Orange County NC Website
FAIROUT-01 SAWANTSV <br /> DATE(MMIDDIYYYY) <br /> `._.� CERTIFICATE OF LIABILITY INSURANCE 10/30/2013 <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 <br /> the 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: <br /> Willis of Alabama,Inc. PHONE g77 945-7378 FAX — <br /> c/o 26 Century Blvd. arc No Ext:( ) A/C No): (888)467-2378 <br /> P.O.Box 305191 E-MAIL - <br /> Nashville,TN 37230-5191 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED INSURER B:Charter Oak Fire Insurance Company 25615 <br /> Fairway Media Group,LLC INSURER C: <br /> 814 Duncan-Reidville Rd. INSURER D <br /> Duncan,SC 29334 <br /> INSURER E: <br /> — 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 L SURR LTR TYPE OF INSURANCE INSR WV POLICY NUMBER MMILDDYn MM DDIYYYV LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY P-660-4C589164-TIL-12 11/1/2012 11/1/2013 MA R 300,000 <br /> PREMISES Ea occurrence $ <br /> CLAIMS-MADE �OCCUR MED EXP(Any one person) $ 10,000 <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 /> X POLICY F7 PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINEDt SINGLE LIMIT $ 1,000,000 <br /> B X ANY AUTO P-810-4C589164-COF-12 11/1/2012 1111/2013 BODILY INJURY(Per person) $ <br /> ALL U TO S OWNED AUTOS SCHEDULED <br /> AU BODILY INJURY Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> AUTOS PER ACCIDENT $ <br /> ;EXCESS BRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> LIAB CLAIMS-MADE AGGREGATE $ <br /> D RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY X TORY LIMIT R <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N PJUB-4047091-5-12 10/31/2012 11/1/2013 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? � N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> RE:Billboard(Site#001214)located at 100 US 70 NS 200'E/O NC 86 FIE-2,Hillsborough,NC <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Orange County Animal Services <br /> 1601 Eubanks Rd. 0"r Cha el Hill NC 27516 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />