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AC DATE(MM/DDVY)P ENDE-2 <br /> 12/02/99 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> First Insurance Services, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P. O. Box 13687 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> RTP NC 27709 INSURERS AFFORDING COVERAGE <br /> Phones919-941-0549 Fax:919-941-0135 <br /> INSURED INSURER A: Penn. Natl. Mutual Cas. Co. <br /> INSURER B: Key Risk Insurance Company <br /> Pendergraph Electric Inc. INSURER C: <br /> P O BOX 11458 INSURER D: <br /> Durham NC 27703 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN TYPE OF INSURANCE POLICY NUMBER DA EIC LT TVY DATE MXPIRA I LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. <br /> A X COMMERCIAL GENERAL LIABILITY AC90042829 01/01/99 01/01/00 FIRE DAMAGE(Any one fire) $ 100,000. <br /> CLAIMS MADE EK OCCUR MED EXP(Any one person) $ 5,000. <br /> PERSONAL&ADV INJURY $ 1,000,000. <br /> GENERAL AGGREGATE $ 2,000,000. <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000. <br /> POLICY PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000. <br /> • X ANY AUTO AU90042829 01/01/99 01/01/00 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ XXX <br /> R ANY AUTO OTHER THAN EA ACC $ XXX <br /> AUTO ONLY: AGG $ XXX <br /> EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000. <br /> • X OCCUR [7 CLAIMS MADE UL90042829 01101199 01/01/00 AGGREGATE s2,000,000. <br /> a <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND X TORY LIMITS T ER <br /> B EMPLOYERS'LIABILITY 900000000139099 07/01/99 07/01/00 E,L.EACHACCIDENT $ 100,000. <br /> E.L.DISEASE-EA EMPLOYE $ 100,000. <br /> E.L.DISEASE-POLICY LIMIT $ 5 0 0,0 0 0, <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Project: Stanby Generator fit-up for Stanford Middle Schc-il, Hillsborough NC <br /> The owner (County of Orange Dept of Purchasing & Central Services) & Orange County Schools & <br /> Designer (Sunderland Engineering, Inc.) are named as Additional Insureds <br /> with respects to the General Liability. Attached is the Cancellation Clause <br /> & the letter dated 11-15-99 <br /> CERTIFICATE HOLDER Y ADDITIONAL INSURED;INSURER LETTER: CANCELLATION <br /> COUNTY3 X4Iyi1dX°15X�€X13t} b €XfidilX <br /> County of Orange Department XI }'LXAirK3tt� i�(sYI�GII£%IXI� �Ci( (X <br /> of Purchasing & Central <br /> Services Xt�€X>{�XXXXiXiX3dXXbtXxBXXX <br /> 132 E. King Steet <br /> Hillsborough NC 27278 XsOXXIXdC XbtXI�� XiXdfiXXXXXXX <br /> ACORD 25-S(7/97) ACORD CORPORATION 1988 <br />