Orange County NC Website
Browse       Search
^1 ` y ISSUE DATE (MMlDDlYY) <br />#�1IrR< . , 06/ 1 / <br />/ : +L <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />B ITS) I: NE SS I N: _-iLJRE:. RS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />P.0. B0X 300 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />GRE:ENSBL)RU, NC, COMPANIES AFFORDING COVERAGE <br />F`'74,0 <br />COMPANY <br />c0dE9 271"' 2,5, 17 SUB -CODE LETTER A I IARLEYSVIL.L.E MUTUAL INSURANCE CC) <br />COMPANY B <br />INSURED LETTER <br />INI)SL'.0R, :I:hl(.: _ COMPANY C <br />P -C). :."'.":794 LETTER <br />[3 R E I....N`._3B()R0, NC COMPANY <br />LETTER D <br />{� � � 741. ' "� <br />COMPANY E <br />LETTER <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 REOUIREMENT, 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 />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />.TR DATE (MMIDD /YY) DATE (MM /DD /YY) ALL LIMITS IN THOUSANDS <br />GENERAL LIABILITY <br />A x COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE x OCCUR, <br />OWNER'S & CONTRACTOR'S PROT. <br />AUTOMOBILE LIABILITY <br />A X <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />GARAGE LIABILITY <br />EXCESS LIABILITY <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />A AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />A INSTAL.L.ATIc_)N <br />FLOATER <br />GENERAL AGGREGATE $ � � , C)C)(_l <br />Lai5A74'::0t;:l 07•••••1.1.....9(_) 07- ...1F. ..... 91 PRODUCTS- COMP /OPSAGGREGATE $ <br />2, (](_)C) <br />PERSONAL & ADVERTISING INJURY $ 1 ry UCICI <br />EACH OCCURRENCE $ :1 y Clclo <br />FIRE DAMAGE (Any one fire) $ I 0(.l <br />MEDICAL EXPENSE (Any one person) $ M' <br />COMBINED <br />... SINGLE $ <br />RA`IA% �If; Ll7 /.I. `I /'.�U U7 /.I.: ?/91 LIMIT .1 , 000 .. _ <br />BODILY <br />INJURY $ <br />(Per person) <br />BODILY <br />INJURY $ <br />(Per accident) <br />PROPERTY <br />DAMAGE $ <br />EACH AGGREGATE <br />OCCURRENCE <br />$ $ <br />STATUTORY <br />1 WC r1A74';) i O7/.LS/90 ("')7/1.5/91. $ 100 (EACH ACCIDENT) <br />$ 50(,l (DISEASE— POLICY LIMIT) <br />$ <br />100 (DISEASE —EACH EMPLO` <br />C 1 5)A"741-•7 07 /1.5/' :)C) 07 /:1.5/91 $, :5 1Cl, 1 ...7MIT <br />5, PR0P.IN TRAN:::3:1T' <br />DESCRIPTION OF OPERATIONS! LOCATIONS /VEHICLES /RESTRICTIONSISPECIAL ITEMS <br />RC :: ORANGE- C ;C)LJNT'Y GC)VE::RNMENT :_`)ERVI.C',E::`._�3 [:.'1 "FZ, 1­lIL.L,,.;B0R0LJGH, NG <br />GERrIFICAT,11s10W, I«IR CANC IspT N .,�,a. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />()F2ANGE COUNTY MAIL —.10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />. [.lU W, f RY0N STREET LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1-111 ...L...'.3BCiRC)UGH , NC: LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENT#TIVe <br />r�. <br />40MIUTION 10 <br />