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2019-838 Aging - Seine Wolfe wellness instructor
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2019-838 Aging - Seine Wolfe wellness instructor
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Last modified
1/27/2020 11:00:26 AM
Creation date
1/27/2020 9:49:02 AM
Metadata
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Template:
Contract
Date
7/20/2019
Contract Starting Date
7/1/2019
Contract Ending Date
6/30/2020
Contract Document Type
Contract
Amount
$1,200.00
Document Relationships
R 2019-838 Aging - Seine Wolfe wellness instructor
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DATE ( MM/DD/YYYY) <br /> �►��® CERTIFICATE OF LIABILITY INSURANCE 10/09/2019 <br /> PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br /> MBgulrela PIZ Ste10ceAgency, Inc. FWl ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1 BalCynwy , PA HOLDER , THIS CERTIFICATE DOES NOT AMMEND EXTEND OR <br /> Bala Cynwyd, PA 19004 --1401 <br /> 610. 617. 7900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW . <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A : Philadelphia Indemnity Insurance Company 18058 <br /> Seine Wolfe INSURER B : <br /> 909 Palmers Grove Church Rd <br /> Hillsborough , NC 27278 - <br /> INSURER C: <br /> INSURER D : <br /> INSURER E : <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED . NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR <br /> MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES , AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS , <br /> INSR ADD' L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE ( MM /DD/YYYY) DATE ( MM/DD/YYYY) LIMITS <br /> I <br /> A X GENERAL LIABILITY PHPK1256326 - 11/07/2019 11/07/2020 EACH OCCURENCF. $1,000, 000 <br /> X COMMERCIAL GENERAL LIABILITY 005 PREMISES Ea occurrence $100, 000 <br /> CLAIMS MADE � OCCUR MED EXP (Anyone person ) $ 2, 500 <br /> X PROFESSIONAL LIABILITY PERSONAL & ADV INJURY $ 110001000 j <br /> GENERAL AGGREGATE $ 3, 000, 000 <br /> GENT AGGREGATE LIMIT APPLIES PER : PRODUCTS — COMP/OP AGG $3, 00010D0 <br /> X POLICY PROJECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO ( EA accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS ( Per person ) <br /> HIRED AUTOS BODILY INJURY <br /> NON- OWNED AUTOS ( Per accident) <br /> PROPERTY DAMAGE <br /> ( Per accident) <br /> GARAGE LIABILITY AUTO ONLY — EA ACCIDENT <br /> ANYAUTO <br /> OTHER THAN EA ACC t <br /> AUTO ONLY: AGG <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURENCE <br /> OCCUR El CLAIMS MADE AGGREGATE <br /> DEDUCTIBLE <br /> RETENTION <br /> COMPENSATIONWORKEFS D <br /> EMPLOYERS' LIABILITY Y N 70RY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE F1 E. L. EACH ACCIDENT <br /> OFFICER/ MEMBER EXCLUDED ? u <br /> ( Mandatory In NH ) <br /> E . L. DISEASE — EA AMPLOYEE I <br /> If yes, describe under 1 <br /> SPECIAL PROVISIONS below E . L. DISEASE — POLICY LIMIT <br /> OTHER ' <br /> i <br /> I <br /> i <br /> DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ! <br /> It Is understood and agreed that the following entity Is added as an additional Insured but only with respect (s ) to the operations of the named Insured except that liability resulting from the additlonal Insured 's sole <br /> negligence . <br /> i <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br /> CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br /> LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES . <br /> AUTHORIZED REPRESENTATIVE <br /> II <br /> ACORD 25 ( 2009/01 ) © 1988 - 2009 ACORD CORPORATION . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br />
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