Orange County NC Website
Image Viewer Page I of 1 <br /> Rd <br /> rs CERTIFICATE OF LIABILITY INSURANCE °0 snD13 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THE <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ACID, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING WSURER(S),AUTHORIZEE <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- <br /> IMPORTANT: If the certificate holdx Is an ADDITIONAL INSURED,the policy(les)must be endorsed. N SUBROGATION IS WAIVED,subject to the <br /> tanns and conditions of the Policy,certain policies may squire an sndorsaroonL A statemerk on this certdicats does not confer rights to the <br /> cerdNceb holder In lieu of such ardor ownent(s). <br /> PROD1OE1 Greg Lopeman GM Loomm_ — <br /> State Farm Insurance FtRONE 9 3-7770 FAZ 919-9337713 _ <br /> Greg.Lopeman.rwsl�itatatefsrm.com <br /> Q1046 NC HWY 54 VY Bypass -T-- <br /> Carrboro,NC 27510 NRSURE1g8IAFA MOMCOVERAM ""IC0 <br /> _-- INSURER A:S Fame Eke ants gW_Wi ComDSm _ <br /> INSURED Freehold Land Surveys Inc INSURER e:State Farm Mutual AlrtomdbBe Insurance Company— 25171_ <br /> PO Box 188 "MMMC. --- <br /> CarrborQ,NC 27510 INauRERo:INSURER 5: _ <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW 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 VNTH 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 SHONM MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> Iran TYpti OF IISIIRANCE POLICY NUMER B POOCY EFF <br /> UNITS --- <br /> A GENSMO-UhaRATY 93-BRZT294 0512312013 0S12312014 EAcmoccuRRENce s 1.000,000 <br /> X COMMERCIAL GENERAL LIABILITY I PREMISES(Es 2nq rm E 300.000 <br /> CWMa11A <br /> SDE L^I OCCUR III MEDEXP(Myorropsean) S _�OJ000_ <br /> PERSONAL S ADV INJURY S 1.000,°0° <br /> GENERAL AGGREGATE E _ 2.000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: f 'PRODUCTS-COMPIOP AGG f 2.000.000 <br /> MT <br /> POLICY LOC I s <br /> g AMTOMOeILELIAexmY 0485671-E23-33 961231121113 1112312914 Eex <br /> ANY AUTO BODILY ItUt{RY NPs pecan) E 500.000 <br /> LLOVONNED F-x13ACHODDULED BODILY INJURY(Ps eaodwe) E 500,000 <br /> II HIREDAUTOS AUTOS I I Ira 3 100, <br /> E <br /> A UMBRELLA LIAR X OCCUR 93-GR-9684-2 06/2312013 0512512014 EACH DCC1eRENCE s 2,000.000 <br /> EXCESSLIAa CLMMS—DE AGGREGATE —. E 2.000.000 <br /> DEO TX i RETENTION 10.000 -- E <br /> A NIDROUMCOe1PENEATION <br /> AND EMPLOYERS'LIASRLTY Y 1 N 934M-V30-9 0612312013 05MV2014 <br /> ANY PROPRIErORFARTNERIFXECUTNE r�--yl E.L EACH ACCIDENT E 100,000 <br /> OFFICEMEMBER EXCLUDED? ❑NIA(I , <br /> (Maw"In I" E.L.DISEASE-EA tI�APLOYE E 700,000 <br /> I In.desuOe under <br /> E.L.DISEASE-POLICY LeRR S 500,°0° <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEW AAPS(Attach ACORD 197.Ad*G*M Ransrls Sgrdule,I Mme eI 1 M requYed) <br /> Surveyors <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County THE EXANY TION D� HEERE�OF,N mEi nLLL CANCELLED eE BEFORE <br /> PO BOX 8181 ACCORDA TH THE POLICY PROVISIONS, <br /> Hillsborough,NC 27278 <br /> AuTHDR1rEO TPfE <br /> nfinne ftorangecountyne.gov <br /> twu---/ <br /> ®1986-2010 ACORD CO RATION. AN rights reserved. <br /> ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-16-2010 <br /> https://sfnet.opr.statefarm_org/im_Core/jsps/pages/imageV iewer.faces <br /> 10/29!2013 <br />