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DATE(MWDDIYYYY) <br /> AC RO CERTIFICATE OF LIABILITY INSURANCE 06/0312014 <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 /> CONTACT <br /> PRODUCER NAME: <br /> Knight Insurance PHONE 919-245-1020 u'No;919-245-1010 <br /> 110 Boone Square Street,Suite 1$ EA-DMDAREss, kni htinsurance ralei h.twcbc.com <br /> Hillsborough,NC 27278 INSURERS AFFORDING COVERAGE NAIL r1 <br /> INSURER A;Travelers Property Casualty Co of America <br /> INSURED INSURER 5; <br /> Gerald Waldon Morris INSURER C: <br /> 7410 NC Hwy 86 N INSURER D: <br /> Hillsborough,NC 2727$, INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED?BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED$Y 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 .R POLICYNUMBER MMIDDIYYYY MMIDD EXP LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE 5 <br /> DAMAGE TO ENTED $. <br /> COMMERCIAL GENERAL LIABIUTY PREMISES I amirenom <br /> CLAIMS-MADE r-1 OCCUR MED EXP(Any one person) S <br /> PERSONAL&ADV INJURY S <br /> GENERAL AGGREGATE $ <br /> GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. S <br /> POLICY PRO- LOG S <br /> AUTOMOBILE LIABILITY Ea accident) GLE LIMIT <br /> rJ <br /> ANY AUTO BODILY INJURY(Per person) $ALL OWNED SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS AUTOS <br /> HIRED ALYTOS <br /> NON-OWNED S PROPERTY DAMAGE. $ <br /> Par accident <br /> S <br /> UMBRELLA.LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION WCSTAT I- OTH•. <br /> AND EMPLOYERS'LIABILITY <br /> A ANY PROPRIETORIPARTNER/EXECLMVE NIA ID 25013790 12121/13 12/21/14 E.L.EACH ACCIDENT $100,000 <br /> OFFICERJMEMBER EXCLUDED? <br /> (Mandatory 1.NH) E.L.DISEASE-EA EMPLOYEE S100,000 <br /> if yyees.describe under <br /> DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POI ICY LIMIT 5500000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.(Attach ACORD 101,Additlonal.Remarks Schedule,it more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Government <br /> PO BOX$1$1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Hillsborough,NC 2727$ ACCORDANCE WITH THE POLICY PROVISIONS. <br /> f <br /> AUTHORIZED 'PRE NTATIVE <br /> 1988- 8 CORD O P TI N. Ali rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks>o OR <br />