Orange County NC Website
DocuSign Envelope ID: BBE2812E-C8CC-4A62-A991-7B4A2DC9F2F3 <br /> NATIONWIDE MUTUAL INSURANCE COMPANY 80483 <br /> ONE NATIONWIDE PLaAZ�l RENEWAL <br /> COLUMBUS,OH 43216-2220 <br /> COMMERCIAL GENERAL LIABILITY DECLARATIONS <br /> s4N - ACP GLO 2272994383 <br /> Named �S PRO NET SYSTEMS INC <br /> 320€8 GLEN ROYAL RD STE 107 <br /> RALEIGH NC 27617-7419 <br /> �.._ .......................... w- .,... ......,..._.....w:.........,.. ..� _ w.......... ....... - _...... _ .._- - <br /> Agent: TEEN L.AWSON,JR. 32-80483.001 <br /> Address: RALEIGH NC 27615 PRODUCER: KENNETH I3 LAWSON JR <br /> Policy Period: From 02/22/16 to 02J22/17 12:01 A.tdl, standard time at the address of the earned insured as stated <br /> herein. <br /> In return for the payment of the premium, and subject to all the terms of this policy,we agree with you to provide the <br /> insurance as stated to this policy. <br /> t,I€WITS OF INSURANCE <br /> GENERAL AGGREGATE LIMIT(other than roducti-coatpleted operations) $ 2.000,000 <br /> PRODUCT"t:MPLETEi3 OPERATIONS AGGREGATE I..WIT $ 2,000,00€9 <br /> PERSONAL AND ADVERTISING INJURY LIMIT $ 1.000,000 <br /> EAC14 OCCURRENCE L€MIT 3 11000,000 <br /> DAMAGE TO€REMISES RENTED TO YOU LIMIT(any one promises) $ 100,000 <br /> MEDICAL EXPENSE LIMIT (arty one person <br /> Retroactive Date (CG00W only) <br /> i he Named insured Is: CORPORATION <br /> Business of the Married Insured is: ELECTRICAL APPARATUS <br /> Audit Period: ANNUAL <br /> ENDORSEMENTS ATTACHED TO THIS POLICY <br /> SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE <br /> TOTAL ADVANCE PREMIUM 1,635.00 <br /> Replacement or r <br /> Renewal Number ACP GLO 2262994303 <br /> A PACKAGE MODIFICATION FACTOR HAS SEEN APPLIED <br /> a <br /> Countersigned By ,_f a ` <br /> GL-D(1€-96) <br /> DIRECT BILL L6DQ 15009 AGENT COPY ACP GLO 2272995383 83T701611 22 0007234 <br />