Orange County NC Website
DocuSiggpn Envelope ID: B840BD77-8346-41AC-85B4-37D8F3A6OB7A <br /> ✓` DATE(MMlDblY"YYY) ..... <br /> 05/31/2016 <br /> [;REPRESEN:TATIVE S CERCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> RTIFICA DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ,ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> LOW. S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must tae endorsed. if SUBROGATION IS WAIVED,subject to <br /> 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 <br /> NAME: Will Brame <br /> Will Brame Assoc.Agent PHONE . 919-362-8042.._. .__ ... a?= <br /> - <br /> AC Errel:_ N <br /> Walker Insurance Group E-MAIL SS: wbrame @aiinus.com <br /> Apex, NC 27502 _ <br /> 420 East Williams Street - <br /> INSURER(S)AFFORDING COVERAGE NAIL# .. <br /> - <br /> INSURER A: Riverport Insurance Company 36684 <br /> INSURED - - <br /> INSURER B <br /> Apex Fire Systems INSURER C: <br /> PO Box 879 <br /> INSURER D <br /> Sanford, NC 27331 INSURERE: <br /> - <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 /> _ffADD€. <br /> LTR TYPE OF INSURANCE N R POLICY NUMBER M�hS/DDtYYYY MMID-W LIMITS <br /> f GENERAL LIABILITY EACH OCCURRENCE _ $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED - - " - <br /> — PREMISES <br /> �L.. �. <br /> CLAIMS-MADE u OCCUR MED EXP(Any one perscn) I$ <br /> -' - — - ---— PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> .7 POLICY 1 PRO- F LOC <br /> AUTOMOBILE LIABILITY COMBINED.SINGLE LIMIT <br /> Ea accident) <br /> _ ANY AUTO BODILY INJURY(Per person) $ <br /> (� ALL OWNED SCHEDULED ._. -.-._. : . ...... ._. .. <br /> -. AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED <br /> -_ HIRED AUTOS AUTOS PROPERTY DAMAGE $ <br /> JPer accident) _ <br /> UMBRELLA LIAB `OCCUR - EACH OCCURRENCE <br /> $.. <br /> EXCESSLJAB CLAIMS-MADE AGGREGATE <br /> — _.. JI. <br /> DED ..RETENTIONS <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND.EMPLOYERS'LIABILITY YIN T RY,LIMITS ... ER T ANY PROPRIETO)1PARTNERIEXECUTIVE ❑I Y 6605626 08/28/2015 08/28/2016 .E.I.EACH ACCIDENT 1 $ 1.,000,000. <br /> A <br /> OFFICERtMEMBEREXCLUDED? N NIA <br /> (Mandatory in NH E-L-DISEASE-EA EMPLOYE $ 1,000,000 <br /> It yes,describe under ._ <br /> �DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLIGYLIMIT $ 1,000,000 <br /> i <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Fire Alarm Sales,Installation,and Service <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> 919-732-8181 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2010/05) ©1988-2�DPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />