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ISSUE DATE IMM ;00iYY1 <br />tzmnFICAA OF OW <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Marsh & McLennan, Inc. POLICIES L <br />5400 Glenwood Avenue <br />COMPANIES AFFORDING COVERAGE <br />Suite 201 <br />Raleigh, North Carolina 27612 COMP A <br />Pennsylvania Mfg. Assoc. Ins. Co. <br />COMPANY B <br />INSURED <br />LETTER Pennsylvania Mfg. Indemnity Co. <br />NY ' <br />Lee Air Conditioners, <br />LETTER <br />Inc. American National Fire Insurance j <br />P.O. BOX 2895 <br />COMPANY II' <br />D <br />Durham, NC 27705 <br />LETTER <br />St. Paul Fire & Marine Insurance Co. <br />COMPANY <br />LETTER <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 <br />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 />CO TYPE OF INSURANCE <br />LTA <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />DATE (MMIDO /YY) DATE (MM /00/YY) <br />GENERAL LIABILITY <br />GENERAL AGGREGATE s31, 000 000 <br />• X COMMERCIAL GENERAL LIABILITY <br />8291-00-484693 1 -12 - 91 1-12-92 PRODUCTS- COMP /OP AGG. $ 1, 0 0 0, 0 0 0 <br />CLAIMS MADE X OCCUR- <br />PERSONAL & ADV. INJURY $1,000 , 000 <br />OWNER'S & CONTRACTOR'S PROT. <br />EACH OCCURRENCE $1,000, 000 <br />FIRE DAMAGE (Any one fire) S so , 000 <br />MED. EXPENSE (Any one person) $ 5 000 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE <br />• X ANY AUTO <br />1591 -00-- 4848693 1 -12 -91 1 -12 -92 LIMIT 1,000,000 <br />X ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />SCHEDULED AUTOS <br />(Per person) <br />X HIRED AUTOS <br />BODILY INJURY <br />$ <br />X NON -OWNED AUTOS <br />(Per accident) <br />GARAGE LIABILITY <br />PROPERTY DAMAGE $ <br />X Physical Dama e- <br />EXCESS LIABILITY <br />EACH OCCURRENCE $5,000,000 <br />C X UMBRELLA FORM <br />UMB 2992875 -01 1- -12 -91 1 -12 -92 AGGREGATE s5,000,000 <br />OTHER THAN UMBRELLA FORM <br />STATUTORY LIMITS <br />WORKER'S COMPENSATION <br />EACH ACCIDENT $100,000 <br />B AND <br />2191 -00- 4848693 1 -12 -91 1 -12 -92 DISEASE — POLICY LIMIT $500, 000 <br />EMPLOYERS' LIABILITY <br />DISEASE —EACH EMPLOYEE $100,000 <br />OTHER <br />D Builders Risk <br />K103200134 3 -15 -91 3 -15 -92 $500,000. Limit <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VENICLES /SPECIAL ITEMS Contract Amount: $159,136 <br />RE: ORANGE COUNTY GOVERNMENT SERVICES CENTER, HILLSBOROUGH, NC <br />*Policies will not be <br />cancelled,reduced in amount or coverages eliminated until <br />at least thirt (30) <br />days after mailing written notice ,b certified mail return <br />of suca alteration or cancellait <br />* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />ORANGE County <br />Hillsborough, NC <br />EXPI ON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL�� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />O P <br />5F� <br />ACORD 2S-S /90 <br />CACORD CORPORATION 1990 <br />