Orange County NC Website
DocuSign Envelope ID: E8971366-B8D6-4E92-9A52-F685F6B6FE6F <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC, <br /> CERTIFICATE OF LIABILITY INSURANCE <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(ies)must be endorsed.If SUBROGATION IS WAIVED,subject <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> INSURED SOUND ADVICE OF EASTERN NC INC CERTIFICATE Orange County <br /> NAME AND PO BOX 270 HOLDER PO Box 8181 <br /> ADDRESS VVINTERVILLE, NC 28590 Hillsborough,NC 27278 <br /> Email: dbaker @orangecountync.gov <br /> COVERAGES <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 OP INSURANCE ADO`IS E I POLICY NUMBER I��YEFF IOYEXP LIMITS <br /> ® COMMERCIAL GENERAL LIABILI SMP 0129077 7/26/2015 7/26/2016 GENERAL AGGREGATE $2,000,000 <br /> -OCCURRENCE PRODUCTS-COMP/OPS 2 <br /> AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL.&ADVINJURY $1,000,000 <br /> FACHOC CUR RENCE $1,000,000 <br /> DAMAGE TO RENTED $100,000 <br /> MEDEXP(Anyoneperson) $5,000 <br /> ❑ EACH OCCURRENCE <br /> BUSINESSOWNERS -I-AGGREGATE <br /> COMBINED SINGLE LIMIT $1,000,000 <br /> UTOMOBILE LIABILITY 7/7/2018 1/7/2017 (Each accident) <br /> ❑ SCHEDULED AUTOS RAP 2099108 BODILY INJURY(Per parson) $ <br /> ❑ HIRED AUTOS BODILYINJURY(Per accident) $ <br /> • NON-OWNED AUTOS PROPERTY DAMAGE Per <br /> ❑ GARAGE LIABILITY <br /> (Other) <br /> ❑ EXCESS LIABILITY— ,e EACH OCCURRENCE <br /> OCCURRENCE AGGREGATE EMI <br /> ® WORKERS COMPENSATION WCSTATUTORYIJNSITS <br /> AND EMPLOYERS'LIABILITY WC 0225953 4/28/2016 4/28/2017 E.L.EACH ACCIDENT $600,000 <br /> POLICY APPLIES TO THE WORKERS EL DISEASE-EA EMPLOYEE $500,000 <br /> COMPENSATION LAW IN THE STATE OF NG E.L.DISEASE-POLICY LIMIT $500,000 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 8/4/2015 <br /> C010910 <br />