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2019-840-E AMS - Nelson Alarms Finance relocation
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2019-840-E AMS - Nelson Alarms Finance relocation
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Last modified
11/18/2019 3:29:49 PM
Creation date
11/18/2019 3:03:13 PM
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Template:
Contract
Date
11/12/2019
Contract Starting Date
11/12/2019
Contract Ending Date
11/30/2019
Contract Document Type
Contract
Amount
$1,392.13
Document Relationships
R 2019-840 AMS - Nelson Alarms Finance relocation
(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:C07450F7-01D3-4281-B428-626898CB1296 <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 <br /> NAME AND PO BOX 10 HOLDER MANAGEMENT SERVICES <br /> ADDRESS RANDLEMAN NC 27317-0010 PO BOX 8181 <br /> HILLSBOROUGH NC 27278 <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 /> — r <br /> x I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MPOOLII EFF <br /> POLICY EXP LIMITS <br /> D <br /> ® COMMERCIAL GENERAL LIABILITY CPP 0113241 5/26/2019 5/26/2020 GENERAL AGGREGATE - - $1,000,000 <br /> -OCCURRENCE PRODUCTS-COMPrOPS <br /> AGGREGATE $0 <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $1,000,000 <br /> EACH OCCURRENCE $1,000,000 <br /> DAI4ARGETORENTED $1Q00�0 <br /> PREMISES Ea¢ccurrence <br /> MED EXP(Any one person) $5,000 <br /> ❑ I EACH OCCURRENCE $ <br /> BUSINESSOWNERS <br /> AGGREGATE $ <br /> AUTOMOBILE LIABILITY COMB <br /> INED <br /> c SINGLE LIMIT $ <br /> - - <br /> ❑ SCHEDULED AUTOS BODILY INJURY(Per person) $ — <br /> ❑ BODILY INJURY(Per accident) $ <br /> HIRED AUTOS <br /> AMAGE <br /> ❑ NON-OWNED AUTOS (Par o accidenDI) $ <br /> ❑ GARAGE LIABILITY <br /> ❑ (Other) <br /> EACH OCCURRENCE $ <br /> ❑ EXCESS LIABILITY— <br /> OCCURRENCE AGGREGATE $ <br /> WC STATUTORY LIMITS <br /> ® WORKERS COMPENSATION NIA <br /> AND EMPLOYERS'LIABILITY WC 0213731 6/21/2019 6/21/2020 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 $500,000 <br /> OTHER: <br /> ❑ f <br /> I. <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESEN TIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 7/10/2019 <br /> COI 0910 <br />
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