Orange County NC Website
1001486 2005 155279 205 01-19-2023 <br />INSR LTR TYPE OF INSURANCE ADD INSD SUB WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY)POLICY EXP (MM/DD/YYYY)LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- JECT LOC <br />OTHER: <br />Y N 93-AP-H865-8 10/05/2024 10/05/2025 <br />EACH OCCURRENCE 1,000,000$ <br />DAMAGE TO RENTED PREMISES (Ea occurrence)300,000$ <br />MED EXP (Any one person)5,000$ <br />PERSONAL & ADV INJURY 1,000,000$ <br />GENERAL AGGREGATE 2,000,000$ <br />PRODUCTS - COMP/OP AGG 2,000,000$ <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED AUTOS ONLY SCHEDULED AUTOSHIRED AUTOS ONLY NON-OWNED AUTOS ONLY <br />COMBINED SINGLE LIMIT (Ea accident)$ <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident)$ <br />PROPERTY DAMAGE (Per accident)$ <br />$ <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB CLAIMS-MADE <br />DED RETENTION $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below <br />Y / N <br />N / A <br />PER STATUTE OTH- ER $ <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />10/28/2024This form was system-generated on . <br />E-MAIL ADDRESS:rick.ashby.bo5g@statefarm.com <br />CONTACT NAME:Rick Ashby <br />PHONE (A/C, No, Ext):919-732-1052 FAX (A/C, No): <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A :State Farm Fire and Casualty Company 25143 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />PRODUCER <br />INSURED <br />Rick Ashby <br />1000 Corporate Drive Suite 101 <br />Hillsborough NC 27278 <br />Bell, Freddie <br />1311 CAROLINA LOOP <br />HILLSBOROUGH NC 272789492 <br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES <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 />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 />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 />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />10/28/2024 <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />CERTIFICATE HOLDER <br />Orange County <br />300 W. Tryon St <br />Hillsborough NC 27278 <br />The ACORD name and logo are registered marks of ACORD <br />Docusign Envelope ID: 5FDA393E-7F90-4523-B08A-8D977C3A8F13