Orange County NC Website
RpF CERTIFICATE OF LIABILITY INSURANCE <br />Ft?J2812012 M/DD/YYYY) <br />TYPE OF INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />PHONE FAX <br />A/C o <br />J Micheal Griffin <br />MAIL <br />Aoo IL <br />PO BOX 1357 <br />INSURER (s) AFFORDING COVERAGE <br />NAtC # <br />MOORESVILLE NO 28115.1957 <br />INSURER A; NATIONWIDE MUTUAL INSURANCE COMPANY <br />23787 <br />INSURED <br />INSURER B <br />07/21/2011 <br />INSURER C: <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />SWEET NEECY S LLC <br />INSURER D: <br />GENERAL AGGREGATE <br />408 W ROSEMARY ST <br />INSURER E: <br />CHAPEL HILL NO 27516.2301 <br />INSURER F : <br />4U V r_n#4%7G.7 L:CH 11 FI L:A 1 r N UM H 1-H' OGllllrl/t \I rV l lean Co. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRR <br />TYPE OF INSURANCE <br />INSR <br />WUV513FI <br />POLICY NUMBER <br />PO CY F <br />M�NULDI DY Y <br />LIMITS <br />GENERAL LIABILITY <br />X COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />� `�`(' <br />'•• <br />"' <br />EACH OCCURRENCE <br />$2,000,000 <br />Ea nca. <br />$ 100,000 <br />MED EXP (Any one person) <br />$ j 000 <br />A <br />ACP GLO 2224058004 <br />07/21/2011 <br />07/21/2012 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />X POLICY PRO LOG <br />PRODUCTS •COMPIOPAGG <br />$ 3,000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />- <br />COMBIRED SINGLE LIMIT <br />Ea accident) <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (For accident) <br />$ <br />PROPERTY DAMAGE <br />ar axMent <br />$ <br />$ <br />UMBRELLA UAB <br />EXCESS LIAR <br />HCLAIMS-MADE <br />OC CUR <br />?� <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I RET NTION $ <br />WORKERS COMPENSATION <br />ANDEMPLOVERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNEIVEXECUTIVE <br />OFFICEM4EMBEFI EXCLUDED? ED <br />WC STATU OTH- <br />ER <br />$ <br />N 1 A <br />;^�^ <br />#^ � <br />i <br />E.L. EACH ACCIDENT <br />$ <br />E.L, DISEASE - EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />I yea, desarbe under <br />E. L. DISEASE - POLICY LIMIT <br />It <br />Fl <br />DESCRIFnON OF OPERATIONS I LOCATIONS /VEHICLES (Altach AGORD 101, Additional Remarks Schedule, it more space Is required) <br />Orange County, NG and Piedmont Food and Agricultural Processing Center Is listed as additlal Inssured on the above policy <br />ACr1Tlf•rA •Tt' 1.111 rlrw <br />Orange County NC <br />Piedmont Food & Agriculture Processing Center <br />500 Valley Forge Road <br />Hillsborough NC 27278 <br />PU.UMU zo jzul WUO) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE . THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />s &MIC r.. <br />01988 -2010 <br />The ACORD name and logo are registered marks of ACORD <br />All rights mQamarl <br />u <br />