Orange County NC Website
Browse       Search
.Q►�CORO°® CERTIFICATE OF LIABILITY INSURANCE 8/7/2014 <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 endomement(s). <br /> PRODUCER CONTACT Clint Chappell <br /> NAME: PI�e <br /> Jennings Bryan-Chappell Insurance Services PHONE (336)227-7458 FAX <br /> C.No):(336)343-1000 <br /> PO Box 1118 MAR ADDRESS:Clint@ jbcins.com <br /> INSURER(S) AFFORDING COVERAGE NAIC 11 <br /> Burlington NC 27216 INSURER A:Philadel hia Insurance Co <br /> INSURED INSURER B:United Heartland <br /> OE Enterprises, Inc. INSURER C: <br /> 348 Elizabeth Brady Road INSURERD: <br /> INSURER E: <br /> Hillsborou h NC 27278 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:CL147300802 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 /> rA TYPE OF INSURANCE 5 POLICY EFF POLICY EXP LIMITS <br /> POLICY NUMBER MMI DIYYYY MM/DD/YYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE T <br /> COMMERCIAL GENERAL LIABILITY PREMISES a occurrence) $ 100,000 <br /> CLAIMS-MADE 7 OCCUR X PHPK1198086 6/30/2014 6/30/2015 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPtOP AGG $ 2,000,000 <br /> 1 JECT F-] <br /> POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY gMedical ent SINGLE LIMIT $ 1,000,000 <br /> X ANY AUTO INJURY(Per person) $ <br /> A ALL OWNED SCHEDULED HPK1198086 6/30/2014 6/30/2015 INJURY(Peraccident) $ <br /> AUTOS D TY DAMAGE $ <br /> HIRED AUTOS HNON-OWNED <br /> AUTOS dent <br /> payments $ 5,000 <br /> X UMBRELLA LIAB OCC UR EACH OCCURRENCE $ 4,000,000 <br /> A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 4,000,000 <br /> DED I X I RETENTION$ 10,00 HUB465454 6/30/2014 6/30/2015 $ <br /> B WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT 500,000 <br /> OFFICER/MEMBER EXCLUDED? NIA 000007792 7/1/2014 /1/2015 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> A Directors/Officers PHSD947272 6/30/2014 6/30/2015 D&O 3,000,000 <br /> A EPLZ PHSD947272 6/30/2014 /30/2015 EPU 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> Clint Chappell/CC <br /> ACORD 25(2010105) O 1988-2010 ACORD CORPORATION- All rights reserved. <br /> INSD25 t9mnn5i m Tha Ar71Rr1 Hama anri Innn ara ranicfararl marine of AnARn <br /> I I MEN <br />