Orange County NC Website
DocuSign Envelope ID:65C60457-7A65-4ACA-9490-C6DF18342041 <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 <br /> to the tens 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 SOUND ADVICE OF EASTERN NC INC CERTIFICATE Orange County <br /> NAME AND PO BOX 270 HOLDER PO Box 8181 <br /> ADDRESS VVINTERVILLE, NC 28590 Hillsborough, NC 27278 <br /> Email: dbaker @orangecountync.gov <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 1 TYPE OF INSURANCE INS!)WVD POLICY NUMBER POLE Y F ( M V P) LIMITS <br /> • COMMERCIAL GENERAL LIABILITY' SMP 0129077 7/26/2017 7/26/2018 GENERAL AGGREGATE $2,000,000 <br /> -OCCURRENCE PRODUCTS-COMPJOPS <br /> AGGREGATE $2,000 000 <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 Ouxxrence) <br /> MED EXP(Any one person) $5,000 <br /> ❑ EACH OCCURRENCE $ <br /> BUSINESSOWNERS AGGREGATE <br /> S <br /> AUTOMOBILE LIABILITY COMBINE SINGLE LIMIT $1,000,000 <br /> A (Each accident)7/7/2017 1/7/2018 <br /> • SCHEDULED AUTOS BAP 2099108 BODILY INJURY(Per person) <br /> ❑ HIRED AUTOS i BODILY INJURY(Peracedenl) ry <br /> • NON-OWNED AUTOS (Peraccident) <br /> I <br /> ❑ GARAGE LIABILITY <br /> 0 <br /> (Other) <br /> ❑ EXCESS LIABILITY— EACH OCCURRENCE $ <br /> OCCURRENCE AGGREGATE <br /> WC STATUTORY LANs <br /> GI AND EMPLOYERS'OYCOMPENSATION <br /> RS'LIABILITY A NlA� WC 0225953 5/15/2017 5/15/2018 E.L-EACH ACCIDENT $500,000 <br /> AND EMPLOYERS'LIILIT i <br /> POLICY APPLIES TO THE WORKERS EL DISEASE-EA EMPLOYEE $500,000 <br /> COMPENSATION LAW IN THE STATE OF NC E .DISEASE-POLICY LIMIT $500,000 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE U © <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 8/22/2017 <br /> COI 0910 <br />