Orange County NC Website
Client#: 308339 ALSCO <br /> ACORDTN CERTIFICATE OF LIABILITY INSURANCE DATED/YYYY) <br /> 4/144/20/2014 <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 /> PRODUCER NAME: <br /> Hub International PHONE <br /> AIC No Ent): (AIC,No): <br /> HUB Int'I Insurance Serv. Inc. EMAIL <br /> ADDRESS: <br /> 6440 So.Wasatch Blvd.,#235A INSURE S)AFFORDING COVERAGE NAIC0 <br /> Salt Lake City, UT 84121 <br /> INSURER A:ACE American Insurance Company 22667 <br /> INSURED <br /> AISCO Inc. INSURER B <br /> PO Box 3594 INSURER C: <br /> Durham, NC 27703 INSURER 0: <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 IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDNYYY LIMITS <br /> A GENERAL LIABILITY HDOG25840288 11/01/2013 1110112014 EACH <br /> q� T <br /> OCCURRENCE $2 000 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES YER.NTrrence $2,000,000 <br /> CLAIMS-MADE FX]OCCUR MED EXP(Any one person $0 <br /> PERSONAL&ADV INJURY s2,0001000 <br /> GENERAL AGGREGATE $5,000,000 <br /> GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> JECT <br /> POLICY PRO LOC $ <br /> A AUTOMOBILE LIABILITY ISAH08685113 11/01/2013 11/01/201 COMBINED SINGLE LIMIT <br /> Ea BINEDt 5,000,000 <br /> IX ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION W LRC47330233 11/01/2013 11/01/201 X we sraru- OTH- <br /> AND EMPLOYERS'LIABILnY IER <br /> ANY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 <br /> OFFICERWEMBER EXCLUDED? F_N� NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $11000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,9 more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attn: Paul Spire ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1207 Eubanks Road <br /> Cary,NC 27512 AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S2802221/M2481286 SC46 <br />