Orange County NC Website
WAREB-1 OP ID: RN <br /> CERTIFICATE OF LIABILITY INSURANCE O 05(MM/ <br /> 05/27/22014 014Y) <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 endorsements). <br /> PRODUCER CON E CT David R Norton <br /> Lowry,Haywood&Associates R. – -- <br /> P.O.Box 30517 =%. Xt:704-332-8871 FAX He: 704-358-90_53__ <br /> Charlotte,NC 28230-0617 ADDRESS:rnorton low assoc.com <br /> David R.Norton <br /> INSURE NS)AFFORDING COVERAGE NAIC# <br /> INSURER A:Selective Ins Co.of the SE 39926 <br /> INSURED Ware Bonsall Architects,lnc. INSURERS:Selective Ins Co of America 12.572 <br /> 101 West Worthington Ave#270 INSURER C: —� <br /> Charlotte, NC 28203 <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 POLICY EFF POLICY P — <br /> LTR I POLICY NUMBER IMMIDDIYYYYI IMM/DDNYYYl LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 2,000,00 <br /> A COMMERCIAL GENERAL LIABILITY S 1924651 01/0112014 0110112015 PREMISES Eaoccvrence $ 300+00 <br /> CLAIMS-MADE F_�OCCUR MED EXP(Any one person) $ 10,00 <br /> X Business Owners PERSONAL S ADV INJURY $ 2,000,00 <br /> 11, GENERAL AGGREGATE $ 4,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS-COMP/OP AGG $ 4,000,00 <br /> POLICY P PRO- 7 LOC ( i $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident 2,000,00 <br /> ANY AUTO S1924651 01/0112014 01/01/2015 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ' AUTOS <br /> NON-OWNED <br /> X HIRED AUTOS X I PROPERTY DAMAGE <br /> AUTOS (PER ACCIDENT) $ <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ _ <br /> DED RETENTION$ f $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY X IM R ` <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN C 7959098 01/01/2014 01/0112015 E.L.EACH ACCIDENT `$ 1,000,00 <br /> OFFICE /MEMBER EXCLUDED? fN NIA -_ <br /> (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 1,000,00 <br /> If yyees,describe under _-- <br /> OESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 <br /> PROPERTY 51,05 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANCOU <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO 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 />