Orange County NC Website
DocuSign Envelope ID: F7117F82-620E-40DC-BD00-34227E09F37D <br /> AC�® 709/18/2019 <br /> E(MMIDDIYYYY) <br /> ��. CERTIFICATE OF LIABILITY INSURANCE <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 policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions Of the pollcy, 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 CONTACT Carla Moore <br /> NAME: <br /> Colonial Insurance Agency Hillsborough Al214 919 73P-P191 AAA No; 919 732-P192 <br /> AEODR!Es , carla@)coloniakagencyoom <br /> Po Bar 490 INSURERS AFFORDING COVERAGE NAIL# <br /> Hillsborough NC 27278 INSURER A: 04,mers I Ins Cn 32700 <br /> INSURED INSURER B <br /> Greer and Associates Inc dba Signarama INSURER C <br /> Raleigh West-RTP and of Durham.Design Element of NC INSURER D <br /> 3702 Hillsboroigh Rd Ste 1 INSURER E <br /> Durham NC 27705 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 AODL SUBR POLICY NUMBER POLICY EFF POLICY <br /> LTR LIMEYS <br /> X COMMERCIAL GENERAL LUIBILITY EACH OCCURRENCE $ 1000000 <br /> CLAIMS-MADE FX7 OCCUR PREMISES a occurrenoe $ 30D000 <br /> MED EXP{zany arre person) $ 10000 <br /> A N N 35171729 06/80/2019 06/30/2020 PERSONAL&ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3000000 <br /> POLICY X�PRO JECT LOC PRODUCTS-COMPIOPAGO $ 3000000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 DDDDDO <br /> Ea accKdenl <br /> X ANY AUTO BODILY RJURY(Per person) $ <br /> A AUTOS ONLY AUTOS OWNED AUTOS SCHEDULED N N 4925065704 06/30/2019 06/30/2020 BODILY INJURY(Per accdent) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Peracadent <br /> $ <br /> X UMBRELLA LIAS OCCUR EACH OCCURRENCE $ 2.000.000 <br /> A EXCESS LIAB CLAMS-MADE N N 4925065702 06/30/2019 06/302020 AGGREGATE $ 2,000.000 <br /> RED RETENTION �/ $ <br /> WORKERS CO MPENSATOIN /\ STATUTE X ER <br /> AND EMPLOYERS'LIABILITY <br /> A a FF ICERWEMBERR EXCLUDE0�c�l� Y� NIA N 35148890 06/30/2019 D6r3D202fl E.L-EACH ACCIDENT $ 1 DDDDOD <br /> (Ma ndatoryInNH) E.L.DISEASE-EA EMPLOYEE $ 1000000 <br /> II yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES IA CORD 101,Additional Remarks Schedule,may be attached If more apace IS requiredI <br /> Projects: 103 Meadowlands Drive Hillsborough NC 27278 <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PC BLOC 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> Fax: Email: D 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />