Orange County NC Website
DocuSign Envelope ID: EACBD833-2A78-4046-B904-6CCD2F4B10BD <br /> AGORA. CERTIFICATE OF LIABILITY INSURANCE 2;6;2ol5YYr`' <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Sports&Fitness Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 212 Key Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Madison,MS 39110 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: General Insurance Company of America <br /> Steven Drysdale, <br /> 5007 Mill Hill lane INSURER B: <br /> INSURER C: <br /> Chapel Hill, NC 27517 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTIONG <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS SDWH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR DDI POLICYEFFECTIVE POLICY EXPIRATION <br /> LTR NSR IN N POLICY NUMBER DATE MM DD DATE MM DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) a,000,000 <br /> A LPF-9638113B 1/19/2015 1/19/2016 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) 10,$o oo <br /> X Professional PERSONAL &ADV INJURY a,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 <br /> PRO- <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COhffiINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> ( >V <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR DLAIMS MADE AGGREGATE <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND we sTATU- OTH- <br /> EMPLOYERS'LIABILITY TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> If yes, describe under E.L. DISEASE - EA EMPLOYE $ <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIFT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Personal Trainers <br /> Certificate holder is named insured. <br /> i <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION I <br /> Steven Drysdale DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN p� <br /> 5007 Mill Hill lane NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Chapel Hill, NC 27517 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE 'i <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />