Orange County NC Website
A`°R°® CERTIFICATE OF LIABILITY INSURANCE 4/25/2013YY) <br /> THIS CERTIFICATE IS 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 policy(les) must be endorsed. If SUBROGATION 15 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 Patty Miller <br /> E.NA <br /> Business Insurers Of the Carolinas PHONE (919)968-4611 FAX, x.(919)968-8991 <br /> (A/C No-Exti 800 Eastowne Drive, Suite 208 MAL ADDRESS:pom @buaineas-insurers.aom <br /> PO BOX 2536 INSURERS AFFORDING COVERAGE NAIC# <br /> Chapel Hill NC 27515-2536 INSURERA:Continental Western 10804 <br /> INSURED INSURER B:Stonewood Ins. Co. 11828 <br /> Corley Redfoot Architects, Inc INSURER C: <br /> 222 Cloister Court INSURER D: <br /> INSURER E: <br /> ,Chapel Hill NC 27514 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:2012-2013 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 I ADDLSUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD Y LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 <br /> A CLAIMS-MADE FX OCCUR PA300818945 /9/2012 /9/2013 MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> _X-1 POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY C BIKED SINGLE LIMIT- <br /> (Ea 11000,000 <br /> A X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED CPA100818945 /9/2012 /9/2013 BODILY INJURY Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE_ <br /> AUTOS Per accident) $ <br /> Uninsured motorist BI split limit $ 11000,000 <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> A EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ 2,000,000 <br /> DIED I X f RETENTION PAIOOB18945 /9/2012 /9/2013 $ <br /> B WORKERS COMPENSATION WC STATU- IT H. <br /> AND EMPLOYERS'LIABILITY YIN X X ER <br /> ANY PROPRIETORIPARTNER/EXECUTIVE a NIA E.L.EACH ACCIDENT $ 500,000, <br /> OFFICERIMEMSER EXCLUDED? <br /> (Mandatory In NH) C10000022052012 12/31/2012 2/31/2013 E.L.DISEASE-EA EMPLOYEE $ 500,00 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,0001 <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 /> PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> Patty Miller/PATTY <br /> ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025rgmnn.mm Tha Anrwn noma and Innn ora raniefararl marlre of Ar.nP11 <br />