Orange County NC Website
AccoREP CERTIFICATE OF LIABILITY INSURANCE D212(MM/DD/YYYY) <br /> 08/18/2017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Doug Farber <br /> NAME: <br /> Insurance Management Consultants,Inc. PHO,NN,Ext): (704)799-1600 FAX No): (704)799-2955 <br /> P.O.Box 2490 E-MAIL cert @imcipls.com <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Davidson NC 28036 INSDRERA: RLI Insurance Company 13056 <br /> INSURED INSURER B: Berkley Design Professional Underwriters 38911 <br /> Smith Sinnett Architecture,P.A. INSURER C: <br /> 4600 Lake Boone Trail INSURER D: <br /> Suite 205 INSURER E: <br /> Raleigh NC 27607 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 8/17/17 PL Renewal 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 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 /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE <br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE TO RETED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 <br /> MED EXP(Any one person) $ 10,000 <br /> A PSB0006123 03/16/2017 03/16/2018 PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICY JECT PRO LOC PRODUCTS-COMP/OPAGG $ 4,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED PSA0002171 03/16/2017 03/16/2018 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> X AUTOS ONLY X AUTOS ONLY (Per accident) <br /> Medical payments $ 5,000 <br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LIAB CLAIMS-MADE PSE0002685 03/16/2017 03/16/2018 AGGREGATE $ 1,000,000 <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION X STATUTE EORH <br /> AND EMPLOYERS'LIABILITY Y/N 500,000 <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE N/A PSW0003488 03/16/2017 03/16/2018 E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under 500,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Each Claim $2,000,000 <br /> Professional Liability <br /> B AEC-9016366-02 08/17/2017 08/17/2018 Aggregate $4,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O.Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 ! 7 L2. <br /> I (7 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />