Orange County NC Website
Browse       Search
Client#: 1170996 30MARTIMCG <br /> DATE(MM/DD/YYYY) <br /> ACORD,. CERTIFICATE OF LIABILITY INSURANCE 2/28/2017 <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 to <br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER COOMNTACT Susan Stephenson <br /> BB&T-Wright Dobbins PHONE 828 277.3930 FAX <br /> (Al C No xt: A/C No <br /> 888-827-9875 <br /> E <br /> PO Box 5318 E-MAIL <br /> ADDRESS: <br /> Asheville,NC 28813 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 828 277-3930 INSURERA:Pennsylvania National Mutual Ca 14990 <br /> INSURED INSURER B: <br /> Martin McGill Inc <br /> INSURER C: <br /> P.O.Box 2259 <br /> INSURER D: <br /> Asheville,NC 28801 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR 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 /> INSR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR IN POLICY NUMBER MM/DD MM/DD <br /> • X COMMERCIAL GENERAL LIABILITY BP90652916 1/23/2017 01/23/2018 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE ❑X OCCUR PREMISES EaENTErrence $50,000 <br /> MED EXP(Any one person) s5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 <br /> PRO LOC <br /> PRODUCTS-COMP/OP AGG $1,000,000 <br /> POLICY JECT <br /> OTHER: $ <br /> COMBINED <br /> • AUTOMOBILE LIABILITY AU90652916 D112312017 01/23/201 Ea accidentSINGLE LIMIT 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> LAN SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS <br /> X X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accidenl A X X OCCUR UL90652916 1/23/2017 01/23/201 EACH OCCURRENCE $1 000000 <br /> CLAIMS-MADE AGGREGATE $1 OOO OOO <br /> ENTION 10000 $ <br /> A WORKERS COMPENSATION WP90652916 112312017 01/23/201 X PER OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500,000 <br /> OFFICER/MEMBER EXCLUDED? 7 NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 OOO <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$500,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ANY Orange County Planning and THE SHOULD <br /> XPIRATTIIONH DATE VTHEREOF,E NOTICEI WILL BE CANCELLED <br /> DELIVERED NE <br /> Inspections Dept ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 131 W.Margaret Lane,Suite 201 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S17713613iMl7713600 SIS <br />