Orange County NC Website
- i�"' ULKTIFICATE OF LIABILITY INSURANCE DATEIMMIDDNYYY) <br />05/18/2012 <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 <br />the 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 endorxeman +ref . <br />PRODUCER <br />NAME: <br />COLONIAL INSURANCE AGENCY PHONE (919) 732 -2191 F (9I9) T34 -2192 <br />P.O. BOX 490 e <br />HILLSBOROUGH NC 27278 - <br />INSURER A <br />INSURED TARHEEL CREAN;ERY LLC <br />INSURER B <br />639 CEDAR GROVE ROAD <br />FITTSBORO NC 27312 - <br />- --' — KCVI,IUN NUMI3t:K: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br />RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br />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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />-Am <br />WV13 <br />POLICY NUMBER <br />MM /DO EFF <br />MMIDD EXP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />5- 0106 -00 <br />5/09/2012 <br />5/09/2013 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />GENERAL LIABILITY <br />/ / <br />/ / <br />PREMISE Ea NT noe <br />$ 50,000 <br />CLAIMS-MADE F0 OCCUR <br />/ / <br />/ / <br />MED EXP (My one person) <br />$ 5,000 <br />TXCOMMERCIAL <br />PERSONALBADVINJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />/ / <br />/ / <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,000 <br />POLICYF_j PRO- LOC <br />/ / <br />/ / <br />$ <br />AUTOMOBILE LIABILITY <br />/ <br />/ / <br />CO N SIN MI <br />Ea accident <br />ANYAUTO <br />/ / <br />/ / <br />BODILY INJURY (Per person) <br />$ <br />ALL OV'INED AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HREDAUTOS NON-OWNED <br />/ <br />PRO <br />Per eocident <br />a <br />UMBRELLALIAB <br />HOCCUR <br />/ / <br />/ / <br />EACH OCCURRENCE <br />a <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />/ / <br />/ / <br />DEO I I RETENTION <br />a <br />/ / <br />/ / <br />WORKERS COMPENSATION <br />/ <br />/ <br />VvG STATU- OTH- <br />AND EMPLOYERS' LIABILITY <br />YIN <br />FR <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />E.L, DISEASE - EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />/ / <br />/ / <br />E.L. DISEASE - POLICY LIMIT 1 <br />$ <br />DESCRIPTION OF OPERATIONS Wow <br />/ / <br />/ / <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more "on is required) <br />Orange County, NC and Piedmont Food and Agricultural Processing Center are named as additional insured <br />with respect to General Liability. <br />�� � 1 �rANt✓CLLX r IVN <br />Orange County, NC and Piedmont Food and <br />Agricultural Processing Center <br />500 Valley Forge Road <br />Hillsborough NC 27278- <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 />- �' P' <br />1. E <br />wo EN 5 r �M <br />NliVr%U ea Icvru/uoy V 1885 -2010 ACORD CORPORATION. All rights reserved. <br />INS025 (2maDi).o1 The ACORD name and logo are registered marks of ACORD <br />