Orange County NC Website
DocuSign Envelope ID: 27010A71- 338E -4DAB- 9153- ACF241916DEC <br />National General �� IANIMALS'BE GONE LLC <br />Auto, Home & Health Insurance 4104 Hawkins Rd <br />PO Box 3199 • Winston Salem, NC 27102 -3199 Hurdle Mills, NC 27541 <br />Orange County Planning And Inspections Department <br />131 W Margaret Lane <br />Hillsborough, NC 27278 CERTIFICATE HOLDER: <br />Orange County Planning And Inspections Department <br />POLICY NUMBER: 2005913004 <br />POLICY EFF DATE: 1211812017 <br />POLICY EXP DATE: 112118120118 <br />UNDERWRITING COMPANY: <br />Integon General Insurance Corporation <br />Date: 03/2012018 <br />CERTIFICATE OF INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICY BELOW. <br />This is to certify that the policy of insurance shown above has 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 policy described herein is subject to all the terms, <br />exclusions and conditions of such policy. Limits shown may have been reduced by paid claims. <br />Email: CVService @NGIC.com • Fax: 1- 800 - 405 -4302 • Phone: 1- 877 - 468 -3466 <br />Visit us at www.MyNatGenPolicy.com <br />10316 {02012016) Page 1 of 2 <br />Type of Insurance <br />Auto Liability: <br />Scheduled Auto <br />Limits of Liability Provided <br />$300,000 Combined Single Limit Property Damage <br />NIA <br />Auto Physical Damage Coverage Provided <br />2006 FORD <br />F150 1FTRF12226NB89577 <br />Collision <br />Lessor of ACV or Stated Amount <br />Subject to nla Deduction From Each Loss <br />El <br />Comprehensive <br />Lessor of ACV or Stated Amount <br />Subject to nla Deduction From Each Loss <br />Specific Perils <br />Lessor of ACV or Stated Amount <br />Subject to nla Deduction From Each Loss <br />2016 FORD <br />F150 1FTMFIC81GKD26945 <br />Collision <br />Lessor of ACV or Stated Amount <br />Subject to $250 Deduction From Each Loss <br />Comprehensive <br />Lessor of ACV or Stated Amount <br />Subject to $100 Deduction From Each Loss <br />Specific Perils <br />Lessor of ACV or Stated Amount <br />Subject to nla Deduction From Each Lass <br />Email: CVService @NGIC.com • Fax: 1- 800 - 405 -4302 • Phone: 1- 877 - 468 -3466 <br />Visit us at www.MyNatGenPolicy.com <br />10316 {02012016) Page 1 of 2 <br />