Orange County NC Website
MAY -04 -2012 FRI 10:10 AM Federated Ins. FAX Or X50 45588$5 <br />P. 03/03 <br />Eli <br />w <br />;. <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER. OF 114FORMATION <br />ONLY ANT) CONFERS NO RIGHTS UPON THE CERTIFICATE <br />FEWRATED MUTUAL INSURANCE COMPANY <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Home Office: A.O. Box 328 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Owatonna, MN 5500 <br />COMPANIES AFFgpD# 4 COVERAG <br />Phone: 1-888 - 333 -4W <br />eoM °ANY FEDERATED MUTUAL. INSURANCE COMPANY OR <br />A FEDERATEO SERVICE INSURANCE COMPANY <br />_ <br />MlSL/RAN <br />WARREN HAY MECHANICAL <br />346-000-2 COMPANY <br />CONTRACTORSINC <br />B <br />PO SOX 818 <br />CWPAW <br />HILL- SBOROUGH NC 27278 <br />C <br />COMPANY <br />D <br />THIS IS TO MRTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOiWITHSTANOEHG ANY REOUIREMENT. PERM <br />OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY RE ISSUED OR MAY PERTAIN, THE INSVRANCB AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SU9JECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE 8£1W REDUCED BY PAID CLAIM& <br />- -_. <br />CO rowey tpv 9VA POLICY p6€ffl� y" I <br />LTA TYPE CP MUCY f lAl91#I OATC IMMIODNIYI OAT} O MICp/M <br />IS <br />BUMU: UAaMM <br />GEMMAL. AVR44ATE a <br />COMMERCIAL GENIIRAL LIABILITY <br />PRIYDUCTS C4liAPlCP AOO i <br />CLANS MADE 0 OCCUR <br />.. <br />PERSONAL 6 AOV NAM � t <br />OWNER% L COMMACTOR`S PROD - <br />EACMO RItNCS <br />`Ty <br />FRt OAMAIZ (Any ctrl th) 1 <br />MEq ffXP A oIM Pewrd 4 <br />AttitNAOBRB LY OLrrY { <br />i <br />1 COi+191NE0 m�NCrtB LIMIT 4 <br />ANY AUTO IJ <br />j <br />A" OWNBD AUTOS <br />j <br />I <br />p ii <br />I BODILY INJURY i <br />I SC,14OULtV AUT03 <br />IkI <br />a tPu olaut" <br />H.IgIO AUTOS <br />j BODILY IKXJRY <br />S <br />NON -OWNEO ALTO$ <br />i <br />9 Iry 4=k* ml <br />} <br />f <br />� MPipiY DAMAGE I # <br />OARABE <br />LIP ury <br />II <br />i <br />AUTO ONLY - EA ACCIOWr il <br />kVY AUTO <br />(OTi [EA -K" Ayro ONLY: <br />EACH ACCIOCMY ( i <br />ASGREOAT t <br />E%Gl'S UAIRRJTY <br />EACH OCCL tFNGE i <br />UMBRELLA FORM <br />( <br />{ A"r -EGATE 14 <br />OTHER THAN UMBNMLA fOAM <br />t <br />E 4 <br />YRNMI CpAPJ5i5AT#ONAND <br />.. <br />I AursSE I r <br />VAPi,0VtW1,#aeIL1YY <br />I, tLSACHACCIDENY 5 <br />A YrEPRaPSUETgRr �INCL 907 <br />t2f31f11 ; 12131/12 1OLDiStAm- raucYLIMIT �+ WO.000 <br />rAATNERS"ECUTIVE f <br />1 <br />� <br />GORCM AM' ML I <br />!#. DISEASE - EA EMKIDYEE 6 <br />OTHER <br />( I <br />4%'I Of OPfRATIOI 0AZOAT /YBICLA94WECIAL(two <br />, .. '.'sY.?vs id' a s:.. r.Yi' w„ c `%i.,'$t, <br />v �ti_ • r, .. ...� .. .. , .:. r..3.SLt .. a :._tt .. S :W" .m+2* Wa: <br />COUNTY OF ORANGE <br />116 BIMLD ANY OF THE ABOVE D POUCM6 Be CAWMIM WrOAE THE <br />FINANCIAL, SERVICES <br />F CMATtON LATH THCMEOF.H£ . T ISSUV14 COMPANY WILL 15WWOR TO MAIL <br />PO BOX 8181 <br />.{ <br />� PAYS WM Y"N NOTICE TO TOE CUMPICATE HOLDER AfASfW YO THE LEFT, <br />HILLSBOROUGH H NC 27278 <br />PUT FAPJAF TO MAI, WCH WITICE POLL IMPOSE NO OBLIQATION *0 IUAWYY <br />Of ANY %Ito Upon THE COMPANY. ITS AGWTS OR ftM%B WTATM& <br />'. AitTFWAI2F0 REPRE&EARATIVE <br />.. P ''@3s6�b .xt€Pi. '{d'mx..'+. -�s.. <br />�d d''�5"m' a 5.+Kk 'aciL.Pr' <br />