Orange County NC Website
ACORO® ALD DATE(MMi^)Dr rY) <br /> �-- CERTIFICATE OF LIABILITY INSURANCE R053 4/2,/2 <br /> THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TH S <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),AUTHORIZE D <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 SUBROGATIONIS WAI'✓ED,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 endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> COMMERCIAL INSURANCE.NET LLC/PHS ( NNEo.E* (866) 467-8730 (ACC.No): (888) 441 2 <br /> 383397 P: (866) 467-8730 F: (888) 443-6112 ADDRESS: <br /> PO BOX 33015 INSURER(S)AFFORDING COVERAGE z <br /> SAN ANTONIO TX 78265 INSURER A: Sentinel IRS CO LTD <br /> INSURED <br /> INSURER B <br /> INSURER C: <br /> CALEB CHILDERS DBA MALACHI FILMS INSURER D: <br /> 1323 DAVIS RD INSURER E: <br /> HILLSBOROUGH NC 27278 wsURERF: <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 POL CY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Vv11ICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL `HE <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF I NSIRANCE ADDL SUBR POLICYNUMBER POLICYEFF POLICYEXP -IMITS <br /> MM/DD <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s2, 0 .I, '.,l.)0 <br /> CLAIMS-MADE M OCCUR PREMISES SES (occurrence) $1, 0", , I)O 0 <br /> • X General Liab 38 SBM BW2261 04/01/2014 04/01/2015 MED EXP(Any one person) s10, <br /> PERSONAL&ADV INJURY s2, O C. _1, -,U 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4, O1 _I, 0 <br /> POLICY JE O-❑LOC PRODUCTS-COMP/OP AC;G 5 4, O C. ,.(.'_O 0 <br /> OTHER: S <br /> AUTOMOBILE LIABILITY (Ea accidenq INGIE LIMIT s2, CC J 0 <br /> ANY AUTO BODILY INJURY(Per persor) $ <br /> • ALL OWNED SCHEDULED 38 SBM BW2261 04/01/2014 04/01/2015 BODILY INJURY(Per accidet) $ <br /> AUTOS AUTOS <br /> X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENrroNE $ <br /> V40RKERSCOMPENSATIM PER <br /> ANDEMPLOYERS LIABILITY STATUTE <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN EL.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED4 N/A -- -- <br /> (Aandatory in NH) ❑ E.L.DISEASE-EA EMPLOYI_E $ <br /> If yes,describe under $ <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY uM T <br /> DESCRIPTION OF OPERATIONS/tACATIONS/VEHICLES(ACORD 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 /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL E <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE%RILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ORANGE COUNTY GOVERNMENT AUTHORIZED REPRESENTATIVE ` <br /> 200 S CAMERON ST �_ ��4,�� <br /> HILLSBOROUGH, NC 27278 <br /> ©1988-2014 ACORD CORPORATIO14.All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />