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PRODUCER <br />BUSINESS INSURERS <br />P.O. Box 300 <br />GREENSBORO, NC <br />27402 <br />INSURED <br />INDICOR, INC. <br />P.O. BOX 29203 <br />GREENSBORO, NC <br />27428 <br />..arc <br />� � �>�.�,.I��' .��7 ��. �.,.�-::�� ,r. ysy�:j�.7+Cu,'.� ":�'� ?..., `S�:' �,S�y+.s;',-,p...•.: I��IJE �rk`E•. • �.�I'��,Y'�. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANY <br />LETTER <br />COMPANY <br />UTTER 13 <br />COMPANY <br />LETTER c <br />COMPANY <br />UTTER <br />COMPANY <br />LETTER <br />COMPANIES AFFORDING COVERAGE <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. ' <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI. <br />TIONS OF SUCH POLICIES. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MMIO NY) <br />POLICY EXPIRATION <br />PATE (MMIDD/YV) <br />LIABILITY LIMITS IN THOUSANDS <br />Ij <br />j <br />I <br />- + <br />+ <br />EACH <br />OCCURRENCE <br />AGGREGATE ' <br />$ <br />GENERAL <br />LIABILITY <br />DAMAGEE <br />BODILY <br />EII APO <br />COMBINED <br />$ 1,000 , <br />COMPREHENSIVE FORM <br />INJURY <br />$ <br />$ <br />A <br />PREMISESIOPERATIONS <br />UNDERGROUND <br />EXPLOSION 8 COLLAPSE HAZARD <br />CB5A7498 <br />07 /15/89 <br />07/x.5/90 <br />PROPERTY <br />DAMAGE <br />$ <br />$ <br />t <br />PRODUCTSICOMPLETEO OPERATIONS <br />CC <br />CONTRACTUAL <br />INDEPENDENT CONTRACTORS <br />8I& PD <br />COMBINED <br />$ 11000, <br />$1,000, <br />BROAD FORM PROPERTY DAMAGE <br />PBERRSSONNALINJURY <br />PERSONAL INJURY <br />$ <br />A <br />AUTOMOBILE <br />XX <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS (PRIV. PASS.) <br />ALL OWNED AUTOS /OTHER N <br />`PRIV. THA <br />PAS5 <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LIABILITY <br />BA5A.7498 <br />07/15/89 <br />07/15/90 <br />BUY <br />1 MISM <br />$ <br />Ij <br />j <br />I <br />- + <br />+ <br />MMY <br />1 ArXmRr4 <br />$ <br />DAMAGEE <br />EII APO <br />COMBINED <br />$ 1,000 , <br />u%.eaa UA177u I T - - <br />UMBRELLA FORM BCA&B NED $ $ <br />OTHER THAN UMBRELLA FORM <br />WORKERS' COMPENSATION STATUTORY { <br />A AND $ (EACH ACCIDENT) <br />EMPLOYERS' LIABILITY 90WC5A7498 07/15/89 07/15/90 $ (DISEASE- POLICY'LIMIT) I <br />$ (DISEASE -EACH EMPLOYEE) <br />OTHER $ 5 ,000 in Transit <br />A Installation CB5A7498 07/15/89 07/15/90 $3001000 Any One.Loss <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/SPECIAL ITEMS ; <br />RE: additions to Orange County Animal Shelter <br />Orange County <br />300 W. Tryon Street <br />Hillsborough, NC 27278 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX. <br />PIRATT DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL �U DAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL 1IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY,Jg AGENTS OR REPRESENTATIVES. <br />ITHORIZED RE ,,!!IE N'jATIVE Z , � � <br />