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2020-022-E DEAPR - Fortress Fencing playground fencing installation
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2020-022-E DEAPR - Fortress Fencing playground fencing installation
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Last modified
1/15/2020 4:53:04 PM
Creation date
1/15/2020 4:44:18 PM
Metadata
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Template:
Contract
Date
1/7/2020
Contract Starting Date
1/27/2020
Contract Ending Date
3/31/2020
Contract Document Type
Contract
Amount
$1,295.00
Document Relationships
R 2020-022 DEAPR - Fortress Fencing playground fencing installation
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2020
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DocuSign Envelope ID:2F87A570-4BA5-490A-967C-35F53AEA8865 <br /> � N DATE LMM?DD?YYYY] <br /> ,aco�o® CERTIFICATE OF LIABILITY INSURANCEF��. 01/09120 2 0 <br /> THIS CERTIFICATE IS ISSUED AS A NIATTER OF INFORIr1A71ON ONLY AND CONFERS NO RIGHTS UPON THE CERTEFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT NAME; Charie Dickerson <br /> The Insurance Pros. Inc. nr1C'N (919)294-6613 aic No: (866)294.9470 <br /> 1210 Cole Mill Road EMAIL if I rosonline.com <br /> no nsurance <br /> ADDRESS: � p <br /> Suite 101 INSURERS AFFORDING COVERAGE NAIC# <br /> Durham NC 27705 IN$URER A: Erie Ins Exch 26271 <br /> INSURED INSURER 13, Erie Ins Exch 26271 <br /> Fortress Fencing, LLC :NSURERC: Erie Ins Exch 26271 <br /> PO Box 1377 INSURER D: Erie Insurance Company 35585 <br /> INSURER E <br /> Carrboro NC 27510-3377 INSURER IF <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 /> NSR ACOLSUBR POLICY E <br /> LTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER MWDDIYYYY) fMM1DDfYYYYl LIMITS <br /> X coMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1000000 <br /> DAMAGE TO RENT EIT- <br /> CLAIMS-MADE 17X OCCUR PREMISES a occurrence $ 1000000 <br /> MED EXP{Arty orre person) $ 5000 <br /> A Y Q38-2250720 0212212019 02/22/2020 PERSONAL&ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2000000 <br /> POLICY JECT LOC PRODUCTS-COMPIOPAGG $ 2000000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 1000DD0 <br /> Ea accident <br /> X ANYAUTO BODILYINJURY(Per Person) $ <br /> OWNED SCHEDUILEP <br /> AUTOS <br /> AUTOS ONLY AUTOS Q02-2240032 02/22/2019 02/22/2020 BODILYINJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY D AGE <br /> AUTOS ONLY AUTOS ONLY (Per acc!deni <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4000000 <br /> C 7 EXCESS LIAB CLAIMS-MADE Q26-2270226 0212212019 02IM2020 AGGREGATE $ <br /> DIED I I RETENTION$ $ <br /> WORKERS COMPENSATION X STATUTE ERH <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORPARTNEWEXECLITIVE Y r N E.L.EACH ACCIDENT $ 1000000 <br /> D OFFICER:MEMBER EXCLUDED? NIA Q87-5900217 0310912019 03/09/2020 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1000000 <br /> Iryes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 <br /> ❑ESCRiPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached if more space Is requiredl <br /> Orange County is listed as additional insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> Fax: Email, Q 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACOR❑ <br />
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