Orange County NC Website
07/08/96 <br /> . ............ <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 /> ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. <br /> P 0 BOX 52409 COMPANIES AFFORDING COVERAGE <br /> DURHAM NC 27717 COMPANY <br /> A PENN NATIONAL CAS CO <br /> COMPANY <br /> COMFORT ENGINEERS INC B KEY RISK MANAGEMENT <br /> COMPANY <br /> P 0 BOX 2955 C <br /> DURHAM NC 27715 COMPANY <br /> I .............. .......... ... D <br /> t................... ... <br /> . ..... .. ... ..... ............................. ........... . ... <br /> .......... .. ........ <br /> Isis 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 /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LABS <br /> LTR DATE(MMMDNY) DATE(MM/DD/YY) <br /> GENERAL LIABILITY AC90028920 07/01/96 07/01/97 GENERAL AGGREGATE s2 , 000, 000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG s2, 000, 000 <br /> CLAIMS MADE -1 OCCUR PERSONAL&ADV INJURY $1, 000, 000 <br /> Fx <br /> OWNERS&CONTRACTORS PROT EACH OCCURRENCE $1, 000, 000 <br /> FIRE DAMAGE(Any one fire) $1, 000, 000 <br /> MED EXP(Any one person) 111 5, 000 <br /> AMOMOBILSLIABILm AU90028920 07/01/96 07/01/97 1, 000, 000 <br /> X ANY AUTO COMBINED SINGLE LIMIT $ <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per P—) <br /> X HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $XXX <br /> ........... <br /> ........... <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $XXX <br /> AGGREGATE $XXX <br /> EXCESS LMUNLITY EACH OCCURRENCE $XXX <br /> UMBRELLA FORM AGGREGATE $xxx <br /> OTHER THAN UMBRELLA A FORM <br /> WORKERS COMPENSATION AM 239 7/01/96 6/30/97 X I STATUTORY LIMITS <br /> EMPLOYERS'LIABILITY EACH ACCIDENT $ 100, 000 <br /> THE PROPRIETOR/ X INCL DISEASE-POLICY LIMIT--- 500, 0_00 <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE EXCL DISEASE_-_EACH EMPLOYEE�$ 100, 000 <br /> OTHER <br /> DESCRIPTION OF OPERATMWLO PECIAL ITEMS <br /> ORANGE COUNTY SOUTHERN HUMAN SERVICES CENTER, CHAPEL HILL, NC <br /> SEE ATTACHED CANCELLATION CLAUSE <br /> .................... <br /> ................ . .. .... <br /> .................... <br /> ................ .. U.- <br /> COUNTY OF ORANGE MPMMGN oNm mommor, ME "Uwe eq_ —_aft —.6 lomm <br /> PO BOX 8181 <br /> HILLSBOROUGH, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> .. <br /> TARA J SMITHWI B <br /> L <br /> ......... ..... .... <br />