2018-003-E Health - Signs Now Signs for Whitted building

Browse Search

DocuSign Envelope ID: OE3315B4 -1AD7- 4655- 96F6- 91C2DOFFA17C ACX>R"� CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD,YYYY) 1212112017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Louise Churchill Herring & Bickers Insurance Agency PHONE N Ext : A c No (919)479 -1868 ADDRESS 2344 Operations Drive INSURER(S) AFFORDING COVERAGE NAIC f, Suite 101 I INSURER A: HARTFORD CAS INS CO 29424 Durham NC 27705 INSURED INSURERS: Erie Insurance Exchange 267271 INSURERC: Signs Now /Occasions Engraving, Stakes Inc dba INSURER D 1322 Fordham Blvd INSURER E $ INSURER P: $ 10000 Chapel Hill NC 27514 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSO SUBR WVn POLICY NUMBER POLICY EPP tMMSDD,°YYYY POLICY EXP tMMSDD,°YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS -MADE FX OCCUR DAk +tAGETi RENTED PREPo"SES "Eaoccurrence' $ MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 1000000 A N N 22SBAUC3584 08/10/2017 08/10/2018 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2000000 X POLICY FI JE PRCO T F—] LOC PRODUCTS - COMPIOPAGO $ 2000000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aook3ent $ 1000000 BODILY INJURY (Per person) $ ANY AUTO B ALL OWNED SCHEDULED AUTOS AUTOS N N Q09- 0630393 09/06/2017 09/06/2018 BODILY INJURY (Per accident) $ PROPERTYDAMAGE (Per accident) $ NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED RETENTION $ $ D "WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR'PARTNEWEXECUTIVE Y (N OPFICERlMEMSEREXCLUDED? (Mandatory in NH) N/A N 22WECRH7577 08/10/2017 08/10/2018 X STATUTE ORH- E.L. EACH ACCIDENT $ 100000 E.L. DISEASE- EAEMPLOYEE $ 500000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 100000 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Operations usual to sign banners mfg /engraving in NC. Officer's are excluded from Work Comp. CERTIFICATE HOLDER CANCELLATION Orange County 131 W Margaret Lane Hillsborough NC 27278 Fax: Fail ACORD 25 (2014101) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (c) 1gAR -,?o1fl Ac nRn C'ORPCIRATICIN All rini racanrprl The ACORD name and logo are registered marks of ACORD