Orange County NC Website
Y,C H DA lE(NI%I,DD,'%N YN) <br /> 8/52914 <br /> CERTIFICATE OF LIABILITY INSURANCE R022 / <br /> THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED,subject to the <br /> 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 /> I NAME <br /> I PHONE. '866) -7) 538-529 <br /> BB&T INSURANCE SERVICES INC/PHS "'C' EXI), 4 6�-87 3'� 'A',xC N.) 8 7 1 <br /> 1 E-MAIL <br /> '272545 P: (866) 467-8730 F: (8717 '/ �, 538-5295t ADDRESS <br /> PO BOX 2961-1 t INSURER(S)AFFORDING COVERAGE NAIC# <br /> CHARLOTTE NC 28229 INSURER A Sentinel Ins Co LTD <br /> INSURED INSURER 6 <br /> INSURER C: <br /> COMMUNITY EMPOWERMENT FUND INSURER D <br /> 133 1/2 E FRANKLIN ST STE 104 INSURER E: <br /> CHAPEL HILL NC 27514 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 411111- 81111?1 1 EVF pw/()�vvj, I I <br /> T)Pf'UF bVVUR4 NCE POLIC),Al IIIIER <br /> LIR NSR K I'D yorymly)I Y) f1vr1111I)I)1yyyl) <br /> EACH OCCURRENCE s2, 000, 000 <br /> COMMERCIAL GENERAL LIABILITY <br /> CLAIMS-MADE r-171 OCCUR 4 DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) -1, 000, 000 <br /> /IbI4 0 1 2 6 2 0 11) <br /> X General Liab 22 SRI Bt�S,653 '1-1126 MED EXP(Any one person) "10, 000 li <br /> PERSONAL&ADV INJURY 82, 0 0 0, 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 000, 000 J <br /> POLICY PRO- LOC I PRODUCTS-COMP/OP AGG ;4, 000, 000 <br /> E7JECT <br /> JOTHER' <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s2, 000, 000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> AL OWNED SCHEDULED 2� SBM BN9653 BODILY INJURY(Per accident) $ <br /> A AUTOS AUTOS /2�,,/2014 01/26/2015 <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS I (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DODI IRETFNT CN S PER CTH- <br /> MORKERS COAHIFNA4TION PT.,I T1 <br /> AAD FHP1.0YERS " <br /> 'LIULII)' <br /> ANY PROPRIETOR/PAR-TNER/EXECUTIVE YIN E L EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED ❑ NIA <br /> (Mandatory in NH) E L.DISEASE-EA EMPLOYEE <br /> If yes,describe under <br /> EL DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES(ACORD 101 Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured' s O-oerations. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> Orange County DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 81.81 AUTHORIZED REPRESENTATIVE <br /> 200 S CAMERON ST <br /> HILLSBOROUGH, NC 27278 <br /> (D 1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />