Orange County NC Website
DocuSign Envelope ID:81AD62D8-8ADD-4D52-B44C-39049C335CD4 <br /> AC R® DATE(MMIDDIYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 6/12/2015 <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; y _ <br /> Business Insurers of Carolinas [HG 2!v ExS): (919)968 9611 � TpfC,No): (9 19)968-8991 <br /> 800 Eastowne Drive, Suite 208 ADDRESS:cireland @business--insurers.com <br /> PO BOX 2536 INSURERS AFFORDING COVERAGE NAIC# <br /> Chapel Hill NC 27515-2536 INSURERA:Travelers Cas & Sur Co of Ill. 19046 <br /> INSURED - — INSURER B -- <br /> PreTrial Services for Chatham & Orange Counties INSURERC: <br /> 100 N. Churton St, Suite 207 INSURER D: <br /> INSURER E: <br /> Hillsborough NC 27278 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:CL1561213055 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 /> MSR AODL SUBR --- F OLICY EFF I OLICY EXP <br /> LTR TYPE OF INSURANCE INSD VNO POLICY NUMBER MF.QDD1YYYY F,IMIDDIYYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br /> A CLAMS-MAOE IX OCCUR DAPAAGIES(Ea TED 300,000 <br /> PREh1lSFS Ea occurrence 5 <br /> 6803A224205 7/1/2015 7/1/2016 MED EXP(Any one Person) _ $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY D PRO- <br /> JECT 171 LOG PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> OTHFR: POLES $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident _ __ <br /> ANY AUTO BODILY I NJ URY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY I NJ URY(Per accident) S <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH_OCCURRENCE S <br /> EXCESS LIAB CMMS44ADF AGGREGATE S <br /> DED RETENTIONS $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE OR <br /> ANY PROPRIETORIPARTNEWEXECUTWE ❑ NIA F.LEACHACCIDENT S <br /> OFFICERAIEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-FA EMPLOYE S <br /> If yyes,describe under "`--""--- <br /> DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT I S <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS P VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> donnagafter @hotmail.com <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Taylor Hall Properties THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> C Ireland/IREL01 <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br /> INS025 1?014mt <br />