Orange County NC Website
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... S <br />f <br />�i <br />... DATE (M YY) <br />� ¢ 4:v}� .fi by fin•.•.;: ,:i .m <br />d0}}6)}000DOOOOSV ' i' �i��i' iiiNJ.{'• �i :'!.�{�.u4�n�i)%FC:- <br />:im+?h• +.+ } }:�k• }3:i {•%idV �d�: ti' i�W✓:%: �i. �: is :�:5}:•:65�6.;.;;.;• ^,.::;:;i�: <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />COLLIER COBB- CHAPEL HILL <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />OF THE CAROLINAS, INC. <br />COMPANIES AFFORDING COVERAGE <br />P.O. BOX 2165,NC 27514 <br />919- 968 -4472 <br />CO NY A <br />DOW SYB-0ODE <br />St. Paul–Insurance Com an <br />COMPANY <br />LETTER B <br />U.S. Insurance Group— <br />INSURM <br />COMPANY <br />C <br />The Resolute Bui lding Company <br />P.O. Box 3656 <br />LETTER <br />COMPANY D <br />Chapel Hill, NC 27515 <br />LETTER <br />COMPANY <br />E <br />LETTER <br />,...:.::. }:'. e ••,• } }:... ,. ,.. . �. +:' :iii +,. } }:: }... <br />f: :.. \cc• ..: J. {:::} }';:' : }:Yy • }}:.'•J •: >t }Y•.': • }:you,. ss ..'�„ {l p <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT. <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS, <br />Co <br />L <br />TVPEOFIrSURANCE <br />POLICYNUMB6R <br />POLICYETFEOTNE <br />POLICVEXPRATM <br />ALL LIMITS NTHOUSANDS <br />DATE(MM /DD /VV) <br />DATE(MM /DD /VY) <br />GENERAL AGGREGATE <br />t 3000 <br />PRODUCTS - COMP /OPS AGGREGATE <br />s 3000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />KK 0 3 20 0 0 34 <br />9/19/89 <br />9/19/90 <br />CLAIMS MADE -1 GLF. <br />PERSONAL & ADVERTISING <br />1000 <br />EACH OCCURRENCE <br />1000 <br />OWNER'S & CONTRACTOR'S PROT <br />FIRE DAMAGE (Any one lire) <br />S 50 <br />MEDICAL EXPENSE (Any one perscn)l <br />5 <br />AUTOMOOLK LIABLRY <br />mi <br />SINGLE <br />A <br />X ANY AUTO <br />KK03200034 <br />9/19/89 <br />9/19/90 <br />LIMIT <br />1000 <br />ALL OWNED AUTOS <br />INJURY <br />% <br />- - -- <br />SCHEDULED AUTOS <br />(per Pawn) <br />- - -- <br />- - -< --- <br />A <br />X HIRED AUTOS <br />= <br />S <br />A <br />X NON OWNED AUTOS <br />INJURY <br />(Pa accident <br />-- -- <br />GARAGE LIABILITY <br />PROPERTY <br />DAMAGE <br />s <br />—EX I"LIABLRY <br />B <br />X <br />5325063417 <br />9/19/89 <br />9/19/90 <br />_ <br />= 1000 <br />: 1000 <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPIMATION <br />STATUTORY == <br />- - -= - <br />= == - <br />- -= -=- <br />1 <br />100 (EACH ACCIDENT) <br />AM <br />{ <br />500 (DISEASE- POLICY LIMIT) <br />A <br />WV03202752 <br />9/19/89 <br />9/19/90 <br />EMPLOVERS'LIAIlLRY <br />: <br />100 @ISEASE- EADiEMPLOYEE) <br />OTHER <br />DEMPTION OF OPERATHMSRACATM*45FVKNNXZBFRESMICTKNVWEO&AL ITEMS <br />WORK AS ORDERED ON THE ADDITION TO THE <br />COUNTY OF ORANGE ANIMAL SHELTER, 1099 <br />AIRPORT ROAD, CHAPEL HILL, NC <br />��Tir' : KIiA�lGlf:;{;;:. ki . #. ;: •:�, <br />,; v..: •.:. ' .. ....... ;Ji. {. _ _ _ _ <br />. V.uJC�4 •:L}G.: + Axx:. F•• e::.:J::•..::n..l�1KY:�J}Gi��•. - r.:.:....:•itiW.v:: <br />.:•l.•:, v..y . '}f ` ;+'ct,, . +.�... .: {: .�Y + {; } }: SS >:i;'•"::::: <br />v: •:::. +.•: }:::...� Y�iMi{Ff.�a- �i1/.11viii'''.} v.�';•i �.. <br />we... .. ..:•.:'Ie ..,hip} > �$ <br />fr�xx.:{?{. k{ 4} i:}:?{ 47�„......:. �:-:::-: i-' f✓X��}�;'•�•�•H•A�•:{iM'i��:FF }lec_:5c: �i:-::•:{7i:!{:$7Aki { {:ii: ? {:: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />�i EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO <br />COUNTY OF ORANGE <br />-MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />300 W. TRYON STREET <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />HILLSBOROUGH, NC 27278 <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES <br />AUTHORIZED RE'PRESENTATIYE <br />415000 <br />Th:k <br />� <br />:`�..; .{.' .}+ �[:+ hy:.:'•:' r'.; �Y; ��+ `,: if{}?} h\?;:}? ;jri ?F;}:n:: ? ^Y:n�.�_.__y_y:J -y4 }�p}p�•.?}T .�v Y. - <br />�.. �Y.' G..^ h:..} i{: �. v: }' �.�: ^. <br />;:::::::r•.:.:...::.:: ✓! : .:: ..:.:::::�: {:.::•: ... Yom• n. n. <br />............................... .' <br />