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A~~18D„ CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYYY) <br />03/23/2006 <br />^itton-Gallagher and Associates, Inc. <br />240 SON Center Rd. <br />leveland, OH 44139 <br />Rt 2 iZ9 Beach Cove <br />Youngsville, NC 27596 <br />INSURERS AFFORDING COVERAGE <br />INSURER A: Lexington Insurance <br />INSUP.ERB Axis Surplus Ins Con <br />INSURER @ ~ _ <br />INSURER D:~ <br />NAIC # <br />8 <br />RiE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED t V THt INSURtU NAMtU AtlUVt hUK 1 Ht YULIUT YtKIUU INUIGA I tD. NU I WI IMS IANVINIi <br />iNY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />AAY PERTAIN. THE INSURANCE AFFORDED BY THE PpUCiES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R DD' TYPE OFINSURANCE POLICY NUMBER POL1Cr EFFECTNE POLI,~~ID~~II DMYtS <br /> GENERAL LI0.BILRY 6990014 03/19/2006 03/19/2007 EACH OCCURRENCE S ]„ GOO, OO <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED g SO r OO <br /> CtAM.S A1ADE ~ OCCUP, MED EXP (Any one person) 5 <br /> PERSONAL 8 ADV INJURY S ,_ ],tOOO, O <br /> GENERA! AGGREGATE S 2 OOO DD <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG S 2 , GOO, OO <br /> POLICY X PRO LOC <br />JECT <br /> AU TOMOBILE LVlBIL1TY <br />ANV AUTO <br /> <br />I COMBINED SINGLE LIAIR <br />;Ea amidonq S <br /> ALL OWNED AIROS <br /> <br />SCHEDULED A1R05 <br />BODIL'f INJURY <br />!Per peroon) <br />S <br /> HIRED AUTOS <br />NON•OWNEO AUTOS BODILY INJURY <br />(Per eCddorp <br />S <br /> PROPERTY DAMAGE <br /> <br />(Per oxitlenQ S <br /> GARAGE LUBILITY AUTO pNLV-EA ACCIDENT S <br /> ANY AUTO EA ACC <br />DTHER THAN B ^~~___•~~ <br /> AUTO ONLY AGG 5 <br /> EXCESSlUMBRELW LU+BRATY EAU72'S 375 03/19/2006 03/19/2007 EACH OCCURRENCE ~ ~5 4 OOO OOO <br /> OCCUR ~ CLAIMS M1L:DE AGGREGATE 3 4 OOO OD <br /> 5 <br />I DEDUCTIBLE S <br /> RETENTION S <br />S <br />WDRKER9 COMPENSATION AND <br />EMPLOYERS' LIABILRY ~ STATU• <br />O~TH• ~~ <br />ANYPROPRIEi00.rPARTNER/EXECUTNE - <br />EL. EACH ACCIDENT S <br />OFFICERIMEMSER EXCLUDED'+ <br /> <br />If yy06 tleevlbe under <br />E L DISEASE • EA EMPLOYEE <br />S <br /> <br />SPECW. PROVISIONS below <br />E.L. DISEASE • POLICY UM1IIT ___._. <br />S <br />OTHER _ <br />~.....~.,,..,.., • .,,,,,,,,,,,,,, • ,~,.,,,we , ce~wmvna.wum o. cnwnocmerv ~ I areuAL re,wu,tmo Add 1 t 1 On a 1 Insured - <br />Location:5901 Chapel Hill Blvd. B.LueCross B1ueSheild of NC,• <br />Chapel Hi 11,NC27702 Town of Chapel Hill, <br />Date:6/3/Ob Orange County <br />BlueCross B1.ue6hield of NC <br />5901 Chapel Hill Blvd <br />Durham, NC 27702 <br />SHOULD ANY OF THE ABOVE DESCRBED POLICIES SE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />3O GAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAL•URE TO MAIL 9UCN NOTICE SHALL IMPOSE NO 9BUGA'nON OR LIABILRY <br />~sn ae mnn~rne, <br />