Orange County NC Website
Browse       Search
DocuSign Envelope ID:9E3CE39C-9718-464A-9FEA-98DAC149068D <br /> Fill Erie" CERTIFICATE OF INSURANCE DATE ISSUED(MM/00/M <br /> vi 12123/14 <br /> Insurance-0 —THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> rre Office - 100 Erke insurance Place - Erie, Pennsylvania 16530 , 8 1 4 670 200 O <br /> ToP frpe 1 800 458 0511 - Fax 814 870 3126, - vNAv leriensurance com <br /> NAME AND ADDRESS OF AGENCY BARFIFOOT& YOUNG INS GR0 (JP.I_1..0 NO, <br /> ( 16 N I ST V JJ 1524 iT tiW D EOl t I CASUALI'Y COMPANY <br /> KNIGffI"DA1,E, NC 27545-5506 Ca,:F __11E IN H NC CHANCE Not AppFcable <br /> rc Indemnity 0 tt In,-Fact( �in NY <br /> I r M I Awl Y10 I� 11 <br /> F 181E I- R 9K ...... <br /> (919)2 17-5870 a IA�V' I '� A�jY <br /> This certificate is Issued for information purposes only and canters <br /> no tj IuS 00 the Certificate 1101401. 11 10eS not 81141natiVel Or <br /> negatively amend,extend,or otherwise after the terms,exclusions <br /> Axis Management an conditions at Insurance coverage ontained in the policy(its) <br /> Indicated below.The terms and tend lions of the:poficy(ies)govern <br /> 3308 I)LO-hilin Chapel Hill BI,Vf) r <br /> the insurance coverage as applied to any given situation.Limits <br /> SLAiC 150 shown may have been reduced by claims paid:.This certificate of <br /> insurance does not constitute a contract between the issuing <br /> Durharn, NC 27707 insurer(s), authorized representative or producer and the <br /> ticertificate holder, <br /> This is to cork fy that pqI ciqs,as indicated by thp7P _1c at the firrie that the Certificate is beog Issued. <br /> 2y_Nprphpr bqJow,ark�n force fo,r the Nwried Insured Cort f <br /> NEW UMITS <br /> & TYP�OF INSUR Y <br /> GENERAL Ll"IlL <br /> Q35 0122062 1/1/15 EACH OCCURRENCE 00� <br /> $ .-..!j 0 LO <br /> L X]COMMERCIAL GENERAI,LIABIHTY F1 _AMAGE��n!(�nq fire $ <br /> R-Erp .. -1 - 1,000.0) <br /> CLAIM!S MADE OCCUR �5 r " <br /> ,000 <br /> PERSONAL&ADV. <br /> .. . NJU_RY L$ ....... <br /> GENERAL AGGREqATE 000 <br /> 0, <br /> GFN'L AGGREGATE LIMIT APPt IES PER.,, PRODUCTS CO Y) <br /> -1 PROJEcr El Loo -_C0 ML29. <br /> r_-1 POIJ CY FX <br /> AUTO 1MOB IlLE UABILDrY BODILY INJURY <br /> 'ANYAUTO"(ON NE D CI <br /> � <br /> o'AIRED, (EACH PERSON) $ <br /> ED) BODILY INJURY <br /> OWNED CCIL NTL <br /> HIRED PROPERTY DAMAGE S <br /> NON-OWNED BODILY INJURYAND <br /> PROPERTY DAMAGE <br /> GARAGE COMBINED <br /> EXCESS LIABILITY EACH <br /> OCCURRENCE <br /> AGGREGATE <br /> RETENTION' s <br /> WORKERS COMPENSATION& 1 ......................... ........ ............... <br /> EMPLOYERS LIABILITY Q95 0102849 1/1/14 11/1/15 BODILY ACCICENF $ 1,000,000 EACH ACCIDENT <br /> INJURY DISEASE $ 1,000,000 POLICY LIMIT <br /> BY DISEASE $ 1 ,000,000 EACH EMPLOYEE <br /> OTHER <br /> DESCRIPTION OF OP,ERATIONS/LOC,ATIONSIVEHICI.ES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLiCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIV- <br /> ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the poficy(ies) must be endorsed.If SUBROGATION IS VHAIVE6,subject to the <br /> terms and conditions of the policy,certain policies may require an endorsement,A statement on this certificate does not confer <br /> rights to the certificate holder in lieu of such endorsement(s). <br /> NAME AND ADDRESS OF CERTIFICATE HOLDER <br /> or"Inge County Goverliment <br /> AU I HDR0.1)REPRESENTATIVE <br /> PO Box 8181 <br /> lliflsborough,NC 27278 <br /> �7 W36�'40 <br />