Orange County NC Website
Browse       Search
Vl <br /> LEGAC-1 OP ID:CH <br /> CERTIFICATE OF LIABILITY INSURANCE 07121/2014 <br /> THIS a7rzu2014 <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 /> First Insurance Services,Inc. NAME: . <br /> P.O.Box 13687 AHONNo Ext__ AIC No: <br /> RTP,NC 27709 E-MAIL <br /> Robert M.Good ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# _ <br /> INSURERA:Hartford Casualty Insurance Co 29424 <br /> INSURED Legacy Research Associates Inc INSURER B: <br /> Box 51007 <br /> Durham, NC 27717 INSURERC: <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.EFF <br /> &DDLSUBR%..NERAL TYPE OF INSURANCE T POLICY NUMBER MM/DDYIYYYY MMIDD LIMITS <br /> LIABILITY EACH OCCURRENCE $ 2,000,00 <br /> OMMERCIAL GENERAL LIABILITY X 22SBAL05768 03/16/2014 03/16/2015 PREMISES(Ea occurrence $ 300,00 CLAIMS-MADE [�OCCUR MED EXP(Any one person) $ 10,000 <br /> usiness Owners PERSONAL&ADV INJURY $ 2,000,00 <br /> GENERAL AGGREGATE $ 4,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,00 <br /> POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00 <br /> Ea accident) $ <br /> A ANY AUTO 22SBAL05758 0311612014 0712112014 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS X NON-OWNED PER AG DDNMAGE $ <br /> AUTOS -_. <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DIED RETENTION$ $ <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY RY <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVEY!❑N N/A 22WBCCM2318 03/14/2014 03114/2015 E.L.EACH ACCIDENT $ 500,00 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE1$ 500,00 <br /> if yes,describe under 500,00 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT T$ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Orange County Planning Department is listed as additional insured if <br /> required by a written/executed contract or agreement prior to a loss. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE2 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE Orange County Planning ACCORDANCE WITHDTHE POLICY PROVISIONSE WILL BE DELIVERED IN <br /> Department <br /> Kevin Lindley PE <br /> 131 W Margaret Land S#201 AUTHORIZED REPRESENTATIVE <br /> Hillsborough,NC 27278Q � C <br /> O 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD <br />