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AG 2014 06 16
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AG 2014 06 16
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Last modified
6/18/2014 9:32:09 AM
Creation date
11/27/2017 10:47:36 AM
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Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
6/16/2014
Board
Board of Commissioners
Meeting Type
Regular
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CERTIFICATE OF LIABILITY INSURANCE DATE {MMIDDYYYY) <br />�� 0312412D14 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />NAYE: Allied Insurance Agency Inc. <br />Allied Insurance Agency <br />PHONE , ExL 1: pvc. No): <br />(AIC, No 784 -934 -2890 704 -933 -8120 <br />ADDRESS: alliedins @vnet.net <br />2113 bale Earnhardt Blvd <br />INSURER (S AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Nautilus <br />Kannapolis NC 28083 <br />INSURED <br />INSURERS: Integan National <br />® COMMERCIAL GENERAL LIABILITY <br />❑ CLAIMS-MADE CI OCCUR <br />TJ's Taxi Inc. <br />INSURER c : <br />8254 Smith Road <br />INSURER D: <br />PREMISES {Pa occurrence} <br />INSURER E: <br />MED EXP (Any one person} <br />S 5,000 <br />Kannapolis NC 28081 <br />INSURER F: <br />%,UVtKAL3rb L:tKIIFIL;AIt NUMkitK: REVISION NUMBER: <br />THIS 15 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />wvn <br />POLICY NUMBER <br />POLICY EFF <br />MMIDWYYYY J <br />POLICY EXP <br />(MMIDDffYYYI <br />LIMITS <br />GENERAL LIABILITY <br />FACH OCCURRENCE <br />S 1,000,000 <br />® COMMERCIAL GENERAL LIABILITY <br />❑ CLAIMS-MADE CI OCCUR <br />PREMISES {Pa occurrence} <br />S 50 , 000 <br />MED EXP (Any one person} <br />S 5,000 <br />A <br />❑ <br />NN045385 <br />09/25/2013 <br />09125/2014 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />❑ <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER' <br />PRODUCTS- COMPIOP AGG <br />S 1,000,000 <br />❑ POLICY ❑ PRO- LOC <br />JECT <br />S <br />AUTOMOBILE LIABILITY <br />(Ea accident) <br />S 1,500,000 <br />❑ ANY AUTO <br />BODILY INJURY (Per perseny <br />S <br />B <br />I� A O SCHEDULED <br />❑ AUTOS ,AUTOS <br />2002270890 <br />0812512013 <br />08125x2014 <br />BODILY INJURY (Per acc idenq <br />5 <br />NON -OWNED <br />® HIRED AUTOS ❑ AUTOS <br />(Per accident) <br />$ <br />❑ ❑ <br />5 <br />❑ <br />UMBRELLA LIAR <br />❑ <br />OCCUR <br />EACH OCCURRENCE <br />S <br />❑ <br />EXCESS LIAR <br />AGGREGATE <br />5 <br />F] <br />r <br />DED ❑ <br />I RETENTION S <br />5 <br />W ORKERS COMPENSATION <br />❑ WC STATU- ❑ OTH- <br />A ND EMPLOYERS' LIABILITY <br />YIN <br />A NY pROPRIETORlPARTNERfEXEGUTIVE <br />OFFICERIMEMBER EXCLVOED F <br />rJ r a <br />EL EACH ACCIDENT <br />_ <br />S <br />E.L. DISEASE - FA EMPLOYEE <br />S <br />(Mandatory in NH) <br />I yes, describe under <br />E.L. DISEASE- POLICY LIMIT <br />5 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Taxi Service <br />#1)1995Linc #iLNLM82WSXY678076 #2)1992Line #1LNLMBIW7NY681975 #3)1995Linc #1LN1_Nt82W7SY727749 #4)1995Linc #1LNLMB2W2SY654055 #5)1996Lric #11_NLM8 <br />The General Liability is specific to 901 Woodlawn Street Kannapolis NC 28063 <br />CERTIFICATE HOLDER CANCFI I ATInN <br />fAk,UMLJ 45 j2040 WO) © 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />W7TY61 <br />Attachment number 2 <br />F -4 Page 157 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cabarrus County <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />P.O. Box 787 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Concord, NC 28026 <br />AUTHORIZED REPRESENTATIVE <br />fAk,UMLJ 45 j2040 WO) © 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />W7TY61 <br />Attachment number 2 <br />F -4 Page 157 <br />
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