Orange County NC Website
ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP IDm <br />DATE P Y) <br />CAROGRE <br />05/25/07 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />N DUCE TO THE CERTFICATE HOLDER NAMm TO THE LOR, BUTFALUE TO 00 SO SHALL <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Knauff Insurance, Inc. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. sox 33789 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Charlotte NC 28233 -3789 <br />ACORD 25 (2001108) G ACORD CORPORATION 1988 <br />GENERAL LIABILITY <br />Phone: 704 - 375 -8000 <br />INSURERS AFFORDING COVERAGE <br />NAIC S <br />nsuRm <br />INSURERA nyLa^a „ba..L payer, m. <br />E07 <br />UUI URER S: <br />Carolina Green Corporation <br />INSURER C: <br />Kerry Price <br />10108 Indian Trail- Fairview Rd <br />A <br />Indian Trail NC 28079 <br />INSURER D.' <br />09/01/06 <br />INSURER E <br />DAIWAGETO RENTED <br />PREMIUMS (E. <br />COV <br />THE POLICIES OF INSURANCE LISTED BELOW H WE SEEN ISSUED TO TIE INSURED NAMEDAEOVE FOR THE POUCY PERIOD INDICATED. NOTVBTHSTANDING <br />ANY REQUIREMENT. TEIN OR CONDITION OF ANY CONTRACT OR OTHER DOcLWNTWrH RESPECT TO W*CH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY PERTAIN, THE NMRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE UNITS SHONM MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INN ADVIL <br />L1R <br />N DUCE TO THE CERTFICATE HOLDER NAMm TO THE LOR, BUTFALUE TO 00 SO SHALL <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECT NE <br />DATE UNUDDIYY) <br />E <br />POLICY WMTION <br />DATE NLSDDNh <br />LAM <br />A` +/J <br />MIX w� <br />ACORD 25 (2001108) G ACORD CORPORATION 1988 <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1,000,000 <br />A <br />UABLRY <br />3D2185807 <br />09/01/06 <br />09/01/07 <br />DAIWAGETO RENTED <br />PREMIUMS (E. <br />s 100,000 <br />MEDEXPIA Yarpren) <br />s 5,000 <br />cLADaMADE F OCCUR <br />N7 <br />PERSONAL B AOVINJURY <br />S 1,000,000 <br />GENERALAGGREGATE <br />s 2,000,000 <br />GENLAGGREGATE UwfAPPUES PER <br />PRODUCTS- COMNOPAGG <br />s 2,000,000 <br />PRO - <br />JECT LOD <br />A <br />AUTO <br />MOBLl LIABILITY <br />ANY AUTO <br />3E2185807 <br />09/01/06 <br />09/01/07 <br />COMBINED SINGLE LMT <br />s 1,000,000 <br />% <br />ALL OMED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />M. P.- <br />S <br />HIRED AUTOS <br />$ <br />NON-0NNED AUTOS <br />BODILY INJURY <br />)P�TACeMrq <br />S <br />X <br />DAMAGE <br />(PATAne <br />S <br />IPROPERTY <br />GARAGE LIABILITY <br />AUTO ONLY. EAACCIDENT <br />s <br />"� <br />EA ACC <br />OTHER <br />S <br />s <br />AUTO ONLY : AGG <br />A <br />CKCESL NABImLA LMBLITT <br />R OCCUR El CLAM MAW <br />3J2185807 <br />09/01/06 <br />09/01/07 <br />EACH OCCURRENCE <br />s 5,000,000 <br />AGGREGATE <br />s 5,000,000 <br />s <br />S <br />DEDUCrsLE <br />RETENTION $ <br />S <br />A <br />YYORI� DOIlEIGTON AND <br />UNPLOYEW LIABILITY <br />PROPRIETCRIPAmHERM)MCUmE <br />3H2185807 <br />09/01/06 <br />09/01/07 <br />x we BTATW OTw <br />TORY UMITB ER <br />EJ EACH ACCIDENT <br />s500,000 <br />OFFICERLAEMBER EXCLUDED? <br />IrM CRObA uqr <br />ILL DISEASE - EA EMPLOYEE <br />s 500,000 <br />EL DISEASE- POLICY UNIT <br />s 500,000 <br />SPECIAL PROVISIONS Mbr <br />• <br />OTHER <br />Equipment Floater <br />3C2185807 <br />09/01/06 <br />09/01/07 <br />Lease /Ren $60,000 <br />• <br />Installation Float <br />302185807 <br />09/01/06 <br />09/01/07 <br />Install $530,463 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEpCLN I ESCLUSCNS ADDED BY EDOIBEMMT I SPECIAL PRUNMOW <br />RE: Field Construction and Irrigation Improvements, west Ten Soccer Center, <br />Orange County, NC <br />GER I IFIGA 1 E HOLDER CANCELLATION <br />ORANCOU <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES M CANCELLED BEFORE THE EXPOULMON <br />DATE nH M. THE OMWONUMBER BALL ENDEAVOR TO ARIL 30 DAYl INaTRN <br />Orange County <br />N DUCE TO THE CERTFICATE HOLDER NAMm TO THE LOR, BUTFALUE TO 00 SO SHALL <br />Board of Education <br />BlOSE NO OBLIGATION OR LIABILITY OF ANY KID UPON THE INEHER. US AGENTS OR <br />200 E. King Street <br />Hillsborough NC 27278 <br />A` +/J <br />MIX w� <br />ACORD 25 (2001108) G ACORD CORPORATION 1988 <br />