Orange County NC Website
STARP-2 OP ID:PB1 <br /> ACORO° DATE(MMIDD/YYYY) <br /> `.....- CERTIFICATE OF LIABILITY INSURANCE F 10122/13 <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 <br /> Phone:910-455-7576 NC2ME T <br /> : <br /> Triangle Insurance Group Inc Fax 910-455-7481 PHONE <br /> 827 Gum Branch Road 11wft 111% <br /> Jacksonville,NC 28540 <br /> Jim Nappier <br /> INSURERISI AFFORDING COVERAGE NAIC 0 <br /> INSURERA:Auto-OWners Insurance 18988 <br /> INSURED Starpoint,Inc. INSURERS:FCCI Insurance 10178 <br /> PO Box 707 INSURER C:Accident Fund Ins.Co.of Amer <br /> Carrboro, NC 27510 <br /> 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 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 /> rB TYPE OF INSURANCE POLICY NUMBER M LIMIT$ <br /> GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 X COMMERCIAL GENERAL LIABILITY PPOO13574 03/25113 03/25/14 PR DAMAGE TO REN I to MI n e 3 _ 100,00 <br /> CLAIMS-MADE a OCCUR MED EXP(M one arson) $ 5+� <br /> PERSONAL&ADV INJURY S 1+000,00 <br /> GENERAL AGGREGATE $ 2+000.0 <br /> GEN'L AGGREGATE'LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,00 <br /> POLICY F PRO LOP $ <br /> AUTOMOBILE LIABILITY I 1,000,00 <br /> A X ANY AUTO 4936788600 02/26/13 02126/14 BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS NON-OWNED PROPERTYCAMIAGE <br /> (Per 0 <br /> S <br /> X HIRED AUTOS X AUTOS <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAS CLAIMS-MADE AGGREGATE S <br /> pFD I I RETENTION S <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN CV6090277 04112/13 04112114 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory In NH) E L.DISEASE-EA EMPLOYEE i _ 1,000+00 <br /> IF yes,describe under E.L.DISEASE-POLICY LIMIT S 1+000+ <br /> DESCRIPTION O OPERATIONS bw <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE? <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County Health Dept. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Janet Sparks,Keith Chnupa <br /> 131 West Margaret Lane AUTHORIZED REPRESENTATIVE <br /> Hillsborough,NC 27278 <br /> a'1/ C 1988-20(110/ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD <br />