Orange County NC Website
DocLJSign Envelope ID:ODA693AE`-42FA-4050-AF6B-FF541405DO33 <br /> 3 L'L. ' }l�ll.�.- n, r r •-� .L�rl C7t.l� LS[L�'�C�_ <br /> DAYE IM M/D D/YYYYI <br /> CERTIFICATE OF LIABILITY INSURANCE 06/02,2018 <br /> PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br /> Maguire Insurance Agency.Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 77Z01 Puerta Real Ste Z00 HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br /> Mission Yrejo,L-A 9ZG91-7389 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 877.4367454 <br /> INSURERS AFFORDINGCOVERAGE NAIC# <br /> INSURED y INSURER A:Philadel hla Indemn 4 Insu lance Com a fty, 18058 <br /> lay Gornto INSURER& <br /> 801 Pickett Rd INSURER C: <br /> DUrharly HC 2770j`✓ INSURER 0: <br /> - IN5URER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT,'PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEMFICATION MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR AOD'L POLICY EFFECTIVE POLICY EKPI ON <br /> LTR INSRD TYPE OF INSURANCE POLICY NUMBER 2ULLMWI El DATE(MM1DDrfYft LIMITS <br /> A x GENERAL LIABIUIY PHPK1052D04- 08/15/2018 OS/15/2019 EACH OCCURENCE $2,000,D00 <br /> % COMMERCIAL GENERAL LIABILITY 005 PREMISES Ea"Curren ce $100,000 <br /> CLAIMS MADE El OCCUR - MED EXP(Anyone person) S21500 <br /> % PROFESWNAL IIABIUTY PERSONAL&AOV INJURY $2,000,000 <br /> GENERAL AGGREGATE $4,000,000 <br /> GEN'L AGGREGATE LIMIT APPIIES PER: PRODUCTS-CO MP/OP AGG $4,000.-0 <br /> % POLICY PROJECT LAC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO {EA acc ldentl <br /> ALL O WN E D AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON•O WNED AUTOS (Per accident) <br /> PROPERTYOAMAGE <br /> ri {Par acciden U <br /> GARAGE LIABILITY AUTO ONLY-EAACCIDENT <br /> ANYAVTO OTHER THAN EA ACC <br /> AUTOON LY: AGG <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURENCE <br /> OCCUR CLAIMS MADE AGGREGATE <br /> DEDUCTIBLE <br /> RETENTION <br /> COMPENSATIONWORKERS <br /> EMPLOWERS'LIABIILI/TY Y INE <br /> TORY OMITS ER <br /> affICER/MEMBER EXCLUDED XECUTIVE E.L.EACH ACC IDENT <br /> (Mandatory In NHJ F.L.DISEASE-EA AMPLOYEE <br /> Ir yes,descrke under <br /> SPEC P4 L PROVISIONS below E.L.DISEASE-POLICY LIMIT <br /> OTHER <br /> DESCRI PTiON OF OPERATIONS/LOCATIONS/VEHICLES(E%CLUS[DNS ADDED BY EN DORSEMENT SPECIAL PROVISIONS <br /> It R understood and agreed that the To)lowing entity is added as an addRiunal insured but only WAh respect(s)to the operations of the named insured except that t"I ily resu king from the add kW nal ins uwd's safe <br /> negligence. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POIJOES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> TIIEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br /> CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br /> LtARILITY OF ANY RIND UPON THE INSURER,ITS AGEDFS OR REPRESENTATIVES. <br /> AUTHORIZE D RE PRE5EWATNE g <br /> i! <br /> P <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />