Orange County NC Website
DocuSign Envelope ID:88E356F4-1642-4D25-97A9-483EB39AC1FD <br /> ENORI-3 OP ID: C1 <br /> CERTIFICATE OF LIABILITY INSURANCE DATEIMMOD YYY) <br /> 04/12/2016 <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. 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 /> CON <br /> PRODUCER NAMEpCT Philip S.Wolf <br /> The Insurance Center of Durham PHONE FAX 919.471-2132 <br /> 1920 Front St. EMAIL Suite 710 AIC No Eat:919-471-2541 A/c No <br /> P.O.Box 16399 ADDRESS:Brittany @INSUrancecenterofdurham.com <br /> Durham,NC 27704- <br /> Philip S.Wolf INSURER(5)AFFORDING COVERAGE NAICN <br /> INSURERA:Auto-Owners Insurance Co. 18988 <br /> INSURED Eno River Farmers' Market,Inc INSURER B: <br /> P 0 Box 487 <br /> Hillsborough, NC 27278 INSURER C: <br /> INSURER O: <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 /> TYPE OF INSURANCE DD POLICY EFF POLICY EXP <br /> IL1R D POLICY NUMBER MMIDOIYYYY MMIDDIYYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,00 <br /> Cu1hIS MADE OCCUR X 3577837916 0410312016 0410312017 PREMISES Ea.0durence $ 60,000 <br /> MED EXP(Any one person) $ 5,00 <br /> PERSONAL&ADV INJURY 5 1,000,00 <br /> GEN'LAGGREGATE LIMUAPPLIESPER. GENERAL AGGREGATE $ 2,000,00 <br /> X POLICY n PRO-JECT ❑LOC PRODUCTS-COMPIOPAGG $ 2,000,00 <br /> OTHER: COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY IF.accident $ <br /> ANY AUTO BODILY INJURY(Per person) S <br /> ALLOWED SCHEDULED BODILY INJURY(Per aaldenl) $ <br /> AUTOS AUTOS <br /> NON-0W ED PROPERTY DAMAGE 5 <br /> HIREDAUTOS AUTOS Peraccidenl <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> PER DED RETENTION$ $ <br /> WORKERS COMPENSATION STATUTE EORH _ <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETORIPARTNERrEXECUTIVE NIA <br /> EL EACH ACCIDEM $ <br /> OFFICERINIDABER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ <br /> if Yes,describe under <br /> DESCRIPTION OF OPERATIONSbelox EL DISEASE-POLICY LIMIT 5 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Orange County,is named as additional insured with respects to the General <br /> Liability per.written contract.Certificate holder has a thirty day notice <br /> of cancellation. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORAN016 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Lisa Brashear <br /> P 0 Box 8181 AUTHORRED REPRESENTATIVE <br /> Hillsborough, NC 27278 Philip S.Wolf <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />