Orange County NC Website
LENAT-1 OP ID: KIP <br /> CERTIFICATE OF LIABILITY INSURANCE D0212 12014Y) <br /> 02/2012014 <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 Phone:919-571-4335 NA NAME:CONTACT <br /> SNIPES INSURANCE SERVICE, INC. PHONE FAX <br /> PO BOX 10590 Fax:919-571-4336 AC.No): <br /> RALEIGH, NC 27605 E-MAIL <br /> ROGERS/SNIPES ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA;THE HARTFORD INSURANCE GROUP 38288 <br /> INSURED LENAT CONSULTING,INC INSURER B: <br /> 3607 Corbin Street INSURER C: <br /> Raleigh, NC 27612 <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 /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MOIDCrfYFF MMI POLICY D EXP LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE _$ 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY 22SBA ZG9210 SA 07/23/2013 07/23/2014 PREMISES Ea occurrence $ 1,000,00 <br /> CLAIMS-MADE OCCUR MED FRCP(Anyone person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> X POLICY PRO LOC $JECT <br /> AUTOMOBILE LIABILITY Ea accident)SINGLE LIMIT <br /> ent $ <br /> BODILY INJURY(Per person) $ <br /> ANY AUTO <br /> ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS OWNED PROPERTY DAMAGE $ <br /> Per accident <br /> HIRED AUTOS AUTOS $ <br /> —P 1 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> �._DED RETENTION$ <br /> tE,L. C STIMIT OTH- <br /> WORKERS COMPENSATION RY LIMITS R <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ CH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? NIA EASE-EA EMPLOYE $ <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGEC <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ORANGE COUNTY WATER RESOURCES ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 306A Revere Road <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />