Orange County NC Website
\ 1 <br /> RIGGS-2 OP ID:MA <br /> ACORD° CERTIFICATE OF LIABILITY INSURANCE <br /> DATE MY) <br /> �+.•�-� 04/02/14 <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 CONTACT <br /> PRODUCER <br /> Corporation-HS 919-469-2473 PHONE Melanie AAirin ton FAx <br /> 4325 Lake Boone Trail 919-467-4987 •919-388-1949 no):919-467-4987 <br /> Suite 200 Ep RIL s:mairington@trisure.com <br /> Raleigh,NC 27607 <br /> Smelcer&Associates INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Selective Ins.Co.of America 12572 <br /> INSURED Riggs-Harrod Builders Inc. INSURER B:Builders Mutual Insurance 10844 <br /> PO BOX 11100 <br /> Durham,NC 27703 INSURER C: <br /> INSURER D: <br /> INSURER E: <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 OFINSURANCE ADDL SUB POLICY EFF POLICY EXP <br /> LICYNUMB R LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 19000,0 <br /> A JA MMERCIAL GENERAL LIABILITY X S2002862 10/31/13 10131/14 PREMISES Ea occurrence $ 100,00 <br /> CLAIMS•MADE a OCCUR MED EXP(Anyone person) $ 10900 <br /> PERSONAL S ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0 <br /> ICY X PRO- LOC Em Ben. $ 1,000,00 <br /> BILE LIABILITY IN I 1 000 00 <br /> Ea accident $ , <br /> A AUTO X S2002862 10/31/13 10/31/14 BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> OS AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> ED AUTOS X AUTOS er accident $ <br /> BRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,00 <br /> A EXCESSLIAB CLAIMS-MADE X 52002862 10131/13 10131/14 AGGREGATE $ 6,000,00 <br /> rX RETENTION $ <br /> S COMPENSATION X WC STAN- OTRH- <br /> LOYERS'LIABILITY B RIETOR/PARTNER/EXECUTIVE YX PWC1009991 10/31/13 10/31/14 E.L.EACH ACCIDENT $ 1,000,00 MEMBER EXCLUDED? N/A <br /> y in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,0 cribe under <br /> ION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 <br /> A Leased/Rented S2002862 10/31/13 10131/14 Limit 100,00 <br /> A Builders Risk S2048827 10/31/13 10131114 Limit 10,000, <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> Project: RENA Community Center,Chapel Hill, NC <br /> Bid#367-292 <br /> Orange County Government(Owner), the Designer, the Designers's consultants, <br /> ndthe construction manager are listed as additional insureds with respect <br /> to General Liability,Auto liability and umbrella liability on a <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORA8181 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P O Box 8181 <br /> Hillsborough,NC 27278 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 />