Orange County NC Website
EpdvTjho!Fo4 rpgf!,E;!28BB6F8B.1 D46.5BG1.BC-4C.C1 FF6833C459 <br /> WAREB-1 OP ID; RN <br /> ACORO DATE(MMIDD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE F 05/21/2014 <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 endorsement(s). <br /> PRODUCER CONTAC David R. Norton <br /> Lowry,Haywood&Associates -NAME: <br /> PHONE <br /> P.O.Box 30517 A/c No Ext 704-332-8871 1 ac No): 704-358-9053 <br /> Charlotte,NC 28230-0517 n DRESSt rnorton@lowryassoc.com <br /> David R.Norton <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Selective Ins Co. of the SE 39926 <br /> INSURED Ware Bonsall Architects,inc. INSURER 8:Selective Ins Co of America 12572 <br /> 101 West Worthington Ave#270 INSURER c; <br /> Charlotte, NC 28203 <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, <br /> INSR TYPE OF INSURANCE D L SU POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DDIYYYY <br /> GENERAL LIABILITY i <br /> EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE TO RENTED <br /> A COMMERCIAL GENERAL LIABILITY S 1924651 01101/2014 01/01/2015 PREMISES Ea occurrence $ 300,000 <br /> CLAIMS-MADE D OCCUR ME EXP(Any one person) $ 10,00 <br /> X tBusiness Owners PERSONAL&ADV INJURY S 2,000,000 <br /> GENERAL AGGREGATE $ 4,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> POLICY I PRO- <br /> tJECT LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2 ODO,OO <br /> Ea accident <br /> ANY AUTO S1924661 01/01/2014 01/01/2015 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS I PER ACCIDENT)_ <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X I WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY MIT E _ <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC 7959098 01/01/2014 01/01/2015 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? � NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> if es,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> PROPERTY 51,050 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Addltlonal Remarks Schedule,If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANCOU <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> County Manager <br /> PO Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough, NC 27278 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />