1996 S Purchasing - D H Griffin -General Contractor SHSC Construction

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::::s:::: ISSUE DATE / YY MM DD/ ( ) PRODUCER:.;:.;:.:................................................. ........................... 7/26/96 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND BIRMINGHAM CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MCGR I F F , SE I BE LS AND W I L L I AMS POLICIES BELOW. P.O. BOX 10265 COMPANIES AFFORDING COVERAGE BIRMINGHAM, AL 35202-0265 205-252-9871 LT A CALIFORNIA COMPENSATION INS C COMPANY INSURED LETTER B GENSTAR INDEMNITY COMPANY D. H. Griffin Construction LLC COMPANY 1049—B Bullard Court LETTER C HARTFORD INSURANCE COMPANY Raleigh LETMERNY D KEMPER INSURANCE COMPANY NC 27615 LT E INSURANCE COMPANY OF PA ....................... ! ........................................................... .... :...... .................................. ::: :::>:::::>::::>::.<::::>..:::>::>::>::>::>::::;::;:.;:.;:.:.::..:;..................::.;:...........:.;:.>::>::>::>::>::>::>:: ............................................................................................................................................................................................................................................. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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 GENERAL AGGREGATE $ 2000000 B X COMMERCIAL GENERAL LIABILITY lYG341782 5/10/96 5/10/97 PRODUCTS-COMP/OP AGG. $ 1000000 CLAIMS MADE FX OCCUR. PERSONAL & ADV. INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 50000 MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ C X ANY AUTO 21UENLD3319 9/30/95 9/30/96 1000000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ 20 ,000 ,000 E X UMBRELLA FORM 4696-8934 5/10/96 5/10/97 AGGREGATE $ 20 ,000 ,000 __.... OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION X STATUTORY LIMITS A AND 81UB755K681395 11/07/95 11/07/96 EACH ACCIDENT $ 1000000 DISEASE-POLICY LIMIT $ 1000000 EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 1000000 OTHER D Builders Risk 3AT638091 7/26/96 7/26/97 $15 ,000 ,000 Limit $5 ,000 Deductible DESCRIPTION OF OPERATIONSI LOCATIONS/VEHICLESISPECIAL ITEMS Re: Orange County Southern Human Services Center , Chapel Hill NC ....................:.::::....::..:....:::.:.:::::::::.:........:....................::...... e...#FI ft1 'Fi �IJI t::€:i€:;.;;;;;:[:>:::>:::'.;::>::` °? €€€ .................: : AN. I .A. ................................................................................... ...............................................::::::.................................................................................................................................................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE County of Orange LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 132 E . King Street LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Hillsborough NC 27278 AUTHORIZED REPRESENTATIVE 022107502 005 �. ::>;, »»:.::.>::: .;.;:.:. .............