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2022-443-E-DEAPR-Bridge II Sports-Outside Agency Funding
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2022-443-E-DEAPR-Bridge II Sports-Outside Agency Funding
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Last modified
9/8/2022 1:54:56 PM
Creation date
9/8/2022 1:54:42 PM
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Template:
Contract
Date
9/7/2022
Contract Starting Date
9/7/2022
Contract Ending Date
9/8/2022
Contract Document Type
Contract
Amount
$22,500.00
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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />Move United <br />451 Hungerford Drive <br />Suite 608 <br />Rockville, MD 20850 <br />Safety Equipment or Precautions: Safety Equipment or Precautions: All adaptive equipment including wheelchairs, <br />blackout goggles, etc. are check and monitored by trained BIIS staff. <br />Event Address: 3729 Murphey School Rd, Durham, NC 27705 United States. <br />PO Box 8181 200 S Cameron Street Hillsborough, North Carolina 27278 <br />Providing the educational training/disability awareness event at multiple schools within Orange County. <br />Certificate Holder is included as an Additional Insured as respects to General Liability. <br />2 2 <br />Willis Towers Watson Northeast, Inc. <br />See Page 1 <br />See Page 1 See Page 1 See Page 1 <br />25 Certificate of Liability Insurance <br />W23260730CERT:2348352BATCH:21976234SR ID: <br />DocuSign Envelope ID: 1E4DE326-DAEE-4391-9EF9-4A4D40BFE54D
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