2012-004 EDC - Studious Baker for Facility Use

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r e DATE (MMIDDNYYY) A� ° CERTIFICATE OF LIABILITY INSURANCE 2/8/2012 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: If the 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _ _NAME ,Ell @n Walker Business Insurers of the Carolinas PH °NE (919j 968-4611 41 (919)968- 8991 NG Nq E St)a W . _ 800 Eastowne Drive, Suite 208 App LL ewalker @business- insurers.com PO Box 2536 CUSTOMER ID Chapel —Hill NC 275155 -2536 INSURER(SjAFFORDINGCOVERAGE NAIC• .,,,,�..__.._...._.... ___.. .,.._.�..._... -. _ -._... INSURED INSURERA The Hartford .. _ 29424 INSURER 0: Rob Llana ..... .. INSURER C : " 15 Weybridge Place INSURERD INSURER E: Chapel Hill NC 27517 INSURERF. rnvcOAr_Ce r1=0711=ICArP Ul IMOGD•rT.11111051D1 RFVISIAN NLIMRER: 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. 1NSR _. ,�.::, , ._iti7D1 HRr% POLIO' EFF _ P6LICYEXP '1— _ LTR TYPE OF INSURANCE lusig WVO POLICY NUMBER (MMIORCM MMIDDIYYYY LIMITS GENERAL LIABILITY.. -, ... EACH OCCURRENCE - $ 2,000,000 000,1_000 X 1 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) „ $_ _i , -., -- —� 11/3/2011 11/3/2012 ' A CLAIMS -MADE I X OCCUR 228BAHM1B28 MED EXP (Any one person) $ J 10,000 _ INJURY $ 2, 000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY I PRO Fi LOC AUTOMOBILE LIABILITY : COMBINED SINGLE LIMIT $ (Ea accident) --- J ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS 11.1. .BODILY _I .._- _ .. ..... _ .... INJUR R Pe Y (r accident) $ SCHEDULED AUTOS "1PR1 - � - PROPERTY DAMAGE HIRED AUTOS :. $ (Per accident) NON -OWNED AUTOS - $ $ UMBRELLA LIAB L— OCCUR EACH OCCURRENCE $ `- EXCESS LIAB CLAIMS -MADE : AGGREGATE $ DEDUCTIBLE $ RETENTION S - $ 1 WORKERS COMPENSATION RY TATU- '',,:. IT AND EMPLOYERS' LIABILITY Y / N ,. ...... . ANY PROPRIETORIPARTNERIEXECUTIVE.� E L. EACH ACCIDENT $ '..OFFICERNEMBER EXCLUDED? N A / _ ..: .,............ _. . .. _. (Mandatory in NH) E.L DISEASE - EA EMPLOYEE S :_.. ._.. ,.___._..m_.._. H es: describe under .. _.,. . , ...._. ..... DESCRIPTION OF OPERATIONS below El DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Orange Co., NC & Piedmont Food and Agricultural Processing Center is also additional insured when required by written contract.( Form SS 00 08 04 05) mroybal @co.orange.nc.us Orange Co, NC & Piedmont Food Agricultura Processing Center 500 Valley Forge Road Hillsborough, NC 27278 I Arniin �� r�nncraal APR.CLLA I IVDI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. )THORIZED REPRESENTATIVE Ellen Walker /ELLEN ©1988.2009 ACORD CORPORATION. All rights reserved. INS025 (2W9W) The ACORD name and logo are registered marks of ACORD