Orange County NC Website
DocuSign Envelope ID: F6A3E96E-B173-4AFA-B837-C9464E913961 <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <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 15 WAIVED,subject <br /> to the teams and concilllons of Ole policy,certain,policies may require an endorsement.A statement on Oils certificate does not confer rights to <br /> the certificate holder In lieu of such endorsemengsl. <br /> INSURED SOUND ADVICE OF EASTERN NC INC CERTIFICATE Orange County <br /> NAME AND PO BOX 270 HOLDER PO Box 8181 <br /> ADDRESS 1MNTERVILLE, NC 28590 Hillsborough,NC 27278 <br /> Email: dbaker @orangerrountync.gov <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED FAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED.NOTWITHSTANDING ANY REOUIREMENF,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 8Y 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 /> •--- :-- ._.. ..__ _.._. <br /> l x i TYPE OF INSURANCE �SUs POLICY NUMBER POLICY EFF r LIMITS <br /> Y UP •- <br /> ICOMMERCIAL GENERAL LIABILI SMP 0129077 7126122017 712612018 Gr:NL•RALAGGREGATE S2,000,000 <br /> OCCURRENCE PRODUCTS-COI.IPIOPSr I <br /> AGGREGATE 52,000,000 <br /> r GEN'L AGGREGATE APPLIES PER POLICY PERSONAL BADV INJURY $1,000,000 <br /> EACHGCCURRENCE 51,000,{}00 <br /> _6A)AGET0RENTED — $100,000 <br /> PH @hSIS.IcS.IEa oecurensel..-- _ <br /> I.IFD EXP;Any one person) $5,000 <br /> Bt,#51NE3SOWNER$ EACH OCCURRENCE $ <br /> AGGRECATE S <br /> CDM®INED SINGLE UhIIT <br /> AUTOMOBILE LIABILITY (EethOoUeWnl) 511000,000 <br /> BAP 2099108 71712017 1/712018 BODILY INJURY(Per persosr) — <br /> scHEauLt:DAuras 5 <br /> ❑ HIRED AUTOS BODILY INJURY(Pr+r w*fenl) $ <br /> NON-OWNED AUTOS -- PROPERTYDAry E $ <br /> ❑ {per aegd�taiL <br /> GARAGE LIABILITY <br /> (Other) <br /> EACH OCCURRENCE 5 <br /> EXCESS LIAf3tLITY-- - <br /> OCCURRENCE AGGREGATE 5 <br /> CSFATIIrORYLlti1ITS <br /> VL iv' s*r <br /> WORKERS COMPENSATION NIA AND EMPLOYERS'LIABILITY WC 0225953 511512017 5116/20/8 E.L.EACHACCIDENr $600,000 <br /> POLICY APPLIF.S TO THE WORKERS EL DISEASE-EA EMPLOYEE 5500,000 <br /> COMPENSATIDTI LAW IN THE STATE OF NC F..L..O!S'FASL-POLICY L.II.IIT 5500,000 <br /> OTHER: <br /> I <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES: � <br /> CANCELLATION 1 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 812212017 <br /> COI 09'10 <br />