Orange County NC Website
AC 0~ UA7H M . . <br />~ GERTIFICATE .O.F L~A~Bt~1TY !hlSURA:NCE ~ ~°°'m'Y~ : <br />g<25{~2012 <br />TH13 C~R71FiCA7E~ IS 13311ED. qS:A`MATTEi2:OF 1NFORMA710lV. ~N~Y AND CONFER$:,NO RIGHTS uP.ON TtiE CERTIFICATE HOLDER. THES <br />CER71FtGATE DOE~ NgT aFFlRINkTiVELY OR iJ~G¢TiVELY .AMF.PID; EXTENfl OR, ALTER 7H~ .CpyERqGE. AFFORDED SY THE POf~ICIES <br />9ELDW. YHIS 'CERtJFtCATE OF INSURANCE DOE$ NOT CON371TuTE A C4NTRACT. BETWfiEN. T~IE lSBU1HtG ~PtSURER(3), .AllTHORILEo <br />REPRE~ENTATII/~ ~R PRODUCER, ANp TI-tE.CERTlE1CATE HOL~ER.. <br />IMPORTANT: (f Eh0 cQrtFflcars.6oider'Is an ADDITIONAL INStJRkD~ tRa. poficy({es) rnust be endolggd. If SUBRO.GAFIOlV IS WpIYEp, ~ubject to . <br />ttie terms and 6ondltions of the po'llcy; carts~~ p.p~[cles mdy requfre an ertdorserileM: A stalamenE ori tFrts CerNficafe dnes not ion[er rights fo the <br />certlficate holder i~ lieu of sutn ep'dorseritBtt[ 8. " <br />attoauCeR r <br />Ma: <br />Murra.y M. White, Ina. vrtoNe 336.869.47&T .. FAX <br />~ ~ O SOX `ZZ9~ ' . ' ' . . ~ ~ .. . ~EA l • . ~ . ' No.336.999_7633 , <br />. P DU . <br />Hi h Peir.~t NC 27261 <br />' ~naURED ' ~ ~ , . . , , ~ ~ ' ~N4U S .AFFORWNGCOVERAOE ~ ~ ~C~ <br />TN311R~R'A;OTBB 3 .T1$ • ~11,8' <br />g. CSlil@LO?1 ~ Cameron,,' =nc. IHSlJIIERB:C3hdl. IZt9. (,'O ' ' - _ <br />1418 Avondal~ Drive y ~-~soR~RC:EVans~on Insnraziae ~Com an, .. <br />Suite 3 ~~HSUaE u,Markel AinQrioazt Ssea Co <br />Durhiam . NC 27701 visuec-~te:' <br />COVERAGES. i' E r. <br />CERTIFfCATE NUIIABER:11. C~r~ifioate -: Tia :, REVISION NUMHER: <br />THIS 16 TO C~RTII'Y nfAT 7HE POLICIES oF ~NSURANC~ LIS7'~D 8ELb1N EiqVE°gEEN ISSUED, TO 7HE' 1N51JREd (YqMEO AB01/E FOR THE POLICY P•ERlOD <br />INOICATEO. NOTV1qTHSTAND7NG qNY REQUIREMIENT, 7ERNF OR CONDt7iON"OF AHY CONTRp,CT OR OTHER OQCIJMEN'F V41}'!i. RESPECT TO UIIH(Cti THIS . <br />CER'iiFIGiTE 11~qy gF ~gg~O.OR MAY PER,T/-IN, THE.iNBt)RqNCE qFFORDED'B7 Tf1E ~'OLICfE$:bES~RtBED HEREIN jS SUH.{ECT TO p,LL.THE TERMS, <br />FXCI.USIONS AND COEVQL710NS OF SE1CH POLfC1ES, ~iiHiLS BNOWN R1Ax liAVE BEEIJ REDLCEO BY PA1D CLAIk19. ' <br />Li12R TYP6 QF (NBURANCL ' . e •. .. POCIGYNU'M~ER'. Nyrp ~ E7CP . <br />, ' OF~ltfiRllL L1461~1iY ' ~ . , . . . ~. ~ . LZMITS ~ ~ ~ ' ~ <br />US01000112Q . ' 7/19/2011 7/Sg/2614 ~y O~RRENCE S 1~ OOO ~ O~.Q <br />X COMA~RCIhLOENERALLWBIUTY . ~ <br />v 65s c S. IOO,p00 <br />~ CWlM3fi1ADf ~ OCCi1R , <br />Meo ~ a~yona «~ : s 5; 000 <br />~RSONn~aAOVmJ.~RY S 1,0OO,OUO.' <br />' aEHEtt~ nac,REC~++~E S 2.y OOO ~ 4QO <br />~ GEttIAGGiZEOATEIIM~ITA?PLI~SPER ' . . . ' .. . . . ~ . "• ~PROWC7$-COfAP1ppA~0 2 ~00~000 . <br />X FOCIGY ~p~ <br />AUTOMOHIiE LIABII77Y ~ ' $ ' <br />ZA03.B21705 .... 7/~'D/2011 7j19f2012 COI~fB~eo 81NGC6 LIIt1R , <br />/wi'AU7'O - ' (~.~t). . S 1; 000; OQO ' . . <br />H ALE OWNEDAUTOS • BOO1~,Y JNJURY (Par prr.oil . g <br />SCHEDUIED AUT03 , • BODILT 1NJURY (Petaoodern~ 5 <br />x HIREO'AUY08 PROPERTY DAMAGE - <br />' {Per ac~leN) S <br />NON~V'AVED AUTOS <br />S . <br />UAS9RELL4llAe' X $ <br />oCCUR g500911 ' 9Jo9/201x 9/03/2012 ~yO~~eNCE : s 1,QOO~OQa ,' <br />E%C~88 El~B . ' . . ,~MOE <br />oEOUCZ~cn.e ', A~cRECU+r~, s 1,,000,000 <br />C' X RE7EN OTI 1.0. OCO' ' g.' <br />WORJ(ERS COMVENSATt0A1 .' . g <br />AND EMPL6YERB'.LIABILIM . Y. /.p . . ' . . . . . ~ ' . . . .. .. . : A ~ OTH- . ' . . ~ . <br />~ N1Y'PtLOPR~E'[oWPAR'FNERIFJCEC,uitvE.~Y ~ ... . . ~ . . ~ . <br />OffIGERRdEA1BER'fXCCU0E0? i 1 N/ A E,L: ~l1CH qCCf0E2JT .. S <br />~ , (STanEalory fn NH) . ~ . u ~ . ~ . . .. . ~ . . . . . <br />R Yoa 0asoribe uxlcr • • E:C. DIBEASE - EA EMPLDYE ' S. <br />DE8t~RIPi[UM RA710NSDe <br />D tOt ?Sllek' GQ • ~ ~ ' ~ ' ~ .E1,018EA$E=~ROLICYIIMIT $ ~ <br />r~° - r.egai 2oia5 ~J1~l~oii ~/~~./2oia <br />iaDiliLy . $50,OQO'I.imit <br />$1',000.'DedubCible . <br />DEBCPlP'ROHOPOPEtiAF[ONSI,LOGpT1CN9fYE}ttCLES jqlt~epqCORay0l,Addfdmal{3amiCksScf~eWlo,RmoreapacalBi~aQulredy <br />The oartiPi~te ho7,dor 3,a adned ~a additias~al ~aurmd. Cancellatiun ~E~.ee ger pola.oy coaldit'ions aCtacAad. <br />CERTIFICATE F10LDEI2 'Cr4NCEl.LAT'IOAI <br />SMO!1lD ANY OF.TFIE AB01iE DFSCRIBED PpLIGiES S~ CANCEL~EU B~ppRE <br />TiIE_ EXPIRqTION. DATE .THEREOF, , NOT~CE, .W~~,~,, 8E DEUVERED • IN . <br />Countg of OrBnq~ ACCORD,ATd6E.WITH THE.POUCY PROV1310NS. ~'. <br />~inanaial.3~rvices ' <br />PO ~ox 8181 AUTFIGRIZ~DREQRE8QmpTIVF: <br />Hillaborough,. NC 272?B ,' <br />Rob~rt Adema/BET21 , ~- ~ ~~~-- _ <br />A'C~RD 26 (2D091Q8) @1988-2p09 ACORD CORPQRA710N. All rights reaerved. . <br />IN502s{zoaeoei: . The A~CfJRD nsene and logo ar~ regisfered martia. of ACORD <br />~ - . . ~ b, ' . . . . . .. , ' • ' . . ~ ' ' ~ ' . . . . . , . . <br />