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2020-312-E-EMS-Eagle Eye Security
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2020-312-E-EMS-Eagle Eye Security
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Last modified
6/14/2021 9:57:46 AM
Creation date
6/14/2021 9:56:19 AM
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Template:
Contract
Date
5/13/2020
Contract Starting Date
5/13/2020
Contract Ending Date
5/13/2020
Contract Document Type
Contract
Amount
$15,504.00
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DocuSign Envelope ID:2E2BCC77-5982-4F2A-B3E5-E81 CF2BO51 FA <br /> 705/06/2020 <br /> E(MM/DD/YYYY) <br /> AC®R®® CERTIFICATE OF LIABILITY INSURANCE <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 NAME: Ann marie Reese <br /> Insurance Matters LLC AICNNo EXt: (919)577-6700 A C No): (877)263-1015 <br /> 209 S Fu A-MAIL <br /> ua <br /> G Y Ave Rees Insurancemattersnc.00m <br /> A <br /> Suite 117 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Fuquay Varina NC 27526 INSURER : Steadfast Ins Co 26387 <br /> INSURED INSURERB: Zurich American Insurance Company of Illinois 27855 <br /> Eagle Eye Security Inc INSURER C: Steadfast Ins Co 26387 <br /> 9308 Smart Dr INSURER D: American Guarantee&Liability Ins.Co. 26247 <br /> Ste 5 INSURER E <br /> Raleigh NC 27603 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 /> INSRPOLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER IMMIDDIYYYYI IMMIDDIYYYYILIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> �/ DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 100,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y Y EOL9247105-07 10/30/2019 10/30/2020 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident 1,000,000 <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> B X OWNED X SCHEDULED <br /> AUTOS ONLY AUTOS Y Y BAP0885552-02 02/02/2020 02/02/2021 BODILY INJURY(Per accident) $ <br /> X HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY /� AUTOS ONLY Peraccident <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> C EXCESS LIAB CLAIMS-MADE AUC 0139569-05 10/30/2019 10/30/2020 AGGREGATE $ 5,000,000 <br /> DED RETENTION 0 $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 <br /> D OFFICER/MEMBER EXCLUDED? I N/A Y 5300003084-201 03/20/2020 03/20/2021 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> Errors and Ommissions 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Any person or organization under a written contract or written agreement is an additional insured with respects to general liability&auto liability, per form. <br /> Blanket of Waiver of Subrogation applies with respects to general liability, auto liability and workers compensation per form. <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 /> County of Orange ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Department of Financial Services <br /> PO Box 8181 AUTHORIZED REPRESENTATIVE�,-g, <br /> Hillsborough NC 27278 f � ! <br /> Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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