Orange County NC Website
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. ........... <br /> ... . ............. 07 0 8 96> <br /> .. <br /> .. ....... <br /> ................ . . ...... ... <br /> .. ............... <br /> . ............ ...... <br /> ............ :.:.N......• <br /> THIS BI WER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CO ND TONS SHOWN O THE REVERSE SIDE OF THIS FORM. <br /> PRODUCER I(TM Et)489-1883 COMPANY BlINDER# <br /> FIRST INSURANCE SERVICES INC PENN NATIONAL CAS CO <br /> EFFECTIVE DATE TIME TIME <br /> P 0 BOX 52409 AM 12:01 AM <br /> DURHAM NC 27717 06 25 96 12 : 01 M, I r%a /nq-/97 � NOON _ <br /> THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br /> com 21-6105 SUWCODE: X� PER Anne POLICY*. 9000065761 <br /> A4119ff- <br /> CUSTOMER®: BCOMEAO-9 DESCRIPTION OF OPERAMONSIVEHICLESIPROPEIM(h ,..di g Location) <br /> INSURED ORANGE COUNTY SOUTHERN HUMAN SERVICES <br /> COMFORT ENGINEERS INC & COUNTY CENTER, CHAPEL HILL, NC <br /> OF ORANGE SUBCONTRACTORS &: <br /> SUB-SUBCONTRACTORS ATIMA <br /> IPO BOX 2955, DURHAM, NC 27715 <br /> .................... <br /> ... . I ... . ..... . . ....................... <br /> ............... <br /> ............... <br /> . <br /> ................................ <br /> .. .............. .......­%:�................... I . <br /> TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS% <br /> PROPERTY CAUSES OF LOSS "DIRECT PHYSICAL LOSS" SUBJECT TO 449, 437 . Soo NA <br /> BASIC F-]BROAD FX7 SPEC POLICY EXCLUSIONS AND CONDITIONS. <br /> :x BUILDERS RISK <br /> GENERAL LIABLfTY GENERAL AGGREGATE $ <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG III <br /> CLAIMS MADE OCCUR <br /> PERSONAL&ADV INJURY III <br /> OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE 5 <br /> FIRE DAMAGE(Any one fire) III <br /> RETRO DATE FOR CLAIMS MADE: MED EXP(Any one person) III <br /> AUTOMOBILE LUkBLfTY COMBINED SINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY(Par person) ti <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) 8 <br /> SCHEDULED AUTOS PROPERTY DAMAGE $ <br /> HIRED AUTOS MEDICAL PAYMENTS <br /> NON-OVMED AUTOS PERSONAL INJURY PROT III <br /> UNINSURED MOTORIST III <br /> III <br /> AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES Li SCHEDULED VEHICLES ACTUAL CASH VALUE <br /> COLLISION: STATED AMOUNT III <br /> OTHER THAN COL OTHER <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT III <br /> ANY AUTO OTHER THAN AUTO ONLY, <br /> ............. <br /> EACH ACCIDENT <br /> AGGREGATE III <br /> EXCESS LULBILITY EACH OCCURRENCE III <br /> UMBRELLA A FORM AGGREGATE <br /> OTHER THAN UMBRELLA FORM RETRO DATE MR CLAIMS MADE: SELF-INSURED RETENTION <br /> STATUTORY LIMITS <br /> WORKER'S COMPENSATION EACH ACCIDENT $ <br /> AND <br /> EMPLOYER'S LIABILITY DISEASE-POLICY LIMIT III <br /> DISEASE-EACH EMPLOYEE <br /> SPECIAL <br /> COOTHMEMRWNS' SEE ATTACHED CANCELLATION CLAUSE. <br /> COVERAGES <br /> .... ..... ..... <br /> . <br /> .... ....... <br /> LMORTGAGEE ADDITIONAL INSURED <br /> l <br /> LOSS PAYEE <br /> LOAN <br /> AUTHORIZED REPRESENTATIVE <br /> Terrie Robed� TR(B) <br />