2013-055 AMS - Thomas C Blalock Jr DBA Blalock's Towing & Recovery for Towing of illegally parked vehicles on County property $N/A

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Acc>9V CERTIFICATE OF LIABILITY INSURANCE oP ID LH 7E(MWDDNYYY) `1111111nw�__ 0 1/30/13 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: If the certificate holder Is an ADDITIONAL INSURE t e policy(ies)must be endorsed. If SUBROGATION IS 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 of such endorsement(s). PRODUCER NAME: Lee Hammond PHONE FAX The Sorgi Insurance Agency ac -919-682-4814 (A/C,No): 16 Consultant Place Suite 102 ADDRESS: iee@sorqiinsurance.com Durham NC 27707 CUSTOMER ID#: BLALTOW Phone:919-682-4814 Fax:919-682-4906 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Erie Insurance Exchange 26271 Blalock's Towing & Recovery INSURER B: T C Blalock 3504 N Hwy 86 INSURER C; Hillsborough NC 27278 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 08 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. POLICY EFF P01MY EXP LTR TYPE OF INSURANCE INSR WVDI POLICY NUMBER (MM/DD1YYYY) (MM1DDtYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ A X COMMERCIAL GENERAL LIABILITY Q100180961 10/01/12 10/01/13 PREMISES(Ea occurrence) $ CLAIMS-MADE F-1w] OCCUR _MED EXP(Any one person) $ X _PERSONAL&ADV INJURY $ GENERAL AGGREGATE $See Garage GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP-AGG $ R __1 —1 POLIC;YF_1JE0i F LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ • X SCHEDULED AUTOS X Q100180961 10/01/12 10/01/13 PROPERTY DAMAGE $ • X HIRED AUTOS Q100180961 10/01/12 10/01/13 (Per accident) • X NON-OWNED AUTOS Q100180961 10/01/12 10/01/13 On—Hook $120,000 • On—Hook/GKLL Q100180961 10/01/12 10/01/13 $ A rUMBRELLA LIAB OCCUR Q340171786 10/01/12 10/01/13 EACH OCCURRENCE $1,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ -MT $ WORKERS COMPENSATION H- AND EMPLOYERS*LIABILITY YIN ER ANY PROPRIETOR/PARTNERIEXECUTIVFO E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE I$ If yes,ddescribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) Certificate holder is named as an additional insured with respect to general liability and auto. 30—day notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION 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 P0 Box 8181 Hillsborough NC 27278 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD