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2020-123-E Animal Svc - Independent Animal Rescue Inc. free roaming cats
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2020-123-E Animal Svc - Independent Animal Rescue Inc. free roaming cats
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Last modified
2/14/2020 2:43:50 PM
Creation date
2/14/2020 1:50:08 PM
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Contract
Date
2/13/2020
Contract Starting Date
1/1/2020
Contract Ending Date
12/31/2021
Contract Document Type
Contract
Amount
$13,500.00
Document Relationships
R 2020-123 Animal Svc - Independent Animal Rescue Inc. free roaming cats
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2020
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DocuSign Envelope ID:01281C36-7CCD-4B31-8ED6-02FA083A3F3E <br /> INDEANI-01 LCOLLIER <br /> '4�aRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 2111/2020 <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 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 C. Lee Collier <br /> NAME: <br /> Trisure,an Alera Group Company PHONE FAX <br /> 4325 Lake Boone Trail,Suite 200 (A/C,No,Et):(919)469-2473 (A/C,No):(919)467-4987 <br /> Raleigh, NC 27607 E-MAIL SS:(collier@trisure.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Cincinnati Specialty Underwriters Ins.Co. 13037 <br /> INSURED INSURER B:Travelers Indemnity Company The 25658 <br /> Independent Animal Rescue INSURERC: <br /> P.O.Box 14232 INSURER D: <br /> Durham, NC 27709-4232 <br /> INSURER E <br /> INSURER F: <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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR IN SD WVD MM DD MM DD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE OCCUR CSU 0091936 11/17/2019 11/17/2020 DAMAGE TO RENTED 100,000 <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY F7 JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED INGLE LIMIT <br /> Ea accidents $ <br /> ANY AUTO BODILY INJURY Per arson $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> HIRED NON-OWNED PerOaccitlenDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY <br /> B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> EXCESS LIAB CLAIMS-MADE CUP1 N547889 1/31/2019 1/31/2020 AGGREGATE $ 1,000,000 <br /> DED X RETENTION$ 5,000 <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> OFFICERO/MEMBER EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is an additional insured as respects General Liability when required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count Animal Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1601 Eubanks Rd <br /> Chapel Hill,NC 27516 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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