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CERTIFICATE OF LIABILITY INSURANCE oPID sL DATE(MMIDDO/YYYY)
<br /> 09/13/11
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE HOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTER CONTRACT BETWEEN THE ISSUINIG INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
<br /> POR ANT: If the certificate holder Is an ADDITIONAL INSURED,the poficy les)must be endorsed. IFTUMOGATION 1S_WAIVED,subject to
<br /> ..le 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 NAME: I FAX
<br /> PHONE
<br /> ACEC/bSATZSH ^MATE_ E�J:.. _.-...__..___..
<br /> 701 Market St., Ste. 1140 D SS:
<br /> St. Louis MO 63101 ..._ .._...._... ....____..._...
<br /> _....... ........... . ._.. .. _.._._�.._.__...._,_
<br /> CUSTOMER ID t!: RESCE-.1
<br /> ._.._.........._......._.._........._..................__..._..__......_....._...__....._ ..,....-.-.__.....,..._._.. ._.._._..
<br /> Phone t 8 O 0-3 3 8-13 91 Fax:8 8 8-6 21-317 3 INSURER(S)AFFORDING COVERAGE - - NAIL h
<br /> _._.._............._____..._ ._......._.,_. _— __.___... ..__ _
<br /> INSURED INSURER A: Hartford Insurance Company 22387
<br /> Reece, Noland & McElrath, Inc. INSURERS
<br /> P.O. Box 544
<br /> Waynesville NC 287860540 INSURER C;
<br /> INSURER D;
<br /> INSURER E
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO1JCY 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 TH°TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> ifOL1L`FEFF""`'PSSLICFE3rP-
<br /> LTR—_ TYPE OF INSURANCE
<br /> iNSR AND POLICY NUMBER ;(MMIDD1YYYY) (MWDIM/YY"YY); LIMITS
<br /> i GENERAL LIABILITY EACH OCCURRENCE i$1,000,000
<br /> WAGE TO RENTED _....,
<br /> A I X [COMMERCIAL GENERAL LIABILITY 84SBWVM4602 I1JO1JI2 11101/12 PR(wMISES(Eeaccursence) $1,000,000
<br /> CLAIMS-MADE 'MX OCCUR MED EXP(Any one person) $ 10,000
<br /> i ? PERSONAL b ADV INJURY
<br /> $1,000,000
<br /> FRQrS6310Nh4, LIAS rXC'L GENERAL AGGREGATE s2,000,000
<br /> .. _...
<br /> GENT.AGGREGATE LIMIT APPLIES PER PRODUCTS,COMPIOP AGG $2,000,000
<br /> [ '[PRO- ..__ ._.,..._........__..__._.:__._...._—___._...__.,,_ .._._......._0....__..._,..__._
<br /> POLICY ,JECT LOG 5
<br /> AUTOMOBILE LIABILITY i COIABINED SINGLE LIMIT
<br /> (Ea accident) $1,000,000
<br /> I ANY AUTO
<br /> ? j !
<br /> ALL OWNED AUTOS ['BODILY INJURY(Per person) $
<br /> iE — ..... _ .-...
<br /> BOtrILY INJURY(Per aCCAenf}
<br /> SCHEDULED AUTOS
<br /> PROPERTY DAMAGE
<br /> A X HIRED AUT08 i i84SBWDG3572 11/01/11 11/01/12 1!Pet accident)
<br /> $
<br /> R NON-OWNED AUTOS _I..___.
<br /> _....... _................
<br /> �._.._._..,.____..�... ...........
<br /> A X HCPD:$501040 µ $
<br /> A X UMBRELLA LIAS X OCCUR 84SBWVM4602 11/01/11 11/01/12 EACHOCCURRENCE !,$ 1,000,000
<br /> -� EXCESS LIAR I _.__...
<br /> CLAIMS-MADE, I .AGC RELATE ;$1,000,444
<br /> i DEDUCTIBLE is
<br /> X RETENTION $ 10,000 i$
<br /> A WORKERS COMPENSATION $4 WBGBA2 07 111/01/11 ,11/01/12 X Tt3RYLiMITB ER
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETORJPARTNERIEXECUT?VE-J- f NIA
<br /> j EL,,EACHACOIDENT $500.,040
<br /> OFFICERIMEMBER EXCLUDED? I1 _.._
<br /> (Mandatory InNH) EL.DISEASE-EAEMPLOYE $500,000
<br /> It yyes;describe under ' I I ._......._.___— -------__.-_-,_
<br /> DESCRIPTION OF OPERATIONS below EL,DISEASE-POLICY LIMIT $500,000
<br /> i
<br /> s
<br /> DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> Orange County is included as additional insured for above coverages except
<br /> WC as required by written contract.
<br /> 30 days notice of cancellation will be given to the certificate holden per
<br /> policy endorsement:.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> ORANGE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Orange County AUTHORIZED REPRESENTATIVE
<br /> Attn: Pam Jones
<br /> PO Box 8181
<br /> Hi lsborou h NC 27278
<br /> O 1988-2009 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2009f09) The ACORD name and logo are registered marks of ACORD
<br />
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