Orange County NC Website
DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 6/16/2014 <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 CONTACT Crystal Ireland <br /> NAME: <br /> Business Insurers of Carolinas PHE (919)968-4611 A/C No:(919)968-8991 <br /> ON <br /> 800 Eastowne Drive, Suite 208 E-MAIL ,cireland @business-insurers.com <br /> PO BOX 2536 INSURERS AFFORDING COVERAGE NAIC# <br /> Chapel Hill NC 27515-2536 INSURERA:Travelers Cas & Sur Cc of Ill. 19046 <br /> INSURED INSURER B:Underwrl ter S at Lloyd's London <br /> Pretrial Services for Chatham INSURERC: <br /> 106 E Margaret Lane INSURER D <br /> Courthouse INSURER E:: <br /> Hillsborough NC 27278 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:CL1461610806 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 ADDL SUBR POLICY NUMBER MM/DDY/YYYY MMIDCDY/YYYY LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE To RENTED 300,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> A CLAIMS-MADE �OCCUR X 6803A224205 7/1/2014 7/1/2015 MED EXP(Any one person) $ 5,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> X POLICY PRO LOC $1IFrT 71 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS <br /> $ <br /> UMBRELLA LIAB QC CUR EACH OCCURRENCE $ <br /> EXCESS LIAB LAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E L.DISEASE-EA EMPLOYE $ <br /> If yes,descnbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Professional Liability L148440814 8/25/2014 8/25/2015 EACH CLAIM $1,000,000 <br /> AGGREGATE $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Orange County is an additional insured with respect to general liability per written contract. <br /> nn <br /> CERTIFICATE HOLDER CANCELLATION <br /> All G 28 2014 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> �f THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County y <br /> 200 S. Cameron Stre <br /> PO BOX 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough, NC 27278 <br /> C Ireland/IRELOI <br /> ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INSn25 mmnnsi n1 Tha Arnpri nnma=nA Inns nra raniefararl an—ka of A(.r1Rr) <br />