Orange County NC Website
DocuSign Envelope ID: 1EBD04E3-2966-43AC-BDAC-FD607A5233ED <br /> KIRKAPP-01 QJOINES <br /> CERTIFICATE OF LIABILITY INSURANCE DAg11912019 IMMODryyyYl <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 poiicy[ies}must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsements. <br /> PRODUCER C NTACT Tracey Shannon <br /> Rv jars Insurance Agency �HONry,E11q;(919)362-8310 F Ax No:(919)362.4101 <br /> 51W Williams Street MAIL <br /> Apex, NC 27502 tracoy@rogors1nc.net <br /> INSU RE j AFFORDING COVERAGE NAIC# <br /> INSURERA:ALIto-OWners Insurance Company 18988 <br /> INSURED INSURER a.CNA/Continental Casualty Company 20443 <br /> Kirkland Appraisals,LLC INSURER C <br /> 9408 Northfield Court INSURER D: <br /> Raleigh,NC 27603 <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 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 ADO SUBR POLICY NUMBER POLICY EFF POLICY E]fPLTR LIMITS <br /> A x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,f}Of} <br /> CLAIMS-MADE [X]OCCUR 35593104 1111/2019 1/11/2020 DAMAGEPMJSErORENTED SIE $ 50,000 <br /> MED EXP(Any one Rgrsonl S 5,000 <br /> PERSONAL&ADVINJURY 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 <br /> }� POLICY j LOD PRODUCTS-COMPIOPAGG 2.000,000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY COM BIN EDSINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY Perperson) $ <br /> AOI��OpS ONLY AANUUpTT�Opp5yU�LE�Dp BODILY INJURY Peraodden S <br /> AUTOS ONLY AlJTQS ONLY PerOsEdent MACE S <br /> S <br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1,000,000 <br /> EXCESS LIAR I I CLAIMS-MADE 5059310400 1/11/2019 1/11/2020 AGGREGATE 1,000,000 <br /> DED I x I RETENTIONS 10,000 <br /> WORKERS COMPENSATION PERTUTE OTH- <br /> AND EMPLOYERS'LIABILITY Y I N <br /> TA ER <br /> ANY <br /> PROPRIET R PARTNEEXCLUD IENU-CUTIVE ❑ NIA E.L.EACH ACCIDENT S <br /> IMandatory In NH) E.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under 1 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> B Errors&Omissions RFB-254141705-19 8/21/2019 8/21/2020 Per claimlaggregate 1,000,000 <br /> DESCRIPTION OF OAERA'nONSI LOCATION 50 VEHICLES(ACORD 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 /> De artment of Environment,A ricultur@,Parks and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> P g ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Recreation <br /> 306A Revere Rd <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />