Agenda - 06-25-1991 - Laserfiche WebLink

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Afteru" 3 �" �t ISSUE DATE (MM /DD/YY) THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD Z ff 06/27/91 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS BUSINESS INSURERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, P ..t =1, CdK 300 E3 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW GREENSBORO, NO POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/VY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS COMPANIES AFFORDING COVERAGE 27402 GENERAL AGGREGATE $ 2, 000 A X COMMERCIAL GENERAL LIABILITY CB5A7498 COMPANY A QJE9 275- -2577 SUB -CODE LETTER HARLEM` VIL.L_E MUTUAL INSURANCE CO .. ... COMPANY B INSURED LETTER INDICOR, INC:. COMPANY C' P.O. BOX 8794 LETTER A GREENSBC.)RO, NO COMPANY D 27419 LETTER SCHEDULED AUTOS COMPANY E X HIRED AUTOS LETTER MVVL7Al ",I'" i'F . E1 ;� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO -TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/VY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS GENERAL LIABILITY GENERAL AGGREGATE $ 2, 000 A X COMMERCIAL GENERAL LIABILITY CB5A7498 07- 15 -'90 07""'15 -91 PRODUCTS - COMP /OPSAGGREGATE $ 2' C�In 1 CLAIMS MADE X OCCUR. PERSONAL & ADVERTISING INJURY $ 1 y 0oo OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1. , 000 FIRE DAMAGE (Any one fire) $ 100 MEDICAL EXPENSE (Any one person) $ 19 AUTOMOBILE LIABILITY COMBINED A X ANY AUTO B A5A7498 SINGLE S 07/15/ 0 07/15/91 LIMIT J. Coo ALL OWNED AUTOS , BODILY SCHEDULED AUTOS INJURY $ (Per person) X HIRED AUTOS BODILY X NON -OWNED AUTOS INJURY $ (Per accident) GARAGE LIABILITY PROPERTY S DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY A AND 91 W05A 74'- 8 07/15/90 07/15/91 1 $ 100 (EACH ACCIDENT) EMPLOYERS' LIABILITY $ 500 (DISEASE — POLICY LIMIT) $ 100 (DISEASE —EACH EMPLOYEE OTHER A INSTALLATION CI 5A7407 07/15/90 07/15/91 $300, LIMIT FLOATER $ 5, PROP.IN TRANSIT $250 DEDUCTIBLE DESCRIPTION OF OPERATIONS /LOCATIONS/VE'-NICLES /RESTRICTIONS /SPECIAL ITEMS RE: ORANGE COUNTY GOVERNMENT SERVICES CTR, HILLSBC)ROUGH, NO TR CERi1FICAi°E W ,. M'''.•., ,'i „t'..:i, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY (_)RANGE COUNTY EXPIRATION � 9 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 300 W. TRYON STREET LEFT, HILLSBOROUGH, NC 27278 AUTHORIZED REPRESENTATIV