Orange County NC Website
ACORD® CERTIFICATE OF LIABILITY INSURANCE aiz5i2oln2) <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 pollcy(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 endorsement(s). <br /> PRODUCER CONTACT C stal Ireland <br /> NAME: <br /> Business Insurers of the Carolinas PHONE (919)968-4611 FAX Not (919)968-5991 <br /> 800 Eastowne Drive, Suite 208 ApDireland @business-insurers.com <br /> PO Box 2536 PRODUCER 00020026 <br /> CUSTOMER ID N. <br /> Chapel Hill NC 27515-2536 INSURER(S)AFFORDING COVERAGE NAICN _ <br /> INSURED INsuRERANational Union Fire Ins. Co. <br /> INSURER B: <br /> Cameron & Cameron Logistics Inc. INSURERC: <br /> 1418 Avondale Drive <br /> INSURER D: <br /> Suite 18 <br /> INSURER E: <br /> — _ <br /> Durham NC 27701 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:CL11102604997 REVISION NUMBER: <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 POLI CIES.LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR ,INSR WVD POLICY NUMBER (MM/00/YYYY) (MM/DD/YYYY) <br /> GENERAL UABIUTY EACH OCCURRENCE $ _ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ <br /> CLAIMS-MADE –1 OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE 5 <br /> GENL AGGREGATE LiMit APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO- LOC $ <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULEDAUTOS <br /> PROPERTY DAMAGE 5 <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS S <br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE - AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ - $ <br /> A WORKERS COMPENSATION X TORY I AMITS X OFR <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT 5 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N NC007441941 10/26/201110/26/2012 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEES 1,000,000 <br /> V yyes tles1ON under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <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 /> Orange County <br /> PO Box 8181 <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> C Ireland/IRELOI <br /> ACORD 25(2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> INS025(200909) The ACORD name and logo are registered marks of ACORD <br />