Orange County NC Website
AC CERTIFICATE OF LIABILITY INSURANCE 100/15° /15/°°"'/2013 <br /> � 3 <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 NME'ACT Kelly Davis, AAI <br /> NA <br /> Rogers Insurance Agency PHONE (919)362-8310 FAX No:(919)362-4101 <br /> 512 W Williams St ADDRL .Certificates @Rogersinsuranceagency.net <br /> PO BOX 945 INSURERS AFFORDING COVERAGE NAIC# <br /> Apex NC 27502 INSURERA:Continental Casualty Company 20443 <br /> INSURED INSURER 8: <br /> Kirkland Appraisals, LLC INSURER C: <br /> INSURER D: <br /> 5029 Hilltop Needmore Road INSURERE: <br /> Fuquay Varina NC 27526 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:13/14 *360* 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 TYPE OF INSURANCE L UB POLICY NUMBER MM/DDY/YYYY POLICY Y LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO'RE <br /> COMMERCIAL GENERAL LIABILITY PREMISE Ea occurrence $ <br /> CLAIMS-MADE D OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ <br /> POLICY 7 PRO- <br /> JFCT LOC $ <br /> AUTOMOBILE LIABILITY ( MBINED SINGLE LIMIT <br /> a accident) _ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY I NJU RY(Per accident) $ <br /> AUTOS NON�OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY I FIR <br /> ANY PROPRIETOR/PARiNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Errors and Ommissions RNP25414170513 8/21/2013 8/21/2ola $1,000,000 Each Clain <br /> Liability Coverage $1,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> mailto:rshaw@ orangecountyn 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 /> Orange County <br /> Dept of Environment, Agriculture, AUTHORIZED REPRESENTATIVE <br /> Parks and Recreation <br /> Attn: Rich Shaw <br /> 306A Revere Rd � <br /> Hillsborough, NC 27278 K Davis, AAI/KELLY <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025 oninnsi m Tha a(ewn n2ma nnrl Inn^ara raniefararl mnrke^f Ar-r1Rr) <br />