Orange County NC Website
Browse       Search
DocuSign Envelope ID:4FE31F34-3D59-4065-92CD-929B08ACFEE8 <br /> a CERTIFICATE OF LIABILITY INSURANCE 0'�"20 <br /> 2r 3d2a2o <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOI S NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P(XICIE3 <br /> FLOW. THIS CERTIRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORgED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED.the policyliesj must tre endorsed. If SUBROGATION IS WAIVED,sut*sct to the <br /> torms and conditions of the Pol;cy,certain policies may require an ondomeownt. A Statement on this certificate dogs not confer rights to ft <br /> certificate holder,in lieu of such endorsernerrl(a]. <br /> "00ucen Greg Lopeman,CPCU c- an <br /> State Farm Insurance 1rA s IV-� <br /> 104-8 PVC Hwy 54 W tss�L _sn t3Y5_ L�SIataTarm-eom <br /> Calrborv, NC 27510 FoRWIFaGOVERAga T--wrcr <br /> - A — _.... _ A-Sleb Farm Fire and(:ate I <br /> RILEY SURVEYING PA .iavRrtr. s .f. A1t�4n+a�1b <br /> STE 1008 srs+aatec <br /> 3326 DURHAM CHAPEL HILL BLVD <br /> DURHAM NC 2T707-2695 <br /> NtK=1t F <br /> COVERAGES CERTIFICATE NUMBER_ RMSION NUMBER. <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE UISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERrOD <br /> ROCATED. NOTWITHSTANDING ANY REOUIREMIENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHACH 1HsS <br /> CERTIFICATE AIAY BE ISSUED OR MAY PERTAIN, THE rftSURANCE AFFORDED BY THE RXICtES DE SCR1BEO HEREIN IS SUBJECT TO ALL THE TERMS. <br /> E-ACLLI.SIONS AND CONDIT)OkS OF SUCH PCX.ICiES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C1AYdS- <br /> tti79 OF s1ltFtAftm fw- Pirmy, <br /> Fouci <br /> t a11R <br /> A 83� 5-6 C71m102fY 0212CM21 _EACH oCCUFWemoe i 1_.00D.W0 <br /> ?C �ls�m PRE1l �E�ra�rranaal S 300.000 <br /> � <br /> OC 56 FxP LAs�on.p�wcn� t 5.000 <br /> -- -_ PEFASO.NAL l AM NAM_ f 1.000,000 <br /> Gr HFM,q;Ar3GIdFGl1i€ f 2,000.0w <br /> AGG$MGATE LOOT APvCrti PER 1..4>K000CTS•COi1P�gP AM S. 4.DOp,p00 <br /> x Pox r+Rp LOG ._ .... <br /> Li <br /> B AlrieelD/IL!tLSRrrir 9M 27114D3033 10p01�01A 10g0iC1p2p _ I6s t <br /> Mw A O e00Ar YiJlllir tvrP1►pnY f - l�f1,000 <br /> WC <br /> ALrtOd x ALIT SCOLYraastrePwa mspo - <br /> IrFEAAiri0BNOWOVAM lIN ; <br /> rr.. 100,000 <br /> A x +Ir�A L M4 x oww : _ <br /> lS6Y-1117-7 0�l'141ti QiftOVZ07t0 '�c' '� s t,s10p:000 <br /> r�sr.AAs CZ,yA4MADE .. <br /> AGtptt eATr t 1,000.000 <br /> XNEYENTION s 10 000 _ s <br /> A TSCT {CpTp11 STpfli <br /> wry sr,Sxccu.�t r►n IACraol] s t.S100.000 OPT WR[xciuoaC' KrA <br /> MwwaUhr In Aril Oµf/14E-F/1 t t.D00.00G <br /> if Yes.arwrm VMLW 83-C7-P4W7 0?F2917p40 022002M <br /> El-0t -KOLIICY Loar s 1,Oo0.Ow <br /> L -tl l <br /> CO$CWrM Of ONWAT1C"1 LaQkn0010+V041CM lAt"ACORO in.ArtMarrrl Reffww"zdwdvw-s m m sww a rwgI.WI <br /> Surveyors <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Asset Mailagement SH ANY OF THE ABOVE ACSCRMED POLICIES BC CANCELLED B€FORE <br /> TH TH7R LATE THEREOF, NOTICE WILL BE DELIVERED 114 <br /> PO Box 8181 ACIORDr W rH THE POLICY PROVIStoms, <br /> Hillsborough,?Crough, NC 27278 <br /> 0 ttrnrtCst:rnArrvE <br /> �4� ( <br /> 01988-?010 ACORD C RATK)N. All fights reserved. <br /> ACORD 25(2010/051 The ACORD name and logo are registered marks of ACORD 1001486 13280-6 11-15-2010 <br />