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<br /> CERTIFICATE OF LIABILITY INSURANCE )AT'F - '""0"rvYYY)
<br /> 1 05,05/2014
<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), A01'HORIZED
<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, 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 /> NAME. W. Cloyce Anders
<br /> VFIS of North Carolina PHONE 919-755-1401 FAX
<br /> P.O.Box 12825 ANPjLo No. (A/C,pj2):_919-7 55-1125
<br /> Raleigh,NC 27605 E MAIL
<br /> ABDRESS:
<br /> CODE 3 INSURANCE ...............
<br /> INSURER(S)AFFORDING COVERAGE
<br /> INSURER A:American Alternative Ins.Co. 19720G
<br /> INSURED New Hope VFD of Orange Co,Inc INSURERB:
<br /> Mike Tapp,Chief INSURER 11 C:
<br /> PO Box 16484
<br /> Chapel Hill,INC 27516 INSURER 0:
<br /> _INSURER E:
<br /> 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 PO{I 'L RIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 11 THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL I,RMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> -[4§kT---- ADDL= POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE POLICY NUMBER (MMIDDfYYYY1 M LIMITS
<br /> (M IDDNYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I�000,000
<br /> --OAMA6C1TOkE,NTC-b-
<br /> CLAINIS-MADE X7 OCCUR VFIS-TR-2053688-07 06/11/2014 06/1112015 PREMISES $ 1,000,000
<br /> (Ea occurrence)
<br /> 10,000
<br /> _ffIRSONAI,&_ADV INJURY $ 1,000,000
<br /> GENI AGGREGATE LIMIT APPLIES PER i GENERAL AGGREGATE_ {_s 3,000,000
<br /> T LOC
<br /> jEC GG $
<br /> POLICY 1:1 PRO COMPIqP 1 3,000,000
<br /> $
<br /> 1 OTHER:
<br /> AUTOMOBILE LIABILITY' { I COMBINED SINGLE LIMIT $ 1,000,000
<br /> _AEa accident)----
<br /> • IX
<br /> ANY AUTO VFIS-CM-1052253-07 06111/2014 06/1112015 BODILY INJURY(Per person) $
<br /> -
<br /> X ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED —PROPERTY DAMAGE
<br /> X HIRED AUTOS A is
<br /> AUTOS
<br /> X Comp$250 X Coll$500
<br /> UMBRELLA LIAB 2,000,000
<br /> OCCUR EACH OCCURRENCE $ —
<br /> • X EXCESS LIAB M�-_MA VFIS-TR-2053668-07 06/11/2014 0611112015 AGGREGATE 4,000,000
<br /> -11 1—-F-1-1-11.111- _gLAL DE
<br /> LED RETENTION$ I$
<br /> WORKERS COMPENSATION STATUTE
<br /> AND EMPLOYERS'LIABILITY YIN _,�TUTE
<br /> ANY PROPRIETOR/PARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT 1$ ———
<br /> OFFICERIMEMBER EXCLUI!)ED*�
<br /> (Mandatory in NH) E.L.DISEE ASE-EA EMPLOYEE $
<br /> ,
<br /> describe under
<br /> If yes, E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS below
<br /> • Management Liab. !VFIS-TR-2053688-07 06111/2014 0611112016!Aggregate 3.000,000
<br /> lWrongful 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may Be attached If more space is required)
<br /> Commercial Blanket Bond $100,000 limit; Blanket Portable Equipment is on
<br /> Guaranteed Replacement Cost with $100 deductible; Orange County iS included
<br /> as an Additional Insured per Form VGLNCl, "Who Is An Additional Insured,
<br /> Blanket Additional Insureds." See Notepad for Property Coverage.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL-ED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELAERED IN
<br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> P.O.Box 8181
<br /> Hillsborough, NC 27278-8181 AUTHORIZED REPRESENTATIVE
<br /> O 1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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