Orange County NC Website
Browse       Search
® CERTIFICATE OF LIABILITY INSURANCE DATE,MMIDD/YYYY, <br /> ACORO 1/31/2014 <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 /> CONT T <br /> PRODUCER NAME: <br /> SilverStone Group PHONE (F&X No <br /> 11516 Miracle Hills Drive E-MAIL <br /> Suite 100 AoDREss: <br /> Omaha NE 68154 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Phil delphia Insurance Company 23850 <br /> INSURED 14508 INSURER B: <br /> KAH Care LLC INSURER C: <br /> Right at Home INSURER D: <br /> 9417 COilingdale Way <br /> Raleigh NC 27617 INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:174287232 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 A DL BR POLICY EFF POLICY EXP LIMITS <br /> LTR IN SR POLICY NUMBER MM/DD/YYYY MM/D <br /> • GENERAL LIABILITY PHPK1128743 /16/2014 /16/2015 EACH OCCURRENCE $1,000,000 <br /> DAMAGE X COMMERCIAL GENERAL LIABILITY RENTO <br /> PREMISES Ea occurrence) $1,000,000 <br /> CLAIMS-MADE a OCCUR MED EXP(Any one person) $20,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $3,000,000 <br /> GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 <br /> X POLICY PRO- LOG $ <br /> • AUTOMOBILE LIABILITY PHPK1128743 16/2014 /16/2015 <br /> Ea accident) $1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIREDAUTOS X AUTOS Per accident $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ <br /> (Mandatory In NH) <br /> E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> A Crime PHPK1128743 /16/2014 16/2015 Limit 25,000 <br /> Professional Liability Limit IM/3M <br /> Property Limit 20,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Right at Home ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 6464 Center Street Suite 150 <br /> Omaha.NE 68106 AUTHORIZED REPRESENTATIVE <br /> ©1988.2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />