Orange County NC Website
DocuSign Envelope ID: DB9E9CE3-77FD-4FE7-9CC4-F5FEOD9A8A81 <br /> Ac"R" <br /> CERTIFICATE OF LIABILITY INSURANCE 01/2112021 <br /> C E HOLDE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGKM UPON THE CERTIFIAT79.�4 <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW THIS CERTIFICATE OF INSURANCE <br /> -R,AND THE CERTIFICATE HOLIDER. aRtS <br /> REPRESENTATrVE OR PRODUCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE tssLnNr, INSURER(S), AUTHORLMO <br /> IMPORT kNT: Of the certificate hotdor is an ADDITIONAL INSURED,the policy(jes)must bb endon, � If SUOR <br /> 10"TV5 a" conditions of the ed OGATION IS WAIVED,subjeci to the <br /> cartifil Policy, certain POhOMII May retIture an endorsement.A statetnoent on th <br /> Cate hQWr in ItOu of such endorsoment(s), Is catificate does not confer rights to the <br /> "Iow"'4 Greg Lopeman, CPCU <br /> State Farm Insurance MOW *wk. ....... <br /> 941AAL <br /> rrt,--= 104-8 NC Hwy 54 W <br /> LAJ,4-1 :4 _Lwj1an NY4 wOMCOM <br /> Calftro,NC 27510 <br /> RILEY SURVEYING PA <br /> AItwq <br /> STE 1008 <br /> 3326 DURHAM CHAPEL HILL BLVD atsow It 0 <br /> DURHAM NC 27707-2695 <br /> COVERAGES CERTIFICATE NUMBER: <br /> ; <br /> THIS IS TO 6 TIFY THAT THi P-, O-LiCj"Dr-INS URMOCE LISTED 6FLOVV RMSION NUMBER.TkVL BEEN'*SUED TO T�iE f455�ONAMLO�ADOW FOR THE <br /> INDICATED. NOTWITHStANDINr4 ANY REWREMENT, TERk4 OR CONDITION OF�ANY CONTRACT OR OTHER DOCt^*,NT WITH RESPECT TP(OL tC?I THIS <br /> ALL THE. rERMS, <br /> EXCLUSIONS A14D CONDITIONS OV SUCH POLK:tES,UMTS$"OWN MAY HAVE OkEN REDUCED By PAID CLAWS. To W" <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFkORDED By THF, POLICIES DESCRR*D HEREIN IS SUBJECT <br /> Uwrts <br /> �OWOIY2026 '�a:: <br /> A 04MMAL WAbk" <br /> 7x-JL)Aww�t-y <br /> OWW2424 QM 22 <br /> .000 <br /> 3MMO <br /> MED ex <br /> 5.001) <br /> PEIM00WA AM IWV" <br /> ---l- r.1111�— I I.- <br /> -.j <br /> 'RAL A(Wde�GATE 000 <br /> NIL A40WEGATE LAAff APR"ftn, -------- <br /> PRO, pw)OUCTSCOM")PAGO S 2100"M <br /> I 1 .1frCT <br /> ^1110"Oftl LUNY <br /> -t0I 20*" 1tI WA21 L"T " <br /> AW AJjT0 <br /> AU�OWNED X <br /> Amos AUTOS <br /> BODILY#&"y fpor scodwv <br /> AUTOS <br /> P <br /> EACH OCCURRENCA <br /> A X oc <br /> cw <br /> Li t'wo.om <br /> PCD to ow <br /> A WMILM COINIENUrso" <br /> AND EWPLOYOW LIAM," T 7 7<05-1 W4-r <br /> AhYPROPRSTtWWAR-�N V I X <br /> 09tt <br /> FVcrAAPMM CxckoO�'Iy' Y MIA 93-Cl-U48 C ACCX**T I <br /> Ptavidawy W" M *MW2021 OM012022 <br /> F L' 1,0 <br /> 91-C1 920=20 0=0142t EA <br /> 0"ClWrION of OPERATI0611I LOCAnq*4 j 48CLIM(Anwh ACOIW 1,01 A— <br /> ,of micas spy to aasmmaall <br /> CERTIFICATE HOLDER r CANCELLATION <br /> Orange County Asset Management SHOM ANY TOFNI HE,A4OVE DEscROW,0 pOUCIES BE CANCEL <br /> LLEO BEFORE <br /> THE DATE THCREOF, NOTICE WILL BE 0ELfVEftED IN <br /> PO Box 8181 ACqOR*NCe WITH THE POUCY PROVISIONS, <br /> Hillsborough,NC 27278 1 1 <br /> AVMOA-lo 1t1VPK$"11YATW <br /> ACORD 25(2010t05) ID 1998-2010 ACORD CO TOM, All rights reserved.The ACORD name and 1090 Are registered marks of ACORD 1001486 132849,6 11-15-2010 <br />