Orange County NC Website
A4DO ). INSURANCE BINDER DATE(MMIDD/YY) <br /> 3-6-95 <br /> THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. <br /> (PRODUCER No-.Fxt)___-91r� ,48-9L-.L8S3 __ _ COMPANY PENN NATIONAL BINDER# <br /> ( FIRST INSURANCE SERVICES, INC. <br /> __-- __-EFFECTIVE <br /> DBA LES STOCKS AND ASSOC. _ ___DATE _-_ TIME DATE_ <br /> PO BOX 52409 X AM X ya:ot AM <br /> ! DURHAM, NC: 27707 2-27-95_ 12 :01 PM <br /> — -- _--�'=-•�+-�---.9 r1--_- -NOON <br /> ------_-. __. __—____.-___.__-_____—_:X THIS BINDER IS ISSUED TO )BF[Vp,(pnj 1 THE ABOVE NAMED COMPANY <br /> __._ - PER BILg9M POLICY#: U 1 J U U b / 1 <br /> CO D E: SUB CODE: <br /> -- - - -- ---- -- ----' -- ----- -- -...- - -L <br /> AGENCY DESCRIPTION OF OPERATIONSIVEHICLESIPROPERTY(including Location) <br /> JCUSTOROL D: <br /> !INSUREd COMFORT ENGINEERS, INC. & ORANGE ORANGE COUNTY NEW COURT HOUSE <br /> 'COUNTY, SUB-CONTRACTORS, & SUB-SUB CONTRACTORS CHILLER REPLACEMENT <br /> IATIMA <br /> (PO BOX 2955, DURHAM, NC 27715 <br /> COVERAGES -- _-�- LIMITS <br /> TYPE OF INSURANCE COVERAGEIFORM.S AMOUNT DEDUCTIBLE COINS% <br /> PROPERTY - -_ - - <br /> CAUSES OF LOSS <br /> - "DIRECT PHYSICAL LOSS" SUBJECT TO <br /> BASIC BROAD SPEC <br /> -- POLICY EXCLUSIONS & CONDITIONS, <br /> ' $104,490. $500. NA . <br /> X---B <br /> GENERAL LIABILITY <br /> GENERAL AGGREGATE $ <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ <br /> CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE- $ <br /> FIRE DAMAGE(Any one fire) $ <br /> _ RETRO DATE FOR CLAIMS__MADE: _ MED EXP(Any one person) _$ <br /> AUTOMOBILE LIABILITY —^ — — COMBINED SINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS PROPERTY DAMAGE $ <br /> HIRED AUTOS MEDICAL PAYMENTS $ <br /> NON-OWNED AUTOS PERSONAL INJURY PROT $ <br /> UNINSURED MOTORIST $ <br /> AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE <br /> COLLISION: STATED AMOUNT $ <br /> OTHER THAN COL: OTHER <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ - <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ <br /> — _ STATUTORY LIMITS <br /> WORKER'S COMPENSATION EACH ACCIDENT $ <br /> ' AND <br /> EMPLOYER'S LIABILITY DISEASE-POLICY LIMIT $ <br /> 3 DISEASE-EACH EMPLOYEE $ <br /> SPECIAL I <br /> CON <br /> OTTHER°NS' SEE ATTACHED CANCELLATION CLAUSE ? <br /> COVERAGES <br /> NAME&ADDRESS <br /> MORTGAGEE ADDITIONAL INSURED <br /> LOSS PAYEE <br /> i <br /> LOAN# <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 75-S(3/93) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE d AC CORPORATION 1993 <br />