Orange County NC Website
Browse       Search
DocuSign Envelope ID: FB996623-F8D3-4BBF-9CEA-DB9F38F5F0D3 <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 /> x TYPE OF INSURANCE ADDLISUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> INSD WVD (MINDDNYYY) (MI DDNYYY) <br /> ❑ COMMERCIAL GENERAL LIABILITY SMP 0129077 7/26/2016 7/26/2017 GENERAL AGGREGATE $2,000,000 <br /> -OCCURRENCE PRODUCTS-COMP/OPS <br /> AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $1,000,000 <br /> EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED $1 00,000 <br /> ••EASES Ea• •--I r• <br /> MED EXP(Any one person) $5,000 <br /> ❑ EACH OCCURRENCE $ <br /> BUSINESSOWNERS <br /> AGGREGATE $ <br /> AUTOMOBILE LIABILITY �acdddSIINGLELRarr $1 000,000 <br /> BAP 2099108 7/7/2016 1/7/2017 BODILY INJURY(Per person) <br /> • SCHEDULED AUTOS _ <br /> ❑ HIRED AUTOS BODILY INJURY(Per accident) $ <br /> ® PROPERTY <br /> NON-OWNED AUTOS (Per <br /> ❑ GARAGE LIABILITY <br /> CI <br /> (Other) <br /> EACH OCCURRENCE $ <br /> ❑ EXCESS LIABILITY— <br /> OCCURRENCE AGGREGATE $ <br /> VC STATUTORY LMITS r� <br /> ® WORKERS COMPENSATION N/A <br /> AND EMPLOYERS'LIABILITY WC 0225953 4/28/2016 4/28/2017 E.L.EACH ACCIDENT $500,000 <br /> POLICY APPLIES TO THE WORKERS <br /> E.L.DISEASE-EA EMPLOYEE $500,000 <br /> COMPENSATION LAW IN THE STATE OF NC 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 REPRESEN ATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 8/2/2016 Oa,/ / ),JiLa// fi(t, <br /> COI 0910 <br />