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DocuSign Envelope ID: 454AC100- 1926- 4795- B94B- 86B8B3246CC0 <br />Certificate of Insurance <br />Issue Data (MAdrDAIYM <br />05!1412018 <br />Named Participani. <br />This Cerliflwle is Issued as a mailer or Informalion only and confers no rights upon the Certificate Holder. <br />Orange Water & Sewer Authority <br />This Cerlificale does not amend, exlend or alter the coverage afforded by the Policies barow. <br />Companies affording Coverage <br />400 Janes Ferry Road <br />A = fnteerlocal Risk Financing Fund of North Carolina <br />Carrboro, NC 27510 <br />B = North Carolina interlocal Risk Management Agency <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW IS AFFORDED TO THE PARTICIPANT NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANhINGANY REQUIREAIENT TERAI OR CONDITION OF ANY <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PAY PERTAIN THE COVERAGE DESCRIBED HEREIN IS SUBJECT TO ALLTHETERMS, EXCLUSIONS AND CONDITIONS <br />or SUCH PROGRAM. <br />Co <br />Type of Coverage <br />Policy Number <br />Effective <br />Expiration <br />Limits of Liablfity <br />Lv <br />Date <br />Date <br />A <br />GENERAL LIABILITY <br />PL -00008.2017 -00 <br />07!09!2017 <br />0710112018 <br />Products- Compl©peralions <br />$5,000,000 <br />❑x Commercial General Liability <br />Personal & Adv. Injury <br />$5,000,000 <br />p Claims Made p Occurrence <br />Each Occurrence <br />$5,000,000 <br />Fire Damage (Any one fire) <br />$7,000,000 <br />Med. Expense (Anyone person) <br />N/A <br />Deductible <br />$500 <br />A <br />AUTOMOBILE LIABILITY <br />PL -00008- 2017 -00 <br />07101/2017 <br />0710112018 <br />Limit <br />Deductible <br />ff] Any Auto (Symbol 1) <br />Combined Sirkgle Limit $5,000,000 <br />$500 <br />❑ Hired Aulos (Symbol 8) <br />❑ Non -Owned Autos (Symbol 9) <br />❑ UninsuredJUnderinsured Motorists <br />A <br />PROPERTY <br />PL -0DD48- 2017 -00 <br />07/01/2017 <br />07/0112018 <br />Limit <br />Deductible <br />❑x Real & Personal Property <br />$177,242,035 <br />$1,000 <br />❑ Builder's Risk <br />A <br />❑x Auto Physical Damage (Symbol 7 & 8) <br />PL- 00008 - 2017-00 <br />0710112017 <br />07101120`18 <br />Per Scheduled Item <br />Per Scheduled Item <br />A <br />p Municipal Equipment <br />PL -00008 - 2017 -00 <br />0710112017 <br />07101/2018 <br />$2,613,107 <br />$1,000 <br />❑ Computer Equipment & Media <br />❑ Portable Equipment <br />© Fine Arts <br />Police Professional Liability <br />Llmil (per Dccunencelaggregate) <br />Deductible <br />L] Claims Made p Occurrence <br />Public Officials Liability <br />Limit (per occurrencelaggregate) <br />Deductible <br />❑ Claims Made ❑ Occurrence <br />Employment Practices Liability <br />Limit (per oocurreneelaggregate) <br />Deductible <br />❑ Claims Made ❑ Occurrence <br />Workers° Compensation <br />Limit <br />Workers' Compensation and Employer's Liability <br />Each Accident <br />❑ WC Statutory Limit <br />Disease - Each Employee <br />Disease - Policy Limit <br />OTHER COVERAGE <br />Limit <br />Deductible <br />❑ <br />CI <br />Description <br />Evidence of Coverage <br />Certificate Holder <br />Cancellation <br />Orange County <br />Should any of the above described coverages be cancelled before <br />200 S. Cameron St. <br />the expiration date thereof the issuing company will endeavor to <br />Hillsborough, NC 27278 <br />mail 30 days written notice to the certificate holder named to the left, <br />but failure to mail such notice shalt impose no obligation or liability <br />of any kind upon the company, its agents or representatives. <br />Authorized Representative fj • - /}J/J <br />