Orange County NC Website
DocuSign Envelope ID:374F5A5F-BEFF-427E-A19B-5908655B3656 20ATLANWHI <br /> v��cnarr. �wac.�r <br /> DATE(MM/DD/YYYY) <br /> A CORDTM CERTIFICATE OF LIABILITY INSURANCE 1/16/2018 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT NAME: Robin Sutton <br /> BB&T Insurance Services, Inc. PHONE 919 281-4500 FAX 888-746-8761 <br /> Post Office Box 13941 -MA Lo,Ext: A/c,No <br /> ADDRESS: rlsutton@bbandt.com <br /> Durham, NC 27709 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 919 281-4500 INSURER A:Westfield Insurance Company 24112 <br /> INSURED INSURER B.Wesco Insurance Company 25011 <br /> Atlantic Whirlpools Inc <br /> INSURER G <br /> 8721 Glenwood Ave <br /> INSURER D: <br /> Raleigh, NC 27617 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY CWP7935406 10/11/2017 10/11/2018 EACH OCCURRENCE $1000000 <br /> CLAIMS-MADE F OCCUR PREMISES ERENTED <br /> ccr nce $500,000 <br /> MED EXP(Any one person) $1,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY JEO LOC PRODUCTS-COMP/OPAGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY CWP7935406 10/11/2017 10/11/201 COMBINED SINGLE LIMIT <br /> Ea accident , <br /> 1 000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X <br /> AUTOS Per accident <br /> A X UMBRELLA LIAB X OCCUR CWP7935406 10/11/2017 10/11/2018 EACH OCCURRENCE $3 000 000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE s3,000,000 <br /> DED X RETENTION$0 $ <br /> B AND EMPLOYERS'LIABILITY OTH- <br /> WORKERS COMPENSATION WWC3309819 10/11/2017 10/11/2018 X spTEARTuTE FIR <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO <br /> OFFICER/MEMBER EXCLUDED? � N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> P O Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1 88-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S19370292/M18888328 JAW <br />