Orange County NC Website
DocuSign Envelope ID: 0194D383- 8EB4- 4F7C- 8ADB- AF607B72B27E <br />16-. O CERTIFICATE OF LIABILITY INSURANCE <br />`.� <br />F11/14/2014 DATE(MMIDD /YYYY) <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 <br />CONTACT Linda Love <br />NAME: <br />PHONE (704) 799 -1600 IC. No): (704) 799 -2955 <br />Insurance Management Consultants, Inc. <br />P.O. BOX 2490 <br />E -MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC q <br />INSURER A:Beaz ley Insurance Company, Inc. <br />37540 <br />Davidson NC 28036 <br />INSURED <br />INSURER B : <br />INSURERC: <br />Corley Redfoot Architects, Inc. <br />INSURERD: <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />222 Cloister Court <br />INSURER E: <br />$ <br />PERSONAL & ADV INJURY <br />INSURER F: <br />Chapel Hill NC 27514 <br />COVERAGES CERTIFICATE NUMBER: 6/7/14 Renewal 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 POLI LIES. LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />S <br />5 BR <br />D <br />POLICY NUMBER <br />POLICY EFF <br />MM /DD /YYYY <br />POLICY EXP <br />MM /DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FI OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIESPER: <br />PRODUCTS - COMP /OPAGG <br />$ <br />POLICY PRO LOG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED AUTOS NON-OVVNED <br />AUTOS <br />PROPERTY DAMAGE <br />per. cc dent <br />$ <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />WC TATU- <br />LIMITS OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNERlEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N / A <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT 1 <br />$ <br />A <br />PROFESSIONAL LIABILITY <br />V15TPT140701 <br />6/7/2014 <br />6/7/2015 <br />PER CLAIM: $1,000,000 <br />AGGREGATE: $2,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />Re: 125 E. King Street Parking Lot Repairs <br />County of Orange <br />P. 0. Box 8181 <br />Hillsborough, NC <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />27278 I AUTHORIZED REPRESENTATIVE <br />Jeff Todd /LLlLd �n <br />ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. <br />INS025 (gninn5� m Tha Ar`r )Pr) nnma nnrl Innn arc ranicfararf mnrlrc of Arnpn <br />