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• <br /> ' V , ' SET <br /> ISSUE DATE(MMIDD/YY) <br /> r CERTIFICATE CATE dF INSURANCE �$ 19 <br /> r THIS CE RIGHTS I CERTIFICATE IS IS ISSUED AS AE MATTER PRODUCER OF INFORMATION ONLY AND CONFERS <br /> OLDER.THIS CERTIFICATE DOES NOT AMEND, <br /> ..' THE SOMERS PARDUE AGENCY, INC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> P. O. Box 939 COMPANIES AFFORDING COVERAGE <br /> Burlington, N. C. 2 7215 <br /> COMPAN <br /> U H 1 It Y A'Fidelit & Guarant' Insurance Underwriters <br /> °O <br /> COMPANY p U. S. Fideli ' & Guaran ' Co. <br /> INSURED <br /> COMPANY c <br /> Industrial Maintenance & Supply, Inc. '- " Fidelit' & Guar ant,' Insur• ,ce C. <br /> P.0. Box 513 COMPANY p <br /> LbIIER <br /> Haw River, N. C. 2 7258 <br /> COMPANY E <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU.THE TERMS,EXCLUSIONS,AND CONDI- <br /> TIONS OF SUCH POLICIES. LIABILITY LIMITS IN THOUSANDS <br /> E:„ POLICY NUMBER DDATE(M FEW11'V) DATE MIDD/YT) <br /> TYPE OF INSURANCE . Mil E 11=1:=1 <br /> GENERAL UABILlTY 7-16-83 7-16-86 IeNJDDURY <br /> .SMP 043084816 � ,e COMPREHENSIVE FORM <br /> PREMISESIOPERATiDNS oA�MPAC3E ��vii UNDERGROUND <br /> El PROOUCTSICOMPO ETED OPERATIONS FMB NED 500 $ 500 <br /> Q CpNTRACTUAL <br /> r� INDEPENDENT CONTRACTORS <br /> e BROAD FORM PROPERTY DAMAGE PERSONAL INJURY $500 <br /> III PERSONAL INJURY <br /> BlpILY S ' <br /> B AUTOMOBILE LIABILITY BAF0585804$9 7-16-$4 7 16--85 1111111 ■ <br /> e ANY AUTO gpqy <br /> ALL DINNED AUTOS(PRIV.E:;11 PASS.) �NA <br /> ALL OWNED AUTOS�OTNER THAN <br /> 1 PRIV.PASS. PROPERTY <br /> e HIRED AUTOS PROAGE a <br /> AUTOS <br /> NDN-0WNED 81&PD <br /> 500 ', <br /> IIIII <br /> GARAGE LIABILITY COMBINED $ e Qx <br /> lui i EXCESS LU■BIUTY <br /> e UMBREUA FORM CEP043747154 7 16-84 -16-$5 al&PD $ 2,000 $ 2,000 <br /> all OTHER THAN UMBRELA FORM <br /> STATUTD(iYNC )- 1-4 rz, •Np <br /> WORKERS'COMPENSATION $ LOO (EACH ACGIOENT) <br /> AND 6503923848 7-1.6-84 7-�6-85 (DISEASE-POLICY OMIT) <br /> EMPLOYERS'LIABILITY (DISEASE-EACH EMPLOYEE) <br /> OTHER .11111111111111 IIIIII <br /> DESCRIPTION OF OPERATIONS ILOCATIONS/VEHICLESISPECIAL ITEMS <br /> JOB: Renovations, Orange County Historic Courthouse <br /> CERTIFICATE HOLDER ?. � , :. .,. _ CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EX- <br /> County,of Orange, N.C. PIRATIO DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> Orange County Courthouse MAIL )0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> LEFt,BUT FAILURE TO MAIL SUCH NOTICE SHALL RAPOSE NO OBLIGATION•-'LIABILITY <br /> Hillsborough, N. C. 2 7278 OF ANY KIND UPON THE COMPANY,IT S OR -EP�SENT:- IV•-. . <br /> AUTHORIZED REPRESENTATIVE -;-•f??�.7v J *' <br /> r''' . '���• <br /> = IIR/ACORD CORPORATION 1984 <br /> ACORD`25'(21841 = f <br />