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• <br /> r <br /> Charlotte.Chapel leig h COLUER COBB &ASSOCIATES, INC. Roston.Dallas.Houston <br /> �! HendarSbn.Fa <br /> P. 0. Box 2166 Montgomery.Alabama <br /> Chapel Nil{, North Carolina 27514 Vienna.Virginia • <br /> (Phone:919-968-4472) <br /> CERTIFICATE OF INSURANCE <br /> This is to certify that the insurance companies named herein have issued the policies of insurance described below.This <br /> certificate is provided as a matter of information. It neither affirmatively or negatively amends, extends, or alters the <br /> coverage limits,terms or conditions of the policies it certifies. It is agreed that in the event of cancellation or material <br /> change in the coverage provided,at least Mt days prior written notice will be given to the party to whom this certificate <br /> is issued. • <br /> TO: County of Orange North Caroline, INSURED:Durham Cons Box u tioln Company, Inc. <br /> Orange County Courthouse Durham, North Carolina 27704 <br /> 106 East Margaret Lane <br /> Hillsborough, North Carolina 27278 <br /> Location, Operations, Contract, Purchase Order, Description of Work or Property Insured <br /> Orange County Historic Courthouse <br /> INSURING COMPANY: The Nan insurance company <br /> Coverage Policy Number Policy Period <br /> Limits of Liability <br /> Workers Statutory-state(s)of North Carolina <br /> Compensation yam. 18381501 5-30-84/85 <br /> &Employers Employers Liability $100,000. <br /> Liability <br /> IIIIIII■IIIIII BODILY INJURY PROPERTY DAMAGE <br /> $ .000 ea.occurrence $ .000 ea.occurrence <br /> Comprehensive <br /> General ( + 6967&30 5-30-64/85 $ .000 aggregate $ .000 aggregate <br /> $500 .000 ea.occurrence•Combined Single Limit <br /> Liability <br /> Comprehensive BA 2980120 5„30-84/85 $ ,000 ea.person $ ,000 ea.occurrence <br /> Automobile $ .000 ea.occurrence <br /> Liability $500 .000 ea.occurrence-Combined Single Limit <br /> • <br /> ,Mar Each Certif.. to of Insurance r quired shall bear the provision that the policy cannot <br /> be cancels-. nor reduced in .t of coverage nor terminated in less than ten (10) • <br /> 7 a, , ii o r a er r 4 is <br /> or cancellation. <br /> INSURING COMPANY: coiled states Fire Insurance company <br /> $ 1000.000 Combined Single Limit- <br /> Excess 523-363866-3 5-30-84/85 Bodily Injury/Property Damage <br /> Umbrella Excess of the General&Auto liability Coverage Certified <br /> Liability Self Insured Retention:$ 0 .000 <br /> COVERAGE NOTES:The Comprehensive Automobile Liability Insurance certified insures all owned, hired and non- <br /> owned vehicles.The Comprehensive General Liability Insurance certified includes the following extensions of coverage <br /> if indicated by(x): <br /> 1. Contractual Liability ( 4. Products-Completed Operations Liability ( 4 <br /> 2. Broad Form Property Damage Liability eluding Completed Operations ( 5. Property Damage by Explosion or Collapse(x,c) ( 1 <br /> 3. Personal Injury Liability ( 6. Property Damage Underground (u) ( 1 <br /> CoLx.'i>�► C0 & AS SOCTA7 , M. <br /> ISSUED: Kara 1$ ,19 85 TJA - C <br /> �/ utg:iir R e ta <br /> t <br /> we , <br />