2013-181 AMS - WL Bishop for Magistrate Office Renovations $48,423

Browse Search

RO® CERTIFICATE OF LIABILITY INSURANCE OP ID SF DATE(MMIDD/YYYY) 06/05/13 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 INSURED,the poicy(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: First Insurance Services, Inc. _CNo Ext: (A/C No): P. 0. Box 13687 ADDRESS: RTP NC 27709 CUSTOMER ID#: BISHOPl Phone:919-941-0549 Fax:919-941-0135 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Selective Insurance Company 12572 WL Blshop Construction Co INSURER B: Builders Mutual Insurance Co 2211 Leah Road Hillsborough NC 27278 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000. A X COMMERCIAL GENERAL LIABILITY S 1991921 09/04/12 09/04/13 PREMISES(Ea occurrence) $300,000. CLAIMS-MADE I—`J OCCUR MED EXP(Any one person) s5,000. X PERSONAL BADV INJURY $ 1,000,OOO. GENERALAGGREGATE s2,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000. POLICY XI,ECT F71 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1,000,000. A X ANY AUTO S 1991921 09/04/12 09/04/13 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULEDAUTOS X PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNEDAUTOS $ A X UMBRELLA LIAB X OCCUR S 1991921 09/04/12 09/04/13 EACH OCCURRENCE $5,000,000. EXCESS UAB CLAIMS-MADE AGGREGATE $5,000,000. DEDUCTIBLE $ X RETENTION $ O $ $ WORKERS COMPENSATION WCP1020 772 EXCLUDE 09/04/12 09/04/13 X TORY LIMITS ER 1 AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIV YIN Mlxa 6 WILLIAM BISHOP E.L.EACH ACCIDENT $500,000. OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$500,000. If Yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000. A Contractors Equip S 1991921 09/04/12 09/04/13 Leased/ $75,000 Rented 500.00 De d. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Job Name: Magistrate's Office County of Orange Financial Services is additional ir}sured 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ORANGE4 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County of Orange Financial Services AUTHORIZED REPRESENTATIVE PO Box 8181 Hillsborough NC 27278 Sandy B. Fisher ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD