Orange County NC Website
SYNTE-i OP IDD:LH <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(05111611 16113 3 <br /> THIS CERTIFICATE 15 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 poilcy(ies) must be endorsed. if SUBROGATION IS WANED, 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 /> cortificate holder In lieu of such endorsements. <br /> PRODUCER 919-469-247 ME; Elizabeth C Holden <br /> TrISUre CorporationJH 919-067 488 PHDNE FAX <br /> 325 Lake Boone Trail No. •9191367-4957 Arc No: 919-4674987 <br /> Suite ADDRESS:Iholden trisure.com <br /> Raleighh,, NC 27607 <br /> Ryan W.Bab INSURERS AFFORDING COVERAGE NAIC <br /> INSURERA:Sentinel Insurance Company 02234 <br /> INSURED Syntech of Burlington, Inc. INSURER B:Hartford Casualty Ins.Co. 29424 <br /> Syntech Architectural Signage INSURERC:The Hartford ins.Co. 29424 <br /> Sue Uhler <br /> 1825 Frank Holt Drive WSURERD: <br /> Burlington,NC 27215 INSURER E: <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 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY 22SBAIP2021 06/16112 06/16113 PREMISES Ea occurrence $ _ 100,0 <br /> CLPJMS•MADE �OCCUR MED EXP(Any one person) $ 10,00 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/Op AGG $ 2,000,00 <br /> POLICY X PRO- LOC $FCT <br /> AUTOMOBILE LIABILITY INLD SINGLE LIMI I Ea accident 1,040 QO <br /> $ _> <br /> C X ANY AUTO 22UECJF8868 06/16/12 06/16/13 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS per accident $ <br /> $ <br /> X UMBRELLA LIAR `�( OCCUR EACH OCCURRENCE $ 2,000,00 <br /> A EXCESS LIAS CLAIMS-MADE 22SBAIP2021 06/16/12 06/16/13 AGGREGATE $ 2,000,00 <br /> X 10004 <br /> WORKERS COMPENSATION X I WC STATU- 0'n+ <br /> AND EMPLOYERS'LIABILITY <br /> YD ER <br /> B ANY PROPRIETORiPARTNERIEXECU IVE 22WBCLD5166 06116/12 06/16/13 E.L.EACH ACCIDENT $ 500,0 <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> —•—•— <br /> (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 500,OOC <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00C <br /> DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES (Attach ACORD 101,Additional Remarks Schedule,f<Moro space is required) <br /> TE HOLDER CAN FL ATION <br /> ORA131 X <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE iMILL BE DELIVERED IN <br /> Orangemen# ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1 1 <br /> 131 West Margaret Lane AUTHORtZEDREPRESENTATIVE <br /> Hillsborough,NC 27278 <br /> O 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />