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2011-241A
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2011-241A
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Entry Properties
Last modified
2/18/2016 1:17:36 PM
Creation date
10/1/2015 3:49:17 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
12/06/2011
Control Number
2011-241A
Agenda Item Number
8.O
Entity Name
Coastal Automotive Equipment Sales
Subject
Transit Facility Fleet Equipment 2012018
Supplemental fields
SmeadsoftID
10780
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555 02 : 07 : 27 p . m . 12 - 08 - 2011 1 / 1 <br /> a CERTIFICATE OF LIABILITY INSURANCE DATD1YYYY) <br /> ACORIi] 122/os/2/0812o11 <br /> THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 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 be endorsed . If SUBROGATION IS WAIVED , subject to <br /> the terms and conditions of the policy , certain policies may requre an endorsement . A statement on this certificate does not confer rights <br /> to the <br /> certificate holder in lieu of such endorsement (s). <br /> PRODUCER CONTACT <br /> WELLS FARGO INS , SERV , USA-CH , NC PHONE FDX <br /> 6100 FAIRVIEW ROAD , SUITE 800 E -MAIL <br /> PO BOX 220748 ADDRF4INSURER(S) AFFORDING COVERAGE NAIC # <br /> CHARLOTTE , NC 28222 INSURERA: HARTFORD FIRE INSURANCE COMPANY <br /> INSURED 1627 INSURERS : <br /> STRATEGIC OUTSOURCING , INC . INSURER C : <br /> INSURER D : <br /> PO BOX 241448 <br /> CHARLOTTE , NC 28224 INSURER E : <br /> INSURER F : <br /> COVERAGES CERTIFICATE NUMBER : 42 ,294 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 REQUIREMENT07ERM 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 /> INSR TYPE OF INSURANCE ADD SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENT ED $ <br /> COMMERCIAL GENERAL LIABILITY FIRFUIRF anr�l <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> PRODUCTS • COMPIOP AGG $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> POLICY PRO,1FrT F1 LOC $ <br /> COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO BODILY INJURY (Per person) t <br /> ALL OWNEDSCHEDULED BODILY INJURY (Per sc denl) f <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY AMAGE E <br /> AUTOS <br /> b42196 $ <br /> UMBRELLA LIABOCCUR EACH OCCURRENCE S <br /> EXCESS LIAR H CLAIMS MADE AGGREGATE $ <br /> DED I RETENTION f <br /> WORKERS COMPENSATION X WC STATU - 0TH - <br /> A AND EMPLOYERS' LIABILITY YIN 22WBRJ79226 03/01 / 2011 03/01 /2012 <br /> ANY PROP RIETOP/PARTNERIEXECUTIVE E .L . EACH ACCIDENT 1 OOO OOO <br /> OFFICERIMEMBER EXCLUDED? NIA E .L . DISEASE - FA EMPLOYEE $ 1 . 000 , 000 <br /> (Mandatory in NH) <br /> If yes, describe underE .L . DISEASE - POLICY LIMIT = 1 . 000 , 000 <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, If more space is required) <br /> LIMITED TO EMPLOYEES LEASED TO COASTAL AUTOMOTIVE EQUIPMENT SALES , INC . BY STRATEGIC OUTSOURCING , INC . <br /> JOB : BID # 2012018 <br /> FAX : 772-778 - 9741 & 772 - 770- 5140 <br /> CERTIFICATE HOLDER CANCELLATION Certificate ID 42294 <br /> INDIAN RIVER COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PURCHASING DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1800 27TH STREET <br /> VERO BEACH , FL 32960 AUTHORIZED REPRESENTATIVE <br /> WI;Giit�. � fr/',,tir✓,t�c�s ti�-..SIT <br /> C 1yy988-2010 ACORD CORPORATION . All rights reserved. <br /> ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />
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