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2021-515-E-AMS-RestorePro Restoration-Court Street Annex - Mold Remediation per attached proposal
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2021-515-E-AMS-RestorePro Restoration-Court Street Annex - Mold Remediation per attached proposal
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Last modified
9/22/2021 9:50:03 AM
Creation date
9/22/2021 9:49:39 AM
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Contract
Date
9/17/2021
Contract Starting Date
9/17/2021
Contract Ending Date
9/21/2021
Contract Document Type
Contract
Amount
$3,750.00
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CERTIFICATE HOLDER <br />DATE (MM/DD/YYYY)CERTIFICATE OF PROPERTY INSURANCE <br />CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />ACORD 24 (2009/09) <br />© 1995-2009 ACORD CORPORATION. All rights reserved. <br />SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />$ <br />$$ <br />TYPE OF INSURANCE POLICY NUMBER COVERED PROPERTY LIMITSINSR <br />LTR <br />POLICY EFFECTIVE <br />DATE (MM/DD/YYYY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YYYY) <br />PROPERTY <br />CAUSES OF LOSS <br />BASIC <br />BROAD <br />SPECIAL <br />EARTHQUAKE <br />FLOOD <br />BUILDING <br />PERSONAL PROPERTY <br />BUSINESS INCOME <br />EXTRA EXPENSE <br />BLANKET BUILDING <br />BLANKET PERS PROP <br />BLANKET BLDG & PP <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />WIND <br />DEDUCTIBLES <br />BUILDING <br />CONTENTS <br />RENTAL VALUE <br />$ <br />INLAND MARINE TYPE OF POLICY <br />CAUSES OF LOSS <br />NAMED PERILS <br />$ <br />$ <br />$ <br />$ <br />POLICY NUMBER <br />CRIME <br />TYPE OF POLICY <br />$ <br />$ <br />$ <br />BOILER & MACHINERY / <br />EQUIPMENT BREAKDOWN $ <br />$$ <br />COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: <br />LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <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 />The ACORD name and logo are registered marks of ACORD <br />If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. <br />INSURER A :INSURED <br />PHONE(A/C, No, Ext): <br />PRODUCER <br />PRODUCER <br />CUSTOMER ID: <br />ADDRESS:E-MAIL <br />FAX(A/C, No): <br />INSURER B : <br />INSURER C : <br />CONTACTNAME: <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />NAIC #INSURER(S) AFFORDING COVERAGE <br />5/12/2021 <br />Jones Insurance Agency,Inc. <br />820 Benson Road <br />Garner NC 27529 <br />Heidi Morse <br />919-772-0233 919-779-4025 <br />morseh@jones-insurance.com <br />RESTORP-01 <br />RestorePro Reconstruction,Inc <br />106 Capitola Drive <br />Durham NC 27713 <br />Selective Insurance Company of the Southeast 39926 <br />1154202533 <br />Coverage applies to all insured locations. <br />Locations: <br />See Attached... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />A <br />1,000 <br />1/8/20221/8/2021S2453198 <br />X <br />X PP Others 500,000 <br />A <br />X <br />Bailees <br />1/8/2021 1/8/2022 <br />X Bailees 500,000 <br />X Deductible 2,500 <br />Transit 250,000 <br />X <br />X <br />Special Causes S2453198 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br />THE POLICY PROVISIONS. <br />For Information Purposes <br />DocuSign Envelope ID: 8114697F-F41C-43F1-AFE2-ADC7016F0955
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