Orange County NC Website
Browse       Search
DocuSign Envelope ID:97A85083-4649-4F90-9283-141A52E739BF <br /> Certificate of Insurance Issue Date(MM/DD/YYYY) <br /> 04/05/2017 <br /> Named Participant This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. <br /> This Certificate does not amend,extend or alter the coverage afforded by the Policies below. <br /> Triangle J COG Companies affording Coverage <br /> 4307 Emperor Blvd,Suite 110 <br /> Durham, NC 27703 A= Interlocal Risk Financing Fund of North Carolina <br /> B= North Carolina Interlocal Risk Management Agency <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW IS AFFORDED TO THE PARTICIPANT NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY <br /> CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE COVERAGE DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS <br /> OF SUCH PROGRAM. <br /> Co Type of Coverage Policy Number Effective Expiration Limits of Liability <br /> Ltr Date Date <br /> A GENERAL LIABILITY PL-94006-2016-00 07/01/2016 07/01/2017 Products-Comp/Operations $5,000,000 <br /> ® Commercial General Liability Personal&Adv.Injury $5,000,000 <br /> ❑ Claims Made ® Occurrence Each Occurrence $5,000,000 <br /> Fire Damage(Any one fire) $1,000,000 <br /> Med.Expense(Any one person) N/A <br /> Deductible $500 <br /> A AUTOMOBILE LIABILITY PL-94006-2016-00 07/01/2016 07/01/2017 Limit Deductible <br /> ® Any Auto(Symbol 1) Combined Single Limit$2,000,000 $500 <br /> ❑ Hired Autos(Symbol 8) <br /> ❑ Non-Owned Autos(Symbol 9) <br /> ❑ Uninsured/Underinsured Motorists <br /> PROPERTY Limit Deductible <br /> ❑ Real&Personal Property <br /> ❑ Builder's Risk <br /> ❑ Auto Physical Damage(Symbol 7&8) <br /> ❑ Municipal Equipment <br /> ❑ Computer Equipment&Media <br /> ❑ Portable Equipment <br /> ❑ Fine Arts <br /> Police Professional Liability Limit(per occurrence/aggregate) Deductible <br /> ❑ Claims Made ❑ Occurrence <br /> Public Officials Liability Limit(per occurrence/aggregate) Deductible <br /> ❑ Claims Made ❑ Occurrence <br /> Employment Practices Liability Limit(per occurrence/aggregate) Deductible <br /> ❑ Claims Made ❑ Occurrence <br /> Workers'Compensation Limit <br /> ❑ Workers'Compensation and Employer's Liability Each Accident <br /> ❑ WC Statutory Limit Disease-Each Employee <br /> Disease-Policy Limit <br /> OTHER COVERAGE Limit Deductible <br /> 0 <br /> 0 <br /> Description <br /> Evidence of coverage <br /> Certificate Holder Cancellation <br /> Orange County Should any of the above described coverages be cancelled before <br /> 200 S.Cameron St. the expiration date thereof the issuing company will endeavor to <br /> Hillsborough, NC 27278 mail 30 days written notice to the certificate holder named to the left, <br /> but failure to mail such notice shall impose no obligation or liability <br /> of any kind upon the company,its agents or representatives. <br /> Authorized Representative A/lam "9,4 <br />