Orange County NC Website
Browse       Search
DocuSign Envelope ID:211010BF-5116-4C41-A68A-B43126724C76 <br /> ACC>R" CERTIFICATE OF LIABILITY INSURANCE <br /> 7`112012018 <br /> (h.1MDDYYYY) <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 IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAMEChrissy Andrews <br /> Herring &Bickers Insurance Agency PHONE rxI AX Nb (919)479-1868 <br /> 2344 Operations Drive ADDRESS <br /> Suite 101 INSURER(S)AFFORDING COVERAGE NAIL <br /> Durham INC 27705 INSURERA Hartford 00914 <br /> INSURED INSURERB Erie Insurance Exchange 26271 <br /> Signs Now/Occasions Engraving,Stokes Inc dba INSURER <br /> 1322 Fordham Blvd INSURER o <br /> INSURER E. <br /> Chapel Hill NC 27514 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 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 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 /> INSR TYPE OF INSURANCE L U POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER WM DONYYY MIXDD±YYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH.OCCURRENCE $ 1000000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE FRI OCCUR PREMISES Eaoccurrence $ 1000000 <br /> M E D EXP(Any one person) $ 10000 <br /> A N N 22SBAUC3584 08/1012018 08/10/2019 PERSONAL&ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2000000 <br /> X POLICY PRO- <br /> JECT LOC PRODUCTS OOMF+pP AGO $ 2000000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> B AUTOS AUTOS <br /> ALL ONAJED �./ SCHEDULED N N Q09-0630393 09/06/2018 09/06/2019 BODILY INJURY(Per accident) $ <br /> J� <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> AUTOS Per accident <br /> $ <br /> UMBRELLA LiAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION PER - <br /> AND'EMPLOYERS'LIABILITY X STATUTE FORT" <br /> A OOrFICEWMEMSFR EXCLUDED ECUnVE YIN NIA N 22WECRH7577 08/10/2018 08/10/2019 E L EACH ACCIDENT $ 100000 <br /> (Mandatory in NH) E.L.DISEASE-EAEMPLOYEE $ 100000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500000 <br /> DESCRIPTION OF OPERATIONS;LOCATIONS;VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re: Operations usual to sign banners mfglengraving in NC. <br /> officers are excluded from Work Comp. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 131 W Margaret Lane THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED'REPRESENTATIVE <br /> Hillsborough NC 27278 _ <br /> d -- <br /> Fax: Email:abames@orangecountync.gov C)1988-2014 ACORD CORPORATION- All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />