Orange County NC Website
DocuSign Envelope ID: 6D579320- 4489 -45FE- 8100- 9D5FB44BF780 <br />ACC> OF CERTIFICATE OF LIABILITY INSURANCE <br />166.� <br />DATE IMhiLt7YYYY) <br />0211412018 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br />PRODUCER <br />NAME Anna Anna Herron <br />PHONE z (919)294-6613 F� Na {866 }294 -9470 <br />The Insurance Pros. Inc. <br />1210 Cole Mill Road <br />Anr'DrSS info @insuranceprosonline.com <br />INSLIRER(S) AFFORDING COVERAGE <br />NAIC = <br />Suite 101 <br />INSURERA Erie Ins Exch <br />26271 <br />Durham NC 27705 <br />INSURED <br />INSURER B <br />INSURER C <br />$ 5000 <br />Wayne Thompson Or Heritage Restoration <br />INSURER 0: Erie Ins Exch <br />26271 <br />PO Box 814 <br />INSURER E. <br />GENERAL AGGREGATE <br />$ 2000000 <br />INSURER F <br />$ 2000000 <br />Hlllshorou h NC 27278 <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 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUbR <br />POLICY NUMBER <br />POLICY ' EFF <br />fMM DDYYYY <br />POLICY EXP <br />M10!DD?YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LLABILITY <br />CLAIMS -MADE FRI OCCUR <br />N <br />N <br />Q25- 2721076 <br />01127/2018 <br />01127/2019 <br />EACH OCCURRENCE <br />$ 2000000 <br />DAMAGE TO RENTFIT_ <br />PREMISES Eaoccurrence <br />- <br />$ 2040000 <br />M E D EXP (Any one person) <br />$ 5000 <br />PERSONAL& ADV INJURY <br />$ 2000000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />X POLICY JECT F—] LOC <br />OTHER <br />GENERAL AGGREGATE <br />$ 2000000 <br />PRODUCTS - COMP'IOP AGG <br />$ 2000000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON - OWNED <br />AUTOS ONLY AUTOS ONLY <br />COMBINED SINGLE LIMIT <br />Ea acceeni <br />$ <br />800ILYINJURY (Pe rperson) <br />$ <br />BO DILYINJURY (Pe raccdent) <br />$ <br />PROPERTYDAMAGE <br />Peraceideni <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />HCLAIMS-MADE <br />AGGREGATE <br />$ <br />OED I I RETENTION S <br />$ <br />D <br />WORKERS COMPENSATION <br />AND'EMPLGYERS' LIABILITY <br />ANY <br />GFFICCER��MBER EXCLUOED?ECLmvE YN <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N +A <br />N <br />Q8&1700646 <br />0211712018 <br />02117/2019 <br />PER OTH- <br />STATUTE ER <br />E. L. EACH ACCIDENT <br />$ 100000 <br />E.L. DISEASE - EAEMPL'OYEE <br />$ 100000 <br />- <br />$ 500000 <br />E.L. DISEASE - POLICY LIMIT <br />,-- SCRIPTION OF OPERATIONS; LOCATIONS; VEHICLES (ACORD 101., Additional Remarks Schedule, may oea[ached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ORANGE COUNTY ACCORDANCE WITH THE POLICY PROVISIONS. <br />PO BOX 8181 <br />AUTHORIZED REPRESENTATIVE <br />NC 27278 <br />Fax- Finali' cc) iQsR_9n1Fi A(.C)RF) C,C)RPC)RATIC% All rinhtc rpcprvpri <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />