1997 S Purchasing - Blythe Constructionf for Public Works Paving Project

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:::.:.::::i:::::::i:::...:;. ::i:::::::: : :....: .::::.:..::..:: ..:. +'. :::::: ......... DATE-MM DD Y <. ..............:.:.:.:.....................................................................................::c . 05/30/1997 0!1997 PRODUCER 704-343-41OU TH IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Alexander&Alexander of the Carolinas, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 121 West Trade Street COMPANIES AFFORDING COVERAGE 2300 Interstate Tower COMPANY Charlotte NC 28202-5399 A RELIANCE NATIONAL INDEMNITY CO INSURED COMPANY Blythe Construction, Inc. B AMERICAN GUARANTEE& LIABILITY P.O. Box 31635 COMPANY 2911 North Graham Street C Charlotte, NC COMPANY 28A33 D Ct1 ... THIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE.... S S E A O E FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. CO TYPE OF INSURANCE - POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION - - LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) • GENERAL LIABILITY NGBO118026 09/30/1996 09/30/1997 GENERAL AGGREGATE $ 3,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 1,000,000 CLAIMS MADE X❑ OCCUR PERSONAL&ADV INJURY S. 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 100,000 MED EXP(Any one person) $ 5,000 • AUTOMOBILE LIABILITY NKA0118027 09/30/1996 09/30/1997 X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY AU08354134-01 09/30/1996 09/30/1997 EACH OCCURRENCE $ 5,000,000 X UMBRELLA FORM AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM $ A WORKERS COMPENSATION AND NWA01 18024 09/30/1996 09/30/1997 X WC STATU- 0TH, RY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ X INCL EL DISEASE-POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Form#CG 20 10 10 93,#CG 25 04 11 85 PROJECT:ORANGE COUNTY MOTOR POOL HILLSBOROUGH,NC WORK: REWORK OF EXISTING ABC,NEW ABC,ASPHALT PAVING Ear-:-:IL3lSl:€1:?[:[[ ? [? '.>< >' s: ... :[['::`'<>«> CERTIFI CATE:..H# LD EEt..:.:....................................................................::::::.::. ..............:...............................................:::.::.: :::.:::::::::.:::::::::::::::::.::::......::.::::::::::::::::::::::::::.:. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THE COUNTY OF ORANGE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 200 S. CAMERON STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. HILLSBOROUGH, NC 27278 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Teresa Gwyn .Y ,aa................ ... (olds#67018