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18 <br /> ACOR®� 02/1144/!22016018 CERTIFICATE OF LIABILITY INSURANCE DATE( ) <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 Gretchen LaNier <br /> NAME: <br /> Colonial Insurance Agency Hillsborough PHONE (919)732-2191 FAX (919)732-2192 <br /> A/C No Ext): A/C No): <br /> 103 Millstone Dr.Suite A E-MAIL retchen enc <br /> ADDRESS: g colonial-a .com @ g y <br /> PO Box 490 INSURER(S)AFFORDING COVERAGE NAIC# <br /> HILLSBOROUGH NC 27278 INSURERA: Auto-Owners 18988 <br /> INSURED <br /> INSURERB: <br /> Alliance For Historic Hillsborough INSURERC: <br /> 150 E King St INSURER D: <br /> INSURER E: <br /> Hillsborough NC 27278-2685 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER: CL1821402631 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT TME 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE �OCCUR <br /> DAMAG S(Ea occurrence) <br /> 50,000 <br /> PREMISES Ea ocairrence) $ <br /> MED EXP(Any one person) $ 5,000 <br /> A 35097265 11/03/2017 11/03/2018 PERSONAL B ADV INJURY $ 1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 <br /> X POLICY D PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> JECT <br /> OTHER Premises/Operations $. <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-ONMED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YX STATUTE I ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A 35097281 11/03/2017 11/03/2018 E.L.EACHACCIDENT $ 100,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L_DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,describe under 500,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Certificate Holder is listed as Additional Insured, <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 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />