Orange County NC Website
~1G74C)Fe"~ DATE <br /> CERTIFICATE OF LIABILITY INS RANCE <br /> 6/3/2017 <br /> THIS CERTIFICATEIS ISSUED AS A MATIER 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 /> REP RESENTA11VE OR PRODUCER,AND THE CERTIFICATE HOLDER_ <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of th o certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights mo the certificate»*|m�,inx�wvv�w=uwnwp�emwn�s). <br /> ��m� CONTACT <br /> ���� —l"^" <br /> WELLS FARGO INS INC/PHS/NEW ��*`�* |(A1C.w*. (888) 443-6112 <br /> 272525 P: F: (888) 443-6112 E-MAIL <br /> PO BOX 2961I .mwosR(S)AFFORDING COVERAGE "m0i <br /> CHARLOTTE NC 28229 /w.v"cn^. a^ztfy-fu ca:ua� zo " <br /> �» s c <br /> INSURED INSURERo. <br /> VELASQUEZ DIGITAL MEDIA COMMUNICATIONS /=i=ut=' <br /> LLC INSURER n. <br /> P0 BOX 62441 INSURER s. <br /> DURHAM NC 27715 =SURER r. <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 nEomnsMrmr, 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 <br /> rexmS,pxcLusmwS AND cowuxmwnor SUCH pouC�o.umnvSHOWN MAY*m/sBEEN REDUCED ev PAID C/Aows� <br /> owa �vsmr,m�°mx� ^amuom POLICY ^*vrn* POLICY LENITY <br /> LTR �� �� *�m*"v m�D�on <br /> COMMERCIAL GENERAL Lwo/ur, EACH OCCURRENCE $2, 000, 000 <br /> CLAIMS-MADE X OCCUR DAMAGE'vRENTED ,3OO O0O <br /> PREMISES(Ea"="��"°) ' <br /> A x General Liab 22 SOS vo4347 137/01/2517 07/01/2015 msomP(Any one person) $I0, 000 <br /> PERSONAL&ADV INJURY 52, 000, 00 0 <br /> ---- ' <br /> GFNL AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $4, 000, 000 <br /> PRO- <br /> POLICY pno X LOC PRODUCTS rvwp�rAoo `4, 000, D00 <br /> Jscr <br /> OTHER: <br /> mm/ SINGLE^vrvMv"v=v^°vnr $2, 000, 000 <br /> 000 <br /> ANY AUTO BODILY INJURY(Per person) <br /> OWNED SCHEDULED ' <br /> A AUTOS ONLY AUTOS <br /> 22 uao vous�/ 07/01/2017 07/01/2018 onmn/wJ�Y�°,"�m""w , <br /> x HIRED x NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> v�rmsu^'w� OCCUR EACH , <br /> ' <br /> EXCvsnu^n CLAIMS-MADE AGGREGATE <br /> DEC RETENTION S _. <br /> — — --' <br /> ~"=mm=MP,NS"TION PER m <br /> " <br /> =mEMwLERS"LbrINIT, STATUTE ,u <br /> , --- <br /> ^w,rno,=/crnR/P^mmcFUsxsnvnvEY/N Et. <br /> orn"cwwcMesRcxrmn,m �^ $ <br /> (Mandatory*NH) c.L.DISEASE-c^EMPLOYEE <br /> If yes,describe unde El. POLICY <br /> DESCRIPTION <br /> DESCPJP17ON0FOPERAT1ONSILOCATIONS1VEHKRD 101.Additional Remarks Schedule,may m^attached n more space'"required) <br /> Those usual to the Insured's Operations. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY uF THE ABOVE DESCRIBED POLICIES GE CANCELLED <br /> Orange County, <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL aE <br /> Division of Purchasing/Control Services DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br /> Attn: Pam Jones AUTHORIZED REPRESENTATIVE <br /> PO BOX 818I <br /> / --~ / ------HILLSBOROUGH, NC NC 27278 <br /> oP1988'2V15ACmmm CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />