Orange County NC Website
DocuSign Envelope ID:AF8C0098-E41 E-4A92-BEA6-388EE5DF4E16 <br /> 7A-FE(MMIDDIYYYY) <br /> ACC)I " CERTIFICATE OF LIABILITY INSURANCE019 BMR <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER IFICATE 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 IN URER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIC N IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate doe not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT AROUND THE CORNER INS AGENCY INC <br /> STRICKLANO INSURANCE BROKERS INC NAME: <br /> 400 COMMERCE COURT PHONE1 919-286-9500 A� Ne: <br /> - Ext: 919-286-9501 <br /> EMAIL <br /> GOLDSBORO,NC 27534 ADDRESS: <br /> INSURER($)AFFORDING COVERAGE NAICN <br /> INSURER A:ATLANTIC CASUALTY INSURANCE OMPANY <br /> INSURED GONZALEZ PAINTERS&CONTRACTORS INC INSURER B <br /> 4301 BENNETT MEMORIAL ROAD INSURERC: <br /> DURHAM, NC 27705 <br /> INSURER D <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUM BER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF #NSURANCE 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 SU JECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BFIEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE AD- UBR POLICY NUMBER PM DDIYYYY DY MMD YYY OLICY EFF POLICY EXP <br /> LTR LIMITS <br /> X COMMERCIAL GENERAL LIABILITY L001039496-3 03/17/2019 3/17/2020 EACH OCCURRENC $1,000,000 <br /> CLAIMS MADE IX-1 OCCUR PREMISES Ea orris encn $100,000 <br /> MED EXP(Any one rson) $5,000 <br /> A R-FISORAL&ADV 11 IJUIKY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREG TE $2,000.000 <br /> X POLICY❑�T ❑LOC PRODUCTS-COM OPAGG $1,000,000 <br /> OTHER •$ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT § <br /> _ Ea accident <br /> ANY AUTO BOCILY INJURY(Pe peracn) IS <br /> ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Ps accident) $ <br /> HIRED AUTOS NON-0WNED PROPERTYOAI $ <br /> AUTOS Per accident <br /> UM/UIM $ <br /> UMBRELLA LIAB OCCUR EACH OCCURREN $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE § <br /> DIED RETENTION § <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY IN STATUTE ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE Y E.L.FACH ACCiDE $ <br /> OFFIC£RIMEMBER EXCLUDED? NIA <br /> (Mandatory in NH) E.L.DISEASE-EA E VIPLOYEE $ <br /> It yes,descrlbe under <br /> DESCRIPTION OF OPERATIONS below E.L-DISEASE-POL LIMIT § <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORU 101,Additional Remarks Schedule,maybe attached Ir more space Is required) <br /> PER POLICY <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLIC ES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />