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AD R...D....... <br /> ....................... <br /> t .. .................. <br /> .....N ..# ...... ... .... <br /> 3/06/95 <br /> PRODUCER THIS CERTIFICATE IS ISSUED As A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> FIRST INSURANCE SERVICES INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> LES STOCKS & ASSO ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. <br /> P 0 BOX 52409 COMPANIES AFFORDING COVERAGE <br /> DURHAM NC 27717 COMPANY <br /> A PENN NATIONAL CAS CO <br /> INSURED COMPANY <br /> B KEY RISK MANAGEMENT <br /> COMFORT ENGINEERS INC COMPANY <br /> P 0 BOX 2955 C <br /> DURHAM NC 27715 COMPANY <br /> *'....."............;.�......-.�.-I D ............- <br /> ........... .................. ....... <br /> ............................. <br /> .......... <br /> XXX <br /> . .. ............. <br /> ........... .......: ....... .. <br /> ................. <br /> ................ <br /> .......... .: <br /> ...................... <br /> ... .............. .. <br /> ............. ......... .......... <br /> ...... . .............. <br /> ............. <br /> THIS IS TO CERTIFY THAT'ME 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 /> CO I POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMMOfYY) DATE(MM/DD/YY) LIMITS <br /> GENERAL LIABILITY AC90028920 7/01/94 7/01/95 GENERAL AGGREGATE s 2, 000, OOC <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG s 2, 000, OOC <br /> CLAIMS LOME D OCCUR PERSONAL&ADV INJURY S 1, 000, OOC <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE s 1, 000 , OOC <br /> FIRE DAMAGE(Any one fire) S 100, 000 <br /> MED EXP(AM one pwson) $ 5, 000 <br /> AUTOMOBILE LIABILITY AU90028920 7/01/94 7/01795 <br /> X ANY AUTO COMBINED SINGLE LIMIT $ 1, 000_1-000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Pre Person) $ <br /> X HIRED AUTOS BODILY INJURY $ <br /> X NON-OWNED AUTOS (Par accident) <br /> F1 PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: IV <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE It <br /> UMBRELLA FORM AGGREGATE Ill I I& <br /> OTHER THAN UMBRELLA FORM --F- $ <br /> M STATUTORY 4 A ox <br /> B WORKERS COMPENSATION A 239 7/01/94 6/30/95 X ws <br /> EMPLOYERS'UA13RM EACH ACCIDENT $ 100, 000 <br /> THE PROPRIETOR/ X INCL DISEASE-POLICY LIMIT 1$ 500, 000 <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE1$ 100, 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSA.00ATIONS/VEMCLESISPECAL ITEMS <br /> PROJECT: ORANGE COUNTY VEHICLE MAINTENANCE FACILITY <br /> . . ........... <br /> .............. <br /> ... .......... <br /> ......... ......... <br /> ............... <br /> -801outo ANY OF THE*BevE BEFORE-Im <br /> ------- 091111011a COMPANY Wmkt ENOMWOR-Tt"Afte- <br /> QQ <br /> ORANGE COUNTY PUBLIC WORKS <br /> 600 HWY 86 N <br /> HILLSBOROUGH NC 27278 AUTHORIZED REPRESENTATIVE <br /> R <br /> ........................... .......... .............—............................ ... ............. ..f <br /> ................. . .. . .... . .......... <br /> :. ­ :l: ....... ......... <br /> . ............. .................. .. ..... <br /> ....... . <br /> ......... <br /> ............ ...... <br /> ........... <br /> ... ..... ...................... <br /> ..... .............. <br /> ...... ....... ....... <br />