Orange County NC Website
Browse       Search
CERTIFICATE OF INSURANCE ' • / �' <br /> • <br /> This certificate is issued as a matter of information only and confers no rights upon the cenitieate holder, <br /> This certificate does not amend,extend or alter the coverage afforded by the policy(ies)listed below. The 4 <br /> Insurer accepts no responsibility for any additions or changes made hereon that are not on record with <br /> the Insurer. • <br /> • <br /> Nertle and Address of Insured: <br /> SOUTHERN INTERNATIONAL FIREWORKS;' /NC. <br /> P.O. BOX 8340 <br /> • <br /> ATLANTA, GA 30306 <br /> • <br /> • <br /> . This is to certify that the policy(ies) of insurance listed below have been issued to the insured named <br /> above and are In force at this time. <br /> • <br /> TYPE OF INSURANCE: GENERAL LIABILITY INCLUDING PRODUCTS AND <br /> ano operations/locations COMPLETED OPERATIONS LIABILITY INNSUttANCC <br /> covered thereunder PER POLICY FORM NCMGL-1 (CLAIMS MADE) <br /> NAME OF INSURER: EVANSTON INSURANCE COMPANY <br /> • POLICY NUMBER: MC 11399 <br /> . POLICYPERI00: March 21, 1989 to March 21, 1 990 <br /> LIMITS OF LIABILITy'AND DEDUCTIBLE: COMBINED SINGLE LIMIT Bodily In jury and <br /> Property Damage Liability <br /> $1,000,000 each occurrence <br /> •$1,000,000 annual aggregate <br /> $ 25,000 deductible each occurrence <br /> Should the described policy(ies) be cancelled before its (their) expiration dale, the undersigned will en- <br /> deavor to give�Q„days written notice to the certificate holder or. t n clays written notice in the event <br /> the cancellation(s)is(are),due to nonpayment of premium and/or deductible or retention, Failure to give <br /> such notice•shat/impose no obligation or liability of any kind upon-the undersigned or upon the Insurer. <br /> Name and Address of Certificate Holder: <br /> ToWn of Ottcrbcao <br /> P.4. Box 337 <br /> , NC, 27510 <br /> Attn: Richazd Kinney . <br /> • Display tare; July 4, 19$9 • <br /> • <br /> Date_2/I4/89-cv j • <br /> Shand.Morahan&Company.Inc. <br /> Shand Morahan Plaza <br /> £vaosfan,Illinois 6020f <br /> 511 102-10 1/85 <br /> By <br /> 1 1.1 . `'1`1' <br />