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2020-183-E AMS - Riley Surveying Whitted topo
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2020-183-E AMS - Riley Surveying Whitted topo
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Last modified
9/9/2020 10:29:06 AM
Creation date
3/27/2020 5:28:13 PM
Metadata
Fields
Template:
Contract
Date
2/26/2020
Contract Starting Date
2/26/2020
Contract Document Type
Agreement - Services
Amount
$8,650.00
Document Relationships
R 2020-183 AMS - Riley Surveying Whitted topo
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Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2020
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DocuSign Envelope ID: B9F3124F-9A4E-42FA-B05D-8F2D74490DB5 <br /> a CERTIFICATE OF LIABILITY INSURANCE 0211312020 <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 PoLIC1E3 <br /> FLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORgED <br /> REPRESENTATTVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certNFcate halder is an ADDITIONAL INSURED.the policyliesj must be endorsed. If SUBROGATION IS WAIVED,sut*sct to the <br /> terms and corrditions of the Pol;cy,certain policies may require an ondomeownt. A Statement on this certificate does not confer rights to ft <br /> certificate holdw in lieu of such endorsernerrl(a]. <br /> "00""Ae Greg Lopeman,CPCU c- an <br /> State Farm Insurance 1rA s IV-� <br /> 104-8 PVC Hwy 54 W tss�L _sn t3Y5_ L�SIataTarm-eom <br /> Calrborv, NC 27510 F0Raa1GG0IAF LUW T--wrcr <br /> - A _.... A Slate Farm Fire and(atl�esljr <br /> '"LAMD RILEY SURVEYING PA .iavRrr+. s .f. A1F�4n+a�1b <br /> STE 1008 srs+gatec <br /> 3326 DURHAM CHAPEL HILL BLVD <br /> DURHAM NC 2T707-2695 <br /> FlnK=1►F <br /> COVERAGES CERTIFICATE NUMBER_ RMSION NUMBER. <br /> THIS IS TO CERTIFY THAT TIME POLICIES OF INSURANCE UISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERrOD <br /> ROCATED. NOTWITHSTANDING ANY REOUIREMIENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHACH 1HsS <br /> CERTIFICATE AIAY BE ISSUED OR MAY PERTAIN, THE rftSURANCE AFFORDED BY THE POLACtES DESCRIQEO HEREIN IS SUBJECT TO ALL THE TERMS. <br /> ExCLLI.SIONS AND CONDITIONS OF SUCH PCX.ICiES.LIMFTS SHOWN MAY HAVE BEEN REDUCED BY PAID C1AYdS- <br /> LTRtY1'!0f erltalANC!no if . F ouci' <br /> t agif <br /> A CM1940 ftAL kwaLfff83� 5-6 C71 1024Y 0212CM21 _EACH oCCUFWemoe i 1_.00D.W0 <br /> ?C �FX7ls�m PRE1l �E�ra�rranaal S 300.000 <br /> p�wcn OCaJR <br /> � t 5.000 <br /> -- -_ PEASO.NAL l AM NAM_ 6 1.000,000 <br /> Gr HFM,q;Ar3GIdFGl1i€ f 2,000.0w <br /> AGG$MGATE LOOT APvCrti PER I..4>K000CTS•COiAP�gP AM S. 4.DOp,p00 <br /> x Pox r+Rp LOG ._ .... <br /> i <br /> B ArrieelD/IL!tLSRrrir 9M 27114D3033 1019 07A 10g01C1p2p _ f I6s t <br /> MAY A O e00Ar YiJllAtr tvrF>.nanY f -- - l�f1,000 <br /> ALrMddd x ALIT SCOLYraastrePwa mspo --- <br /> FrFEA Airi 0rSNOWOVAM lti ; <br /> ar.. 100,000 <br /> A x +Ir�A LM4 x oww : _ <br /> - lS6Y-1117-7 0�l'1�41ti QiftOVZ07t0 �'�c'�"'� s t,s10p:000 <br /> r�sr.AAs CZ,yA4MADE .. <br /> AGtt eATr t 1,000.000 <br /> XNEYENTION s 10 000 _ s <br /> A TSCTOCpTp11 �� <br /> wry sr,Sxccu.�t r►n F�aFACraol] s t.S100.000 OPT WR[xciuoaC' KrA <br /> MwN1011"InRrtl Fs OµfAF1E-F/1 t t.D00.00G <br /> if Yes.strati»VMLW 83-C7-P4W7 0?F2917p40 022002M <br /> El-0A -PcX CY Ia.r s 1,OW.Ow <br /> COL -tl l <br /> $CWrM Of ONWAT1C"f LaQkn0010+V041CM lA "ACORO in.ArlMerrrl Reffww"zdwdvw-s m m sww a rrq�**M <br /> Surveyors <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Asset Mailagement SH ANY OF THE ABOVE ACSCRIID POLICIES BC CANCELLED BEFORE <br /> TH r*" DATE THEREOF, NOTICE WILL BE DELIVERED I14 <br /> PO Box 8181 ACIORDr WrTH THE POLICY PROYISIoms, <br /> Hillsborough,?Crough, NC 27278 <br /> 0 ItrnrtCst:rnArrvE <br /> �4� ( <br /> 01988-M10 ACORD C RATK)N. All rights reserved. <br /> ACORD 25(2010/051 The ACORD name and logo are registered marks of ACORD 1001486 13280-6 11-15-2010 <br />
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