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...r^, DATE WMOD+YYYY) <br /> A "RV CERTIFICATE OF LIABILITY INSURANCE 12/1/2016 <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(les)must be endorsed. it 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 ondorsement(s). <br /> PRODUCER CUNTACT <br /> ROGER HILL INSURANCE AGENCY NAME {434)581-3287 ` No (434)581-3289 <br /> PO Box 117CESSroerhill @earthlink.net <br /> Arvonia, VA 23004 --- - <br /> ._-._._._ _ aSURERIS) AFFC!" COVERAGE _ NAICS <br /> INSURER A MILLERS CAPITAL INSURANCE CO. <br /> INSURED PEARSON'S APPRAISAL SERVICE, INC. INSURER B — -� <br /> P 0 BOX 36404 INSURER c __...... _ <br /> RICHMOND, VA 23235 INSURERD <br /> INSURER E _ <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER. 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 /> tNSR 'ADpISttBR-_ ___ �,�____. _,-POLICY Er'•F-�-h6LTCY EkM�° '� _ .._. —__._�-.-- _ <br /> LTR TYPE OF INSURANCE Ra8e yayp POLICY NUMBER ,(MMlDp/YYYY).(MM/)D(YYYY)^ LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1.,000-,OOO <br /> CLAIMS-MADE X OCCUR OAHTAGETORERTEt7 <br /> PREMISE5,IEa ocClureruxj 3 _50,000 <br /> - -_ ,- MED EXP IAny CM person!, --S 5,000 <br /> A - BOP001636816 '11/22/15,11/22/16 PERSONAL&ADV INJURY S 1_,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE 6 °$ 2,000,000 <br /> POLICY ECT LOC PRODUCTS-COMPtOP AGG t 2,000,000 <br /> OTHER � I ---. <br /> AUTOMOBILE LIABILITY COMBINED BcI:+c4e+at) LE OMIT <br /> ._ $ <br /> ANY AUTO BODILY INJURY(Per perswt) S <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) 5 <br /> NOWOWN �T <br /> -_ HIRED AUTOS _- AUTOSED ` PerbasE.c�(DAMAGE: $ <br /> S <br /> UMBRELLA I" OCCUR _EACH OCCURRENCE S <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED - -RETENTIONS S <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY YIN STATUTE <br /> ANY PROPRIETORMARTNER''EXECUTuE — EL EACH ACCIDENT S <br /> GFFICER+MEMIIER NIA <br /> tIA"d xory m NH) E L DISEASE-EA EMPLOYEES <br /> R>es.describe settler <br /> DESCRIPTION OF OPERATIONS below E L DISEASE•POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCAT IONS I VEHICLES (ACORD 101 Additiorial Remarks SCnedule may be attached it more space is regured) <br /> APPRAISAL OF REAL ESTATE <br /> APPRAISAL OF NEW RESIDENTIAL CONSTRUCTION <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY, NC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> T. DWANE BRINSON TAX ADMINISTRATOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 228 S CHURTON STREET ACCORDANCE WITH THE POLICY PROVISIONS <br /> HILLSBOROUGH, NC 27278 AUTHORIZED REPRESENTATIVE <br /> FAX 919-644-3091 <br /> EMAIL:dbrinson @orangecountync.gov �Y} <br /> 0 1988-2013 ACORD CORPORATION All rights reserved <br /> ACORD25(2013/04) The ACORD name and logo are registered marks of ACORD <br />