCLJ H TACT GrewLoperngln _ <br /> State Farm Insurance P�Iftlr19-93,�7��0 „«�+-•u.� 9s9.933-7719 <br /> 104-B NC Hwy 54 WaDD C Lx�1t3� �fah�farm.oprrl <br /> CDrrboro, NC 27510 {hs4FiER[S}AI`f�PF16.COVMArE <br /> B MRER a=.S�$fe Farm Fife and{,4�SSfaay.COfFIp�rIY <br /> InsulzEo 251 <br /> RILEY SURVEYING PA ■JSUFMR a=$We Farm hdu9ual Wi6dmohi IregLrerrue Com�xarrY 25ir8 <br /> STE 10013 Inc; <br /> 3326 0URHAM CHAPEL 1-fILL BL D <br /> DURHAM NC 27707-2695 �I9URET-0E <br /> Ni R�ER F= <br /> COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: <br /> THIS IS TO C-ERTIFY THAT THE P0LIGIES OF KSURANCE LISTED BELOW HAVE BirEH ISSUED TO THE FFISUREp NAMED ABOVE FOR THE POLrCY PERIOD <br /> INOICATE.D. 140TWITHSTANDING ANY REQUFREME.NT- TERM OR CONprTIOrl OF ANY CONTRACT OR OTHER C)OCUMENdT VL9TH RESPECT t0 WFtICH TFIIS <br /> CERTIFICATE WAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED DY THE POLJC;IES DESCRIBER) HEREIN IS $DEJECT TO ALL THE TI=RMS, <br /> E9€IyLLISIONS ANO DONDPTI0NS OF SUCH POLFCIES-LIMPS SHOWN MAY HAVE BEEN REDUCF�G BY PAID CLAIMS- <br /> N91! TYPE;rF INSLMARWE A 4L 3 OL"I rW g'—O Y W <br /> POLICYgE iiPlI fs <br /> SE11IlRALLue4.rrY g. (�RRIR�Jr$ 0712012019 02J217020 IaoiO0pLrt3RCM[:E S �.00D.flfl4 <br /> { COMk€RCWLGEN €2Ai.LNHiLF7Y <br /> CLAIMSAUdDE �OEkJJR pREMI5E5iEanrxilmearc� 6 300,ppp <br /> IAEDE.LF (AWone�irsor�,l S 5,400 <br /> PERSONA«,ApyIFiRIRY $ 11040,OdQ <br /> GEHERRLAGGREGATE I 2.000 )W <br /> GENL✓GGREGATE LIINfTAPPUES PER: <br /> PftODLA -OCAARFOPR€3G 5 ,�OO,COO <br /> f�oLIC'r PRG- LOC _ <br /> E3 AUTWCftLf uaglLny - COhiFJml IN LE LIMIT <br /> 71 97�4-D30-33 0�13RN2Ft19 0413RN2RY�a . EOEtmm MY s <br /> ANYAUTo <br /> e0osLy IFIJuRY{a,K perear,I <br /> ALLOYMEO SCHEDULED v . -_..... S SO15,OQd <br /> AUTOS AUTOS 84DILYkNAJRY(PWacdd"n <br /> 3iFIEDAJJTOS AIJ08 F7DTI)T, 4E0 1�¢.040 <br /> A X LOORJELLALUke X OCCUR <br /> FACH0CGLjb;VEFK;E 8 1,ppp,OpO <br /> rKCX=LIB 0LdA7$-r.WDE <br /> AGGREGATE # 1:OOO,Q04 <br /> r7FETVdTJGNS ]OOU4 <br /> A ww�ISERscoI�ellemTloN WeSTATU orr& <br /> AND EIIPLC✓WW LLPA 1.JTT _ <br /> Yf N <br /> ANYPAOPRIETQFJPARTN€RA�� S E.4,EACHAC_CIDENT S t,4r7p,pgq UFFICF]1dFMMSP EXCLUDEM N A <br /> Pf vw.dMrgln NHl 93-CV-R 3 97ZJ'2Ql3Qt$ 0212RIJ2U20 E.L DISE ASE-L=+r+EMPL 1,404,090 <br /> # <br /> (Tex,tic y 1ki yn¢Ar <br /> ELMEASI=-nLICYLIMIT 1,9HJO,OOQ <br /> CESCRJPTION PF OFf9:LA7JOagr LOCATIONS I VF-H=E {ArbchACCMD 10t,Addldn"KwoksSchodule.irmae■pa isTwMroQ <br /> Survwtor;. <br /> CERTrFICATE HOLDER CANCELLATION <br /> Orange County Asset Management SHOuL ANY F THE ABOVE DESCRIOED P01-10E9 BE CANCELLED I FORE <br /> THE PIF 14 II DATE THEREOF, NOTICE Z9LL BE DELIVERED IN <br /> "131 West Margaret Lane Suite 300 ACCOR A CE TFI THE POLICY PROYI6I0f1S- <br /> HilEsborough, IBC 27278 <br /> abarnes orangecountyne.gow ATMORUW0 EV*ff3ENTA7IVG <br /> (D 1988-2011D ACOFW C0RP0RATI0K II rights reserved. <br /> ACORD25 (201ON5) The ACORD name and logo are regfstam4 marks ofACORD 10014 I .6 11-15-410 <br />
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