Orange County NC Website
Browse       Search
I <br /> DocuSign Envelope ID:20818283-1755-42D3-ACCB-4BOBFB3AF0D3 <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <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 I. <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> INSURED NELSON ALARMS CERTIFICATE ORANGE COUNTY <br /> NAME AND PO BOX 10 HOLDER PO BOX 8181 <br /> ADDRESS RANDLEMAN NC 27317 HILLSBOROUGH NC 27278 <br /> COVERAGES <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 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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> X TYPE OF INSURANCE ASSO POLICY NUMBER MYF � LIMITS NI WV ( O DN YY) IM�IYY) <br /> ❑ COMMERCIAL GENERAL LIABILITY SMP 0113241 5/26/2017 5/26/2018 GENERAL AGGREGATE $1,000,000 <br /> - <br /> -OCCURRENCE PRODUCTS $0 <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $1 000 000 <br /> EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED $100,000 <br /> PREMISES(Ea Occurrence) <br /> MED EXP(Any one person) $5,000 <br /> ❑ EACH OCCURRENCE $ At , <br /> BUSINESSOWNERS <br /> AGGREGATE $ <br /> COMBINED SINGLE LIMIT $ <br /> AUTOMOBILE LIABILITY (Each accident) <br /> ❑ SCHEDULED AUTOS BODILY INJURY(Per person) $ <br /> . <br /> ❑ HIRED AUTOS BODILY INJURY(Per accident) $ <br /> ❑ NON OWNED AUTOS PROPERTY DAMAGE $ <br /> (Per accident) . <br /> ❑ GARAGE LIABILITY <br /> ❑ (Other) <br /> EACH OCCURRENCE $ <br /> ❑ EXCESS LIABILITY-- <br /> OCCURRENCE AGGREGATE $ <br /> WCSTATUTORYLIMITS ': <br /> ® WORKERS COMPENSATION N/A <br /> AND EMPLOYERS'LIABILITY WC 0213731 6121/2017 6/21/2018 E.L.EACH ACCIDENT $100,000 <br /> E.L.DISEASE-EA EMPLOYEE $100,000 <br /> POLICY APPLIES TO THE WORKERS <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $500,000 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 8/10/2017 veJJ�� <br /> J'✓r..5 }6 <br /> COI 0910 <br />