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CERTIFICATE OF INSURANCE 01/24/92 <br />This certificate is issued as a matter of information only and confers no rights <br />upon the certificate holder. This certificate does not amend, extend or alter <br />the coverage afforded by the policies listed below. <br />PRODUCER C Letter A Pennsylvania National Ins Co <br />Greensboro Insurance Services 0 <br />P. 0. Box 1301 M Letter B <br />1301 E. Wendover Ave. P <br />Greensboro NC 27402 A Letter C <br />INSURED N <br />I Letter D <br />Cyclone Roofing Company E <br />P. 0. Box 1279 S Letter E <br />Matthews, NC 28106 <br />This is to certify that policies of insurance listed below have been issued to <br />the insured named above for the policy period indicated. Notwithstanding any <br />requirement, term or condition of any contract or other document with respect <br />to which this certificate may be issued or may pertain, the insurance afforded <br />by the policies described herein is subject to all the terms, exclusions and <br />conditions of such policies. Limits shown may have been reduced by paid claims. <br />------------------------------------- COVERAGES------------------------------- - - - - -- <br />Co Type of Policy # Policy Policy Limits <br />Ltr Insurance Effective Expiration <br />- - -- GENERAL LIABILITY --------------------------------------------------------- <br />A (X) Commercial GL CL9 -0- 025488 -2 07/01/91 07/01/92 Gen Aggreg $1000000 <br />( ) ( )Claims Made Prd -C /Op Ag$1000000 <br />(X)Occurrence Pers /Adv In$1000000 <br />( ) Owners & Contr Each Occur $1000000 <br />( ) Fire Damag $50000 <br />( ) Medical Ex $5000 <br />- - -- AUTOMOBILE LIABILITY ------------------------------------------------------ <br />A (X) Any Auto AU9- 0- 025488 --2 07/01/91 07/01/92 CSL $1000000 <br />( ) All Owned B.I. /Pers $ <br />( ) Scheduled B.I. /Acrid $ <br />(X) Hired P.D. $ <br />(X) Non -Owned <br />( ) Garage Liab <br />- - -- EXCESS LIABILITY ------ --------------------- ------------------------- - - - - -- <br />A (X) Umbrella Form UL9 -0- 025488 -2 07/01/91 07/01/92 Each Occur Aggregate <br />( ) O.T. Umbrella 4000000 $4000000 <br />- - -- WORKERS COMPENSATION ------------------------------------------------------ <br />W.C. STATUTORY <br />Employers Liab. Each Acrid $ <br />Dis /Policy $ <br />Dis /Employ $ <br />- - -- OTHER --------------------------------------------------------------------- <br />DESCRIPTION OF Operations /Locations /Vehicles /Special Items <br />ORANGE COUNTY RECREATION CENTER <br />CANCELLATION: Should any of the above described policies be cancelled <br />before the expiration date thereof, the issuing company will endeavor <br />to mail 10 days written notice to the certificate holder named below <br />but failure to mail such notice shall impose no obligation or <br />liability of any kind upon the company, its agents or representatives. <br />NAME and ADDRESS of CERTIFICATE HOLDER <br />COUNTY OF ORANGE <br />132 E. KING STREET �. <br />HILLSBOROUGH, NC 27278 <br />PFW Authorized Representative <br />