Orange County NC Website
Browse       Search
DI �.v 101,11-fl ACORt�� CERTIFICATE OF LIABILITY INSURANCE 6 014 <br /> THIS CERTIFICATEIS 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 holler is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIONIS WAIVED,subject to the <br /> 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 endorsernent(s). _ <br /> PRODUCER CONTACT <br /> NAME: _ -.FAX <br /> PHONE W'EI.LS FARGO INS INC/PHS/NEAT (AIC,,%. p: (A/c.N.)- (888) 1 1 •)112 <br /> 272525 P: F: (888) 443-6112 noESS <br /> PO BOX 29611 INSURER(S)AFFORDING COVERAGE a <br /> CHARLOTTE NC 28229 INSURER A:i_]arrf,-,rd Casualty Iris Co <br /> gYSURFO INSURER 5: <br /> VELASQUEZ DIGITAL MEDIA COMMUNICATIONS INSURER C: <br /> LLC INSURER D: <br /> PO BOX 62441 INSURER E: <br /> DURHAM NC 27715 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 P:`i IC V PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO wIH(:H THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 'I I Al I THE <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> nrEOF^S(xa CE -01 inwc,:40Ee <br /> LtiSR 9DD SLX I'OL/�; I'OL/CYEaP LIMITS <br /> rK <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE *2, 1. o•}, ;)Q <br /> CLAMS-MADE OCCUR DAMAGE TO RENTED 3 0 i 1, <br /> PREMISES(Ea oecunence) <br /> A X General Liab 2.2 sari VD 434,11 D7/01/ .?14 D'I/01/2015 MED EXP(Any one person) 510, <br /> PERSONAL S ADV INJURY 5 2, P ', O O S <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE soy ( i <br /> POLICY PRO-�LOC PRODUCTS-COMP/OP AGG;4 T-(.! , .)00 <br /> JECT <br /> OTHER <br /> AUTOMOBILE LIAEILRY COMBINED SINGLE LIMIT <br /> (Ea <br /> ANY AUTO BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED FTROPERTYY DAMAGE <br /> ER <br /> AUTOS ( S .. - <br /> UMBRELLA L1Ae OCCUR EACH OCCURRENCE g <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE <br /> DE RETENTION$ <br /> R'OR8Ea5 COMtFNSAT20N PER - <br /> -awD ENPLOIEBSLLIBILI[Y STATUTE 1. 1 Eft <br /> ANY PROPRIETORIPARTNERIEXECUTNI°_YIN E.L.EACH ACCIDENT <br /> OFFICERIMEMBER EXCLUDED? ❑ <br /> (Mandatory in in Aft WA E.L.DISEASE-EA EMPLOYEE 5 <br /> If yes.describe under E.L.DISEASE-POLICY LIMIT ' <br /> DESCRIPTION OF OPERATIONS balow <br /> DESCRIPTION OF OPERATIONS/I I VEHXPMRD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured's Operations. <br /> CERTIFICATE HOLDER CANCELLATION - <br /> Orange County, SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Div_Sion of Purchasing/Control Services BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> g DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn: Pam Jones AUTHORIZED REPRESMrATFOE <br /> PO BOX 8181 -7A-r- r <br /> HILLSBOROUGH, NC 27278 <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />