Orange County NC Website
0 DATE(MMIDWrfYY) <br /> A41040PREP CERTIFICATE OF LIABILITY INSURANCE 5/22/2013 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOTAFFIRMATIVELY 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* 9 the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. ff 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 Christine Rizzo —7 FAX Woodbury & Co. PHONE , (910)763-3431 1 IAIC,No):(910)763-7637 <br /> 1111 Military Cutoff Rd XM&Mcr:Lzzo@woodbury:Lnsuranco.com <br /> Suite 221 INSURE R($)AFFORDING COVERAGE NAIL <br /> Wilmington NC 28405 INSURER A:Sentinel Insurance Co. , LTD 11000 <br /> INSURED INSURER B-The Hartford 21822 <br /> CSCRtMY LLC, DBA: Carolina Solar Control Inc INSURER C. <br /> 120 Woodwind Industrial Ct INSURERD: <br /> INSURER E: <br /> icary NC 27511 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER"CL1242611918 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 ADDL SUOR POLICY EFF POLICY EXP <br /> SR <br /> IR TYPE OF INSURANCE AM WVD POLICY NUMBER IMMMQM= fMWDO1YYYY1 LIMITS <br /> GENERAL UA131UTY EACH OCCURRENCE $ 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Me 2MRonce) $ 1,000,000 <br /> rA _ I CLAIMS-MADE Fx-1OCCUR 22SBASQ7304 4/27/2013 4/27/2014 MED EXP Any one Person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GENERAL AGGREGATE $ 4,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/0P AGG $ 4,000,000 <br /> X I POLICY PRO-F-]JrCT Ll LOC $ <br /> AUTOMOBILE LIABILITY acmdent)COMBINED SINGLE LIMIT <br /> -(Ea - $ <br /> A ANY AUTO BODILY INJURY(Per Person) $ 1,000,000 <br /> ALL OVMED SCHEDULED 22UZCZI1005 4/27/2013 4/27/2014 BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS <br /> NON-OVW4ED PROPERTY DAMAGE $ <br /> AUTOS Per <br /> I H Medicalpayrnents $ 2,000 <br /> UMBRELLA LIAO OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> H <br /> DED RETENTION .$ <br /> B WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY YIN x T 97TENT I Taw <br /> AOFWFICPERRO/PMREIMETBEORROPEAXRCTLNUEDREDffi?XECUTIVE rY NIA E.L-EACH ACCIDENT $ 500,000 <br /> (Mand*M In NH) 22WSMH4472 /27/2013 /27/2014 E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I 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 /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Asset Management Services <br /> 131 W. Margaret Lane AUTHORIZED REPRESENTATIVE <br /> Hillsborough, NC 27278 <br /> Christine Rizzo/RIZZO <br /> ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All fights reserved. <br /> Tho Arlewn n2ma 2nd Inn^2m mniafamd mo**a of AfnPn <br />