Orange County NC Website
212 345-5000 2!6/2012 3:3?:42 PM PAGE <br />.~"'1 ® OATf wrrodrYrr) <br />acoav CERTIFICATE QF LIABILITY INSURANCE 2 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF HIFORMATION ONLY AND CONFERS ND RIGHTS UPON THE ATE IIOLDHt. THIS <br />CERTIFICATE OOES NOT AFRRMATNELY OR NEtaAT'IVEt.Y AMEN, EICTENO OR ALTER THE tb'VER/1GE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN THE tSSU1NG NSURER(S), AUTHORED <br />REPRESENTATIVE OR PRODUCER. AND THE t~T~IGITE HOLDER. <br />IMPORTANT: ff the certificate holder is an AD~IONAL N4StiRED, the Poiic~l(ies) must be endorsed. N SUBROGA710N IS WANED, subject to <br />the teems and conditions of the policy, cermin po5cies may rerp/iee >A endorsement A statement on !his cectificale does twt confer rights to the <br />certificate holder in lieu of st~h endorserTterrt(s~. <br />ARSH USA IPA w+aE ~ <br />. <br />SUITE 400 w <br /> <br />- <br />1255 23RD STREET, N.W. mss: <br />WASHMIGTOIi, DC 20037 A~awleuc coweRwea: nluc e' <br />Atbn: glaeaaiie Davis - T-2D2--2p-7710 Halilo~d Fre It~re+ce Co <br />~~w 19682 <br />500625•-C~1UWP-11-12 ~~ <br /> o : Twin Clitr Fre Mlseranoe Ca <br />1NSUREO <br />M!W NUS, NC. AND ALL St16SID1ARES Hatfold Ir~Naax ~y q ~l <br />r c 37478 <br />114 SUNSET HLLS RIDAD t~noe ~ <br />Ch <br />6 2M83 <br />RESTON, VA X190 w <br />s <br />a o : <br /> <br />~. V Y CRAV W v~.~ ......r.. ~ ..~.~~~. ~. <br />Y PERIOD <br />FOR THE POLI <br />C <br />THIS IS TO CERT~Y THAT THE POLICIES OF MSURANCE Lt;+TEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />TERM OR CONDff10J4 OF ANY OONTRACT OR OTHER DOCtA4B4T WITH RESPECT TO VYHK:l1 THIS <br />MENT <br />UNtF <br />EC <br />, <br />_ <br />) <br />IND~ATED. NDTWfTHSTAANNNC~ ANY R <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRBED HEi2EN tS SUBJECT TO ALL THE TERMS, <br />ED OR MAY PERTAIN <br />, <br />CERTIFICATE MAY BE ISSU <br />EXCLUSIONS AND CONDRIONS OF SUCH PCUCIES. LIMITS St10NIM MAY HAVE BEl3H REDUCED BY PAS CtAMA.S. <br />INSR POI.K.Y fR:F POLICY O~ LIt~1i <br />LTR T1TE OF p~SURANCE POLICY MJ~ <br />1 <br />~ <br />~ <br /> lTY <br />GB~ERAL LIABM ' <br />' <br />EACH OCCURRENCE i <br />A X . <br />ITY <br />BN 4 05D12011 05A12012 PIEYSES amnai~ i t'~'~ <br /> . <br />COMMERCIAL GI9tE1tAL UA <br />CCUR <br />~ YED E16~ (Arpr oneP~) S 10,000 <br /> O <br />CI.NNS-WIDE PERSONALaADVIru-RV i 1,000,000 <br /> ~ <br /> G'@16rRL A[aYitEGATE i 2•~ <br /> i APPLIES PER PR~UCT3 - COMPlOPAGO i 2,000,0(1D <br /> : <br />GENL AGGREGATE LIM <br />X POLICY PRO- LOC i <br /> NIDIUTY <br />ALJTONOBILE L a amides 1,DOQ~(10 <br />A X . 421KlITEfi206 OS012011 OfiIDt2012 ti001LY 84R1RY (Per pe~sen) i <br /> ANy Amp <br />ALL OWNED SCHF[nr Fn BODLY rKNJRY (Pr abddelYt i <br /> ~T~ ~~~ PROPERTYd1MA~ <br />acdderr i <br /> I#REDAUTOS AUTOS i <br /> taaBRELLALYI6 p~~ EACHOCCi~RENCE i <br /> <br /> ~xcessLlAB CWT-MgDE AT;CREGI-TE i <br /> <br /> DED 1iETENTiON i <br />g wORKe'_R.4 COaP6eSAT10N 42MMBRMG3741(MN) 06101!1011 x5012012 X wC sUTLL OTF~ <br />C MD EM~LOY61S' LfABL[T1t Y tN <br />ANY PFi~R7ETORlPARTlEWE71ECUT1IIE 42WNIIG3740 (AAS) 06A12Di1 05A12012 E.L EACH ACCDENi i 1'~'~ <br /> ~ <br />OFFICE-R/MEM~R EXCLIlOED7 NIA <br />000 <br />1p00 <br /> ~ in NFti E.L DISEASE • EAE1pL , <br />i <br /> ( <br />If Yes. dee wrier <br />EL DISEASE - POLICY UteT 1,000,000 <br />i <br /> DESCRePTN)wl OF OPERATIONS below <br />D PROFESStONAI LIAB. 02~T7$1-22 0610/QOt1 OB012012 Esil G~AMregaie 1,000.000 <br /> SyR 10,000,000 <br />DESCRPTON OF OP6tl-TIONS l LOCATION.4 / 11EFfCi.ES (ALtaM AICOfm 181. AOifianal Re+ralMS Sprarle ie a~Iwe apace is raaretl) <br />:ORANGE COUNTY CAP EM6 FY 11-t3 CONTRACT <br />ANGE COUNTY, NC tS INCLUDED AS MDfi1014A1 NSItRfD FOR GENERAL LUDL-P/ AID AUTO Lt1181L1TY WFfRE REOIJIRED BY YrRfiIEN CONTRACT. <br />L:tKI IrlWll t 1'fVWC1C ' <br />ORANGE COUNTY. NC <br />ATTN: MS. S!1FNNAAYtj2 <br />200 S CJIMERON STREET SHOIa_D ANV OF TIE ABOVE DE9CR~ED POLICES L1E CAlKA7.I.ED BEFORE <br />7tE t7f~tATlOri DATE TIEREOF, NOTICE ~L tTiE DEL.IIIERED IN <br />ACCOADAI4CE WTIH TIE POlJC1/ PROM8N7N5. <br />NC 27278 <br />HILLSBOROUGH <br />, <br /> AuT1wRI~ RePRe~rrwTlvE <br /> of Yarsl~ USA Ins. <br /> Trnoety M. Sasser ~--~•~..~~1 f~-~ <br /> ~w~a.. nAee•fb~Te/~ar Atl .ie.Ma ee.lnNY(1 <br />ACORD 25 (2070/05) The ACORD reams and b9o are regiasered marks ~ ACORD <br />