S Purchasing - Resolute Building Company Central Orange Senior Center & Sportsplex Renovation

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Client#• 126284 RFAnia ll ACORD- CERTIFICATE OF LIABILITY INSURANCE °IY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 10/19/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wachovia Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 97787 Raleigh, NC 27624 -7787 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIMITS A P:919- 676$834 F:919 -676 -3307 INSURERS AFFORDING COVERAGE NAIC # INSURED Resolute Building Company Ch Box Chapel Hill, , NC 27515 INSURER A: Amerisure Companies 19488 INSURER B: Amerisure Mutual Insurance Company INSURER c: Amerisure Insurance Company X COMMERCIAL GENERAL LIABILITY INSURER D: INSURER E DAMAGE TO RENTED &{ $300000 • COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD Ng TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E EXPIRATION LIMITS A GENERAL LIABILITY CPP2013875050007 10/01/07 10/01/08 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED &{ $300000 CLAIMS MADE FRI OCCUR MED EXP (Any one person) $1 O OOO PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG s2,000,000 X POLICY X JECT LOC C AUTOMOBILE LIABILITY X ANY AUTO CA2013873050007 10101107 10/01108 COMBINED SINGLE LIMB (Ea accident) OOO $1 r ,OOO BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ X $250 Comp Ded ROPERTY DAMAGE Per accident) ( E X $500 Coll Ded GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESSIUMBRELLA LIABILITY CU2013877 10101/07 10/01/08 EACH OCCURRENCE $10,000,000 X1 OCCUR Fi CLAIMS MADE AGGREGATE $10,000,000 S $ DEDUCTIBLE $ X RETENTION so B WORKERS COMPENSATION AND WC201388105 10/01/07 10/01/08 X WC LIMIT OTH EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100000 N OFFICER/MEMBER EXCLUDED? Des, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 5500 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: Central Orange Senior Center & Sportsplex Renovation, Hillsborough, NC. Orange County is an additional insured as respects general liability coverage. All polices referenced on this Certificate have been endorsed to provide 30 days notice of cancellation or non renewal by Registered mail to Orange County and Owner. Orange County 129 E. King Street Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL '10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08)1 of 2 #S1272855/MI263070 EPA01 o ACORD CORPORATION 1988