Orange County NC Website
DocuSign Envelope ID:2E8D5D65-CF26-4458-B396-02662FEC605E <br /> Erie CERTIFICATE OF INSURANCE <br /> DATE ISSUED(MM/DD/YY) <br /> Insurance —THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 1/18/16 <br /> Home Office • 100 Erie Insurance Place • Erie,Pennsylvania 16530 - 814.8702000 <br /> Toll free 1.800.458.0811 • Fax 814.870.3126 • www.er!6nsurance.com <br /> NAMEANDADDRESS OFAGENCY BLINSON INSURANCE CENTER INC AGENT'S N0. <br /> 503-N HWY 70 E JJ1019 Go.;D ERIF IN A A PA <br /> GARNER,NC 27529-4058 Co.:E ERIE INSURANCE EXCHANGE, Not Applicable <br /> ne Indemni Co. Attorne -In-Fact in NY <br /> 1NS_ <br /> (919)772-2332 <br /> NAME AND ADDRESS OF NAMED INSURED This certificate is issued for information purposes only and confers <br /> no rights on the certificate holder. It does not affirmatively or <br /> WESTER AUCTION CO negatively amend,extend,or otherwise alter the terms,exclusions <br /> and conditions of insurance coverage contained in the policy(ies) <br /> JAMES R WESTER D/B/A indicated below.The terms and conditions of the policy(ies)govern <br /> the insurance coverage as applied to any given situation.Limits <br /> 269 Lancashire Run shown may have been reduced by claims paid.This certificate of <br /> Smithfield.NC 27577 insurance does not constitute a contract between the issuing <br /> insurer(s), authorized representative or producer and the <br /> certificate holder, <br /> This is to certi that po licies as indicated by the Policy Number below are in force for the Named Insured at the time that the Certificate is being issued. <br /> co Ada'I <br /> LTR TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> E ®GENERAL LIABILITY EACH OCCURRENCE <br /> © COMMERCIAL GENERALLIABILITYII Q46 0450239 10/4/15 10/4/16 1,000.000 <br /> ❑CLAIMS MADE 0 OCCU FIRE DAMAGE(Any One RTI 1 1,000,000 <br /> ❑ MED EXP(Any One Person 5.000 <br /> PERSONAL&ADV.INJURY 1,000,000 <br /> ❑ GENERAL AGGREGATE 2.000,000 <br /> GENT AGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OPAGG 2,000.000 <br /> IN POLICY ❑PROJECT ❑LOC <br /> E ❑ AUTOMOBILE LIABILITY <br /> ❑ "ANYAUTO"((OWNED HI )' Q05 3130639 5/31/15 5/31/16 (OGI INJUR <br /> R EA <br /> © OWNED BODILYINJURY <br /> EACH ACCIDENT) $ <br /> ❑ HIRED PROPERTY DAMAGE S <br /> ❑ NON-OWNED BODILY INJURY AND <br /> ❑ GARAGE PROPERTY DAMAGE 1,000,000 <br /> COMBINED S <br /> ❑EXCESS LIABILRY <br /> OCCURRENCE EACH OCCURRENCE $ <br /> ❑ <br /> AGGREGATE $ <br /> ❑ RETENTION S $ <br /> S <br /> WORKERS COMPENSATION 8 <br /> STATUTORY — <br /> EMPLOYERS LIABILITY BODILY ACCIDENT S EACH ACCIDENT <br /> INJURY DISEASE S POLICY LIMIT <br /> BY DISEASE $ EACH EMPLOYEE <br /> C OTHER <br /> Employee Dishonesty Q46 0450239 10/4/15 10/4/16 5000001100000110000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Orange County,. its officers,official agents and employees are listed as additional insured on the General Liability policy. <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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,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 /> Orange County' HOR ZI ED PRESENTA <br /> PO Box 8181 <br /> Hillsborough,NC 27278 <br /> EIG6230 8111 <br /> Page 1 of 1 <br />