Orange County NC Website
DocuSign Envelope ID: 6818677A -D518- 4750- B391- F6169FB2A4C4 <br />A►C[7►2D" OP ID: ILK <br />�-�- CERTIFICATE OF LIABILITY INSURANCE DATE 05rzs/201IMM 201 YYI <br />$ <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(les) must be endorsed. If SUBROGATION IS WAIVED, subjec�the <br />the terms and Conditions of the Policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to <br />certificate holder in lieu of such endorsements . <br />PRODUCER C <br />CONTACT <br />6015 Farrington Rd. Ste 101 w <br />we No eat }; 919 -913 -1144 i FAX NO). 919 -513 -1155 <br />Chapel Hill, NC 27517 E <br />E -MAIL <br />ADORES& (aura hi handrubish.eom <br />PRODUCER <br />T HELPi -1 <br />CUSC?NIER IO p: <br />INSURED A Helping Hand I <br />INSta !ERISIAFFORDIHG COVERAGE H <br />HAIL A <br />1502 W Hwy 54 Ste 405 I <br />INSURER A: Cincinnati Insuranr-a Corn antes 7 <br />710577 <br />Durham, NC 27707 I <br />INSURER e ; U.S. Linhilli Insurance Co. 2 <br />25895 <br />INSURER C; - <br />- <br />INSURER D : <br />INSURER E: <br />COVERAGES I <br />INtsDRER F <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L <br />REVISION NUME3ER• <br />LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED R <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W <br />WHICH THIS <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY H <br />DESCRIBED HEREIN IS SUBJECT TO ALL T <br />THE TERMS, <br />LTR TYPE OF INSURANCE ~ <br />+ Pt7LFCY EFF P <br />NS; I I <br />POLICY E](T <br />A COMMERCIAL GENERAL LWBILITY IiHC0005$$8 E <br />EACH OGCURRENCE $ 1 <br />1,000,0 <br />CLAIMS -MADE <br />OCCUR <br />PREMISES Eaoccurrr e $ 1 <br />1 ®0,0 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 141, Additional Remarks Schedule, it more space IsIrequired) <br />CERTIFICATE HOLDER CANCELLATION <br />6RANG -3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Orange County Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />200 S. Cameron St ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Boat 8181 <br />Hillsborough, NC 27278 -8181 AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009109] C 1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />