Orange County NC Website
Client#:1170972 30MCGILASS <br /> ACORM CERTIFICATE OF LIABILITY INSURANCE DATE(MM(ODNYYY) <br /> 1/24/2013 <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((es)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 ondorsement(s). <br /> PRODUCER Susan Stephenson <br /> BB&T-Wright Dobbins - �:828 277-3930 888-827-9875 <br /> PO Box 5318 EiIAIL NO <br /> Asheville,NC 28813 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAICX <br /> 828 2773930 INSURERA:Pennsylvania National Mutual Ca 14990 <br /> INSURED INSURERS: <br /> McGill Associates PA <br /> P.O.Box 2259 INSURER C: <br /> Asheville,NC 28802 INSURER D: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR US" POU EF POLL��CC <br /> LT TYPE OF INSURANCE 1 8R POLICY NUMBER MMID MMIDD LIMITS <br /> A GENERAL LIABILITY X BX90652915 1/23/2013 01/231201 EACH OCCURRENCE $1.000.000 <br /> X COMMERCIAL GENERAL LIABILITY � EN � $50,000 <br /> CLAIMS-MADE �OCCUR MED EXP one person) $5,0()o <br /> PERSONAL aADVINJURY $1,000000 <br /> GENERAL AGGREGATE s2,000.000 <br /> GEN L AGGREGATE LIMB APPLIES PER PRODUCTS-COMPIOP AGO $2,000,000 <br /> POLICY PRO- LOC $ <br /> A AUTOMOBILE LIABILITY X AX90652915 j112312013 011231201 <br /> COMBINED SINGLE LIMIT <br /> .nI 1,000,000 <br /> X ANY AUTO <br /> ALL OWNED SCHEDULED BODILY INJURY(Par person) $ <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS X AUTO PROPERTY DAMAGE <br /> Per aoci t $ <br /> S <br /> A X UMBRELLA LIAR X OCCUR X UL90652915 1/23/2013 01/23/201 EACH OCCURRENCE $3 000 000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE s3,000,000 <br /> DED I X1 RETENTION 10000 $ <br /> A WORKERS YERe'LBATpN WP9065291503 1/23/2013 01/23/201 X we sT JT OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORIPARTNER/EXECUTIVE YIN W' <br /> OFFICERIMEMBER EXCLUDED? � NIA E.L.EACH ACCIDENT $500000 <br /> If In Nnd E.L DISEASE-EA EMPLOYEE $500,000 <br /> Ityee deuxibaunder <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 1$500,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AMach ACORD 101,Additional Remarks Schedule,it more space is required) <br /> Orange County is named as Additional Insured with respects all policies listed above with the exception of <br /> Worker's Comp.We will provide 30 days prior written notice of any cancellation,non-renewal or reduction of <br /> coverage. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 200 South Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ®1888-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #39857859/M9836469 SIS <br />