2011-078 AMS - Walker Automotive Supply, Inc. for Automotive and Facilities Maintenance Supplies

Browse Search

WALKALrr1 /~~ L/ ~-~ ~~~--~y~ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY1~ 4/11/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: ff &le certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on tfiis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines - 800-868-8834 CONTACT Debbie Wheeler NAME: "L 704-556-2766 ac No : 704-366-5421 EHO Wells Fargo Insurance Services USA, Inc. ~ debbie wheeler@wellsfar o com . g . ADDRESS: 6100 Fairview Road INSURERS AFFORDING COVERAGE NAIC / Charlotte, NC 28210 INSURERA: National Trust Insurance Company INSURED Walker Automotive Supply Inc INSURER B : Travelers CBS Co. of America 31194 705 E Six Forks Rd (27609) INSURER C . INSURER D PO BOX 19348 INSURER E Raleigh NC 27619 INSURER F COVERAGES CERTIFICATE NUMBER: 2631597 REVISION NUMBER: See below THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMnS A GENERAL LIABILnY CPP0010701 01/01/11 01/01/12 EACH OCCURRENCE $ 1,D00,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea ocwrrence 100,000 $ CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY PRO- X LOC $ ,4 AUTOMOBILE LIABILnY CA0014991 1/1/2011 1/1/2012 COMBINED SINGLE LIMIT Ea accident 1 000 000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accdent) $ X HIRED AUTOS X NON-0WNED AUTOS PROPERTY DAMAGE Per accident $ X Comp Ded $5 X Coll Ded $1,00 $ A X UMBRELLALIAB X OCCUR UM60009962 1/1/2011 1/1/2012 EACH OCCURRENCE $ 5,000,000 EXCESS LL4B CLAIMS-MADE AGGREGATE $ S,D00,000 DED X RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILnY 010WC11A63179 1/1/2011 1/1/2012 X WC STATU- OTH- I Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED9 ~ (Mandatory In NH) N / A E.L DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 500,000 $ B 3rd Party Crime 105057529 04/11/11 01/01/12 $1,000,000 Limn DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 107, Additional Remarks Schedule, if more space is required) Orange County is named as additional insured with respects to general liability, auto liability and Umbrella CERTIFICATE HOLDER CANCELLATION Orange County PO box 8181 Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATNE {e~r5/~i+.~ ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORATION. All rights reserved. In+s m ~p.ms certlfirx zsarsaa weed m an irzm rl