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2020-219-E AMS - Drain Express Inc. EAC drain
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2020-219-E AMS - Drain Express Inc. EAC drain
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Entry Properties
Last modified
9/21/2020 3:26:08 PM
Creation date
3/27/2020 5:46:19 PM
Metadata
Fields
Template:
Contract
Date
2/8/2020
Contract Starting Date
2/7/2020
Contract Ending Date
4/7/2020
Contract Document Type
Contract
Amount
$1,633.95
Document Relationships
R 2020-219 AMS - Drain Express Inc. EAC drain
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2020
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DocuSign Envelope ID:7249DADO-19FF-4COE-88F9-EA556OE34ED7 <br /> 3/18 <br /> A<17")?" CERTIFICATE OF LIABILITY INSURANCE 0M1ODfYYYY1 <br /> ��. 3/18/2020 <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(iesl must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> CONTACT MARCUS DAVIS,PRESIDENT <br /> PRODUCER NAME: <br /> PHONE 919-772-7698 FAX <br /> No:919-400-4320 <br /> ULTIMATE CHOICE INSURANCE GROUP INC (A(c N.o.Ext <br /> E-MAIL ultimatechpiceinsuranGe@gmail.com <br /> 3901 BARRETT DRIVE ABDRESS; _-__.SUITE 312 INSURE—-I AFFORDING COVERAGE NAIC# <br /> RALEIGH, INC 27609 INSURES,A: PROGRESSIVE SOUTHEASTERN INS CO 38784 <br /> INSURED INSURER Et: -- <br /> DRAIN EXPRESS INC INSURERC: <br /> PO BOX 670 IMSURER D -- <br /> CARRBORO, NC 27510 INSURERS <br /> IN SU RER 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 PER10D <br /> INDICATED. NOTW#THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE €SSUED 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 AD�SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDlYYYY) MMIDDIYYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED $ <br /> J CLAIMS-MADE �- —�i OCCUR II PREMISES(Ea occu"Rce <br /> . MED EXP(Any one person) <br /> PERSONAL&ADV INJURY $ <br /> GENLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE_ $ <br /> PRO- PRODUCTS-COMPIOPAGG S <br /> POLICY` J JECT c 1Loc <br /> OTHER: <br /> COMSINEDSINGLELIMIT g 1,pp0,000 <br /> AUTOMOBILE LIABILITY (Ea accident) <br /> ANY AUTO BODILY INJURY(PeT person) S <br /> A xALL OWNED SCHEDULED 02132482�6 0410112019 04/01/2020 I BODILY INJURY accident) $ <br /> AUTOS AUTOS _ ___ <br /> NON-OWNED PROPERTY DAMAGE 5 <br /> Per accidenf <br /> HIRED AUTOS AUTOS <br /> UMBRELLA LIAB, OCCUR EACH OCCURRENCE 5 _ <br /> EXCESS LIAB CLAIMS MADE AGGREGATE $ <br /> FEU I RETENTION$ $ <br /> PER <br /> WORKERS COMPENSATION STATUTE_ ERpTH- <br /> AND EMPLOYERS'LIABILITY Y f N <br /> ANY PROPRIETORIPARTNERlEXECUTIVE ❑ N!A E.L.EACH ACCIDENT _ <br /> OFFICENIMEMBER EXCLUDED? <br /> IMandatory in NH) I E.L DISEASE-EA EMPLOYE $ <br /> If yes.describe under E.L.E4SEASE-POLICY LIMIT 5 <br /> DESCRIPTION OF OPERATIONS below <br /> i <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (AGORD 101,Additional Remarks Schedule,may be attached it more space is required( <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY ASSET MANAGEMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 306 REVERE ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> N4A-6os 0,-f V14LIVT <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />
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