Orange County NC Website
A CERTIFICATE OF LIABILITY INSURANCE OAT <br /> / ) <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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the <br /> 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 <br /> NAME: LIZ Edwards <br /> GARLAND D THOMPSON PAINONN E 919-781-6564 ivc No: 919-571-6230 <br /> 3130 FAIRHILL DR E-MAIL SS: edwar 1 nationwide.com <br /> STE 106 INSURER S)AFFORDING COVERAGE NAIC# <br /> RALEIGH NC 27612-3164 INSURER A: NATIONWIDE PROPERTY AND CASUALTY INSUR 37877 <br /> INSURED <br /> INSURER B: <br /> INSURER C: <br /> WILLIAMS APPRAISERS INC INSURER D: <br /> 1330 SUNDAY DR STE 101 INSURER E: <br /> RALEIGH NC 27607-5196 INSURER F: <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 A DL SUB POLICY EFF POLICY EXP <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYri LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> It <br /> COMMERCIAL GENERAL LIABILITY ��'''X'''''' PREMISES Ea occurrence $300,000 <br /> CLAIMS-MADE OCCUR ... MED EXP(Any one person) $5,000 <br /> A ACP BPOK 2262383638 10/10/2012 10/10/2013 PERSONAL&ADV INJURY $ 1,000,000 <br /> X Non-owned Auto GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO X LOC $ <br /> AUTOMOBILE LIABILITY COs BIKED SINGLE LIMIT <br /> $ <br /> 17117. <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE -- <br /> HIRED AUTOS AUTOS Paraccident $ <br /> UMBRELLA LIAIII HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DIED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N 7 CRY LIMIT ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ <br /> OFFICE/MEMBER EXCLUDED? N/A , <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/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 /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough NC 27278 AUTHORIZED REPRESENTATIVE <br /> Liz Ed'Jar, <br /> 01988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />