Orange County NC Website
DocuSign Envelope ID:AC9EA1 F3-1 D60-45FC-9F72-F852C3184BF8 <br /> AC"Rr�® CERTIFICATE OF LIABILITY INSURANCE D/18/ fDD1 4 Y) <br /> 1... 8i18i2o14 <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 INSUREII 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 Commercial Team <br /> NAME: <br /> Rogers Insurance Agency AICONNo I (919)362-8310 AIC 1 (919)362-4101 <br /> 512 W Williams St ADDRESS:coir ialteam @rogersinc.net <br /> PO BOX 945 INSURI AFFORDING COVERAGE NAIC# <br /> Apex NC 27502 INSURERA:CNA <br /> INSURED INSURER B <br /> Kirkland Appraisals, LLC INSURER C <br /> 5029 Hilltop Needmore Road INSURER D: <br /> INSURERS: <br /> Fucquay Varina NC 27526-9268 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:14/15 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 POLICY I POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS-MADE r_1 OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ <br /> POLICY r PRO- LOC $ <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 /> HIREDAUTOS AUTOS Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETORfPARTNERfEXECUTIVE EL EACH ACCIDENT $ <br /> OFFICERWEMBER EXCLUDED? ❑ NIA <br /> (Mandatory in Ni E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Errors and Ommissions NP25414170514 /21/2014 /21/2015 1,000,000 Each Claim <br /> Liability Coverage 1,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Vantage South Bank ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 206 High House Road <br /> Cary, NC 27513 AUTHORIZED REPRESENTATIVE <br /> Cathy Embrey/CATHY _ <br /> ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025(701005)01 Tho A C1Rr1 names and Innn nro ranic4arari nri of A C1Rr1 <br />