Orange County NC Website
Browse       Search
DocuSign Envelope ID:8BB677D7-EBF8-4E13-A6A8-6E6526C1AFD8 <br /> CERTIFICATE OF I LIT'1r" INSURANCE DATE(M)AMON" <br /> 0L3/1 <br /> 1/2<)17 <br /> THIS CERTIFICATE IS ISSUES? AS A MATTER OF INFOE3[VIATfON � �iG1{TS t...THE CERTIPIgATE HOLDER, THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTE=ND OR I~COVERAGE AFF63R[7E;D t3Y CHI;POLICIES BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETW I �1N5UREk(S),AUTHOFBZE€y REPRESENTATIVE <br /> OR PEaDUCER,AND THE CERTWJCATE HOLDER- <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pulicY(ies)Must hip endorse c€,i ATION 115 WAtVED,suiejeCt to the <br /> terms and conditions Of the policy,cerlain policies My require an endorsement, A atAtement on this cc Cate does not confer rights to the <br /> certificate holder In tiers of such E dorsement s <br /> it® CON ACT' .�. <br /> AROUND THE CORNER INS Nme <br /> PHONE-- <br /> 1431 BROAD ST A7 09 Fact: AfC Ho: <br /> AIL .. <br /> DURHAM ATJDRES5: <br /> NC 277'tl5 <br /> 767H8 INSURE. 5 4FFCRDINC3GCVLr?A4e_ #AIC# <br /> IuSLIREk&TRAVELERS PROPERTY. CASUALTY 0MPANY OF AMERICA <br /> IH R , <br /> CONZALEZ PAINTERS AND INSURER B <br /> CONTRACTORS INC WSURERC:._. <br /> 4301 BE'NNETT MEMORIAL RD INSURER& <br /> DURHAM NC 27745 INSURER E <br /> INSt1Rt F. <br /> COVERAGES CERTIFICATE NUMBER. REVISION itILIMOER; <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br /> POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br /> WrrH RESPECT TO WHICH THIS CERTIFICATE MAY 88 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED By THE POLICIES <br /> DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SFIOWN MAY HAVE <br /> BEEN REDUCED BY PAID CLAIMS. <br /> Toss <br /> L7R TYPE QP lNSURAICE L <br /> POLICY <br /> INSR I R PkCY NUMBER AMlDYY MM (YYY .LIMIrB <br /> .29!ERAL UAamr-Y <br /> I�hCF!OGCLIfiR�1G"E. S <br /> COMMERVAL dENERAL LIABILITY �AhfAGE T9.. <br /> REIALSES c4xur b S <br /> GLA]34FSAlADE O L7CCilk mED 2E Ari one S <br /> A&V&WRY <br /> GEt] L A096 Wrig i <br /> OWL At34RECiA7E LIfAiT APPLLES PE7L' - <br /> RODW S—COMAAGG <br /> POLICY Pfib,3EGiT Lf3G F' <br /> tlTQdrSQ�4L£L IABLLItY CSJI,IBIN D E Limit <br /> 5 <br /> '4'#iltad>rli3 g. . <br /> A�N�Y AUTO �WLED 80DILY INJURY? S • <br /> AMU �R NON-C]WNED ' <br /> AUTQ9DiLY.NVJi1RY Purancaem S <br /> WREI AUTOS PROPERTY D <br /> Pr 5 <br /> UAIBRELL.ALJAS OCCUR <br /> EACHOCCU �P.rIt;E <br /> ELCAAM LLAB CL JM8 AlAD .. _ .. <br /> DCD RE.F_NTIC,. S <br /> GGN GATE S <br /> A WWtKERS COMPENSATION FC AND£MPLi0YE�tIABIUTY (FU3dE3-9FS�n 81— -173 x ALB <br /> ANY PROPRIETORMARTt4ERAO(ECUTIYE 03^T 8^t 7 (}'�" $_ g. 7C'1RY LIM ER , --- <br /> dJlwFIG£(T!}aIEMB LLp? ,LL EACH ACCtb£ .S 1,-_- <br /> Irr mdmory In NIA <br /> It 00,describe under Fi-L.DISEASE^* ..EMFLEiY 1 r Q � ' <br /> D RIPTIDH G7 DPERATI ow L. A •POLICY Lmms t W <br /> Dli1PTI(!Al n; DP£ llgt�slzr�cAT oHSrverrlcLes IAthecll ACARFi fo1;daa Ertel R�rrrxxYS srl+4auri,Ir more 9pac�Is ra go;lava} <br /> CERTIFICATE HOLCIER CANCELLATION <br /> SHOULD ANY OF THE AaWvE DEGMBED POLOes 8E CANCELLED BEFORE Till? <br /> EXPWTION DATE THHREFO,WTIGE'WILL BE OELIveftb INACCORAANOE WITH TAIL <br /> POLICY PROVIWON& <br /> ORANGE COUNTY <br /> pO QOx 8181 Au1140RilEDREPA-4SEWAnvE w <br /> HI LLSF30RflUGH NC 27278 <br /> Q IDW2137Q ACOR'a C(7R,PC3R{1T1M AR sights reserved. <br /> ACORD 25(2040!06) The ACDRD name and 1000 are registered marks of ACORD <br />