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2043HuntersRidgeRd INSURER D: Qp <br /> Lancaster SC 29720-7004 INSURER E: Y -- <br /> -� T <br /> COVERAGES CERTIFICATE NUMBER: 007 REVISION NUMBER: n <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD W <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS n <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. 00 <br /> D <br /> ILT R TYPE OF INSURANCE ADD $UBR POLICY EFF POLICY EXP <br /> LTR POUCYNUMBER MMIDDIYYYY MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE $ 11,000,000 <br /> DAMAGE TO RENT5D <br /> CLAIMS MADE :>". OCCUR PREMISES Ea occurrence $ 500,000 <br /> MED EXP{Any one person} $ 10,000 <br /> Business Office-MISC 99-138-M475-9F 01/05/2019 01/05/2020 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER� GENERAL AGGREGATE $ 2,000,000 <br /> POLICY[71 PE O D LOC 2, <br /> PRODUCTS $ 000,000 <br /> i OTHER- Business Property Actual Loss $ 10,300 <br /> AUTOMOBILE LABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> i ANY AUTO BODILY INJURY{Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTO$ BODILY INJURY{Per accident) $ <br /> I HIRED NON-OWNED PROPERTY DAMAGE <br /> I I AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLA LIAS OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADL AGGREGATE S _ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? ❑ NIA E.L EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> I <br /> i <br /> i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEH€CLES tACORB 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHQRIZED REPRESENTAT€VE <br /> 10 <br /> OO 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 1001486 132849.12 03-16-2016 <br />