2012-317 Solid Waste - W L Bishop Construction Inc for Walnut Grove church Rd Solid Waste Convenience center $887,092

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R�® CERTIFICATE OF LIABILITY INSURANCE OPID SF FI11 08/06/12 OB 06 12 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It e certificate o er Is an ADDITIONAL INSURED,the po cy es must be endorsed. If SUBROGATION 13 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu ofsuch endorsement(s). PRODUCER NAME: FAX First Insurance Services, Inc. ac No Ext: aC,No: P. 0. Box 13687 ADDRESS: RTP NC 27709 CUSTOMER PRODUGFKID#: BISHOPl Phones919-941-0549 Fax:919-941-0135 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: selective ineuranoe Cowarry 12572 WL Bishop Construction Cc INSURER B: stonewood insurance cow—y 2211 Lean Road Hillsborough NC 27278 INSURER C: INSURER D: INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OF INSURANCE INSR WV POLICY NUMBER MIDD IYYYY) (MFW0`DUDyNFYXFn I LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000. • X COMMERCIAL GENERAL LIABILITY S 1991921 09/04/11 09/04/12 PREMISES Ea occurrence $300,000. CLAIMS-MADE a OCCUR MED EXP(Any one person) $5,000. X PERSONAL BADVINJURY $1,000,000. GENERAL AGGREGATE s2,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000. POLICY X JPER LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT • X ANY AUTO S 1991921 09/04/11 09/04/12 BODILY _— $1,000,000. BODILY INJURY(Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY(Per accident) $ PROPERTY DAMAGE X HIREDAUTOS (per accident) $ X 14ON-OWNED AUTOS $ A X UMBRELLALIAB X OCCUR 3 1991921 09/04/11 09/04/12 EACH OCCURRENCE $5,000,000. EXCESS LIAS CLAIMS-MADE AGGREGATE $5,000,000. DEDUCTIBLE $ X RETENTION $ 0 $ B WORKERS COMPENSATION wC100-00092L4 EXCLUDE 09/04/11 09/04/12 AND EMPLOYERS'LIABILITY Y/N X TORY LIMITS I I ER ANY PROPRIETORIPARTNERIEXECUTIV�NIA xixE a w"Liax slsxov E.L.EACH ACCIDENT $500,000. OFFICERQdEMBER EXCLUDED? I – I - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000. describe under under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 OO O. A Contractors Equip S 1991921 09/04/3.1 09/04/12 Leased/ $75,000 Rented 500.00 Ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) County of Orange Financial Services is additional i4sured for General Liability and Auto Liability if required by written/executed contract before a loss. Cancellation notice applies per the attached IL0269 0408. CERTIFICATE HOLDER CANCELLATION i ORANGE4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County of Orange Financial Services AUTHORIZED REPRESENTATIVE PO Box 8181 �>Z Hillsborough NC 27278 Sandy B. Fisher ®1988-2009 AC RD CORPORATI Ail rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD i i