Orange County NC Website
DocuSign Envelope ID:9DC16EAB-77D3-4316-AF4C-969A33AE3003 <br /> ACCOR <br /> CERTIFICATE FLEA DATE WWDDNT� <br /> LIABILITY INSURANCE �7aW20'f9 <br /> THIS CERTIFICATE fS IS5UED AS A MATTER OF INFORMATION ONLY AND CONFERS CIO f IGHTS llapN THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY Off NEGATIVELY AMEND, EXTEND OR AS t4R THE COVERAGE AFFORDED <br /> BY THE ER. THIS <br /> BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THr= ISSUING IU1$URPR(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT_ If tho certificate holder is an ADDITIONAL INSURED,the policAies)must bo endorsed. FF SUBROGATION IS WAIVED, subject to the <br /> term and aonditlans of the pu€ir;yr COrta,rrl Policies may "ulm an endorsernem. A sUtemerrt an this ewiFlcate does not roofer rights to the certificate holder In lien of such endorsomerrt(.$), <br /> PRO 'c" GregLopem4in, CPCLJ H TACT GrewLoperngln _ <br /> State Farm Insurance P�Iftlr19-93,�77�0 „«�+-•u.� 9s9.933-7719 <br /> 104-B NC Hwy 54 WaJSD C Lx�1t3� �fah�farm.oprrl <br /> CErrboro, NC 27510 {hs4FiER[S}AI`fo P�P COVMArE <br /> B MRER a=.S�$fe Farm Fireend{,4�SSfaay.COfFIp��Y <br /> InsulzEo 251 <br /> RILEY SURVEYING PA ■JSUFMR a=$We Farm hdu9ual Wi6dmohi IregLrerrue Com�xarrY 25ir8 <br /> STE 10013 Inc; <br /> 3326 0URHAM CHAPEL 1-fILL BL D <br /> DURHAM NC 27707-2695 �I9URET-0E <br /> Ni R�ER F= <br /> COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: <br /> THIS IS TO C-ERTIFY THAT THE P0LIGIES OF KSURANCE LISTED BELOW HAVE BirF-H ISSUED TO THE FNSURE�p NAMED ABOVE FOR THE POLrcY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUFREME.NT- TERM OR CONDrTIOht OF ANY CONTRACT OR OTHER C)OCUMENdT VL9TH RESPECT 70 WFtICH TFIIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED QY THE POLJC;IES DESCRIBED HEREIN IS $DEJECT TO ALL THE TI=RMS, <br /> EXCLUSIONS ANO DONDPTI0NS OF SUCH POLFCIES-LIMPS SHOWN MAY HAVE BEEN REDUCF�G BY PAID CLAIMS- <br /> N91! TYPE;rF INSLMARWE A 4L 3 OL"I rW g'—O Y W <br /> P0L.ICYgE iiPlI fs <br /> �E1JIlRALLue4.rrY g. r` IIJr$ OZ12Dl'2019 I12J2DI'2F}20 IaoiOGpLrt3�iCM[:E S �.00D.flfl4 <br /> { COMk€RCN,LGEN €2Ai.LNHiLF7Y <br /> CLAIMSAUdDE �OEkJJR pREMI5E5iEanrxilmearc� 6 300,ppp <br /> IAEDE.LF (AWone�irsor�,l S 5,400 <br /> PERSON,A«,ADyIFiRIRT $ 11040,OdQ <br /> GEHERRLAGGREGATE I 2,000A)W <br /> GENL✓GGREGATE LIINfTAPPUES PER: <br /> pRCIDL=T$-OCAARFOPR€3G 5 ,�L10,C00 <br /> f�oLIC'r PRG- LOC _ <br /> B AUTWCftLf uaglLny - COhiFJml IN LE LIMIT <br /> 71 97�4-D30-33 0�13012Frys o413orzosa . EOEtmm MY a <br /> ANY AUTO <br /> e0osLy IFIJuRY{a,K perear,I <br /> ALLOYMEO SCHEDULED v . -_..... S SO13= <br /> AUTOS AUTOS 84DILYkNAJRY(PWacdd"n <br /> 3iFIEDAJJTOS F70TI)T, 4E0 1�¢.040 <br /> nLI08 <br /> A X LOORJELLALU,e X OCCUR <br /> 93 fd-714T-# aBf7Q1 Q#$ U81#pl I] FACH 0CGLj b;VEFK;E <br /> rKCX=LLAS 0LdA7$-r.WDE <br /> AGGREGATE # 1:000,004 <br /> r7FETVdTJGNS ]OOU4 <br /> A ww�RERscoI�ellemTloN WeSTATU orr& <br /> AND EIMPLOTMWLLPA ATT _ <br /> Yf N <br /> ANYPAOPRIETQFJPARTN€RA�� S E.4,EACHAC_CI6ENT S t,4r7p,pgq UFFICE]1dFMMSP EXCLUDEM N A <br /> Pf vw.dMrgln NHl 93-CV-R 3 97ZJ'2Ql3Qt$ 02121 2tF?0 E.L DLSEASE-L=+r+EMPL # 1,404,090 <br /> K rex,tic y 1ki yn¢Ar <br /> E1 MEASF-nLICYLIMIT 1,9HJO,OOQ <br /> DESCRJPTION PF OFf9:LA7JOagr LOCATIONS I VF-H=E {ArbchACCMD 10t,Addldn"KwoksSchodule.irmae■pa isTwMroQ <br /> Survwtor;. <br /> CERTrFICATE HOLDER CANCELLATION <br /> Orange County Asset Management SHOuL ANY F THE ABOVE DESCRIQED P01-10E9 BE CANCELLED I FORE <br /> THE PIF 14 II DATE THEREOF, NOTICE Z9LL BE DELIVERED IN <br /> "131 West Margaret Lane Suite 300 ACCOR A CE TFI THE POLICY PROYI6I0f1S- <br /> HilEsborougtl, IBC 27278 <br /> abarnes orangecountyne.gow ATMORUW0 EV*ffsEwrAr,ve <br /> (D 1988-2011D ACOFW CORPORATION. II rights reserved. <br /> ACORD25 (201ON5) TheACORtD name and logo are regfstam4 marks ofACORO 10014 1 .6 11-15-410 <br />