Orange County NC Website
DocuSign Envelope ID:B8401D1C-A30A-44C6-BC09-2113E484804E <br /> 707/01/2020 <br /> E(MMIDDIYYYY) <br /> AC®R®® 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(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 endorsement(s). <br /> PRODUCER CONTACT Heather Crittenton <br /> NAME: <br /> HOE Colonial Insurance Agency Hillsborough AICN No, <br /> EXt: (919)732-2191 FA No): (919)732-2192 <br /> MAIL A Heather colonial-a en com <br /> ADDRESS: C� g cY� <br /> Po Box 490 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Hillsborough NC 27278 INSURER ; Owners Ins Cc 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 INSURERE: <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 /> INSRPOLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MMIDDIYYYY Y MMIDDIY Y LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> �/ DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 300000 <br /> MED EXP(Any one person) $ 10000 <br /> A N N 35171729 06/30/2020 06/30/2021 PERSONAL&ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3000000 <br /> POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 3000000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 OOOOOO <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED N N 4925065704/35171729 06/30/2020 06/30/2021 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY /� AUTOS ONLY Peraccident <br /> Hired and Non-owned $ 1000000 <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> A X EXCESS LIAB CLAIMS-MADE N N 4925065702 06/30/2020 06/30/2021 AGGREGATE $ 2,000,000 <br /> DED RETENTION $ <br /> WORKERS COMPENSATION X PER V OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE /� ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000000 <br /> A OFFICER/MEMBER EXCLUDED? N N IA N 35148890 06/30/2020 06/30/2021 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <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 /> PO Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />