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2021-244-E-AMS-Intellicom, Inc Northern Campus Detention Center AV install
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2021-244-E-AMS-Intellicom, Inc Northern Campus Detention Center AV install
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Last modified
6/15/2021 10:47:08 AM
Creation date
6/15/2021 10:31:27 AM
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Contract
Date
5/5/2021
Contract Starting Date
5/5/2021
Contract Ending Date
8/5/2021
Contract Document Type
Agreement - Services
Amount
$43,123.93
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DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 <br /> ` 4 �'� <br /> ,4ccw" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 44.� 03/11/2021 <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 CONTA T Steven Stacy <br /> NAME: <br /> Pelnik Insurance PHHONN (919)459-8000 yC NI.. (866)714-3576 <br /> 100 Ridgeview Drive L-IARFss: Steve.Slacy@Pelnik.com <br /> Suite 100 INSURERIS)AFFORDING COVERAGE NAIC 9 <br /> Cary NC 27511 INSURERA: The Hanover Insurance Group <br /> INSURED INSURER B: Allmerica Financial Benefit 41840 <br /> Intellicom Inc,DBA:PLC Communications Inc INSURER C <br /> 2902 S Miami Blvd Ste C INSURER D. <br /> INSURER E: <br /> Durham NC 27703 INSURER F. <br /> COVERAGES CERTIFICATE NUMBER: CL2131121107 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 /> TYPE OF INSURANCE POLI Y EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER MMIDDNYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 2,000,000 <br /> CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ <br /> 500,000 <br /> MED EXP(Any one person) s 15,000 <br /> A OZ6-D866854-00 04/01/2021 04/01/2022 PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,000,000 <br /> POLICY PRO- <br /> �E T LOC PRODUCTS-COMP/OPAGG s 4,000,000 <br /> OTHER- s <br /> AUTOMOBILE LIABILITY COME IN D SINGLE LIMIT s 1,000.000 <br /> Ee accident) <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED AW6-D866847-00 04/01/2021 04/01/2022 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> IX <br /> HIRED x NON-OWNED PROPERTY DAMAGE s <br /> AUTOS ONLY AUTOS ONLY Per acdderu <br /> s <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE s 6,000,000 <br /> A EXCESS LAB CLAIMS-MADE OZ6-DB66854-00 04/01/2021 04/01/2022 AGGREGATE s 6,000,000 <br /> DED I X RETENTION S 0 s <br /> WORKERS COMPENSATION v PER OTH- <br /> ANDEMPLOYERS'LIABILITY YIN /� STATUTE ERR <br /> ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT s 1,000,000 <br /> B OFFlCERIMEMBER EXCLUDEM FN] N/A W26-D866842-00 04/01/2021 04101/2022 <br /> (Mandatory In NH) 1,000,000 <br /> If yes,describe under E,L DISEASE-EA EMPLOYEE s <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT s 1,000,000 <br /> Leased/Rented Equipment <br /> A OZ6-D866854-00 04/01I2021 04/01/2022 Limit 100,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <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 /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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