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APR-26-2004 11:30 RM S&WPRODUCTIONS 919 55> 0626 P. 01 <br />DATe IM,AODIrrYYt I <br />A~0lBQN CERTIFICATE OF LIABILITY INSURANCE nF/n5/De ( <br />Britton-Gallsphar and Associates, Inc. <br />6240 SOM Center Rd. <br />Cleveland, OH 44139 <br />Temi 9rldgaman <br />INSUR6R9 AFFORDING COVERAGE <br />NAIC ~ <br />9 <br />S 0 W Protluctlons <br />Rt 2 129 Beach Cove <br />Younpsville, NC 27596 <br />INSUaER a <br />f.OVERAGE3 - ___..- _ _.._ _~..-.. _. ....... ..........c„ onr,u,YUereunlN <br />THE POLICIES Of INSURANCE L16TED BELOW HAVE BEEN 16SUE0 TO THE I <br />THER D NSURED NAMED ADVVC rvn ~ nc rv,.i~, .~•~~..- •••-•-~,--• ~~- ~ ~ ~~ ~ --- <br />OCUMENT WITH RE6PECT TO WHICH THI9 CERTIFICATE MAY EE 199UED OR <br />ANY REQUIREMENT, YERM OR CONDITION Of ANY CONTfiACT OR O <br />SCRIBED H EREIN 16 SUBJECT TO ALL THE TERMS. EXCLUSION6 AND CONOITION6 OP SUCH <br />MAY PERTAIN, THE INSURANCE AFFORDED 9Y THE POLICIES DE <br />POLICIES. AGGREGATE LIMBS GROWN MAY HAVE BEEN REDUCED DY PAID CLAIM6. <br />INla ttYe OF INlURANCe POLICY NUMJGR PO YiFF IVG PO Ye%P TION LIMIT! <br /> muTr 5315655 03/19/2004 03/19/2005 EACNOCCURRJNCe s 1.000 00 <br /> aEN eRAllu <br />RCIALOENERALWBARY <br />M DAM ETOREN { ~-SO OO <br /> J( COM <br />E <br /> IMS MADE DOCCUR MED GAP )MyiM PMlon) f - <br /> CLA 000 OO <br /> PER90NALf AOV INJURY f 1 <br />A T <br />E 3 2 <br />00 <br />000 <br /> OA <br />6 <br />GENEMLAGCR , <br />, <br /> P <br />I <br />O { 2 OOO O <br /> IEJ PER <br />REGATE LUAiT APP{ O <br />AG <br />PAOOUCTJ•COMP <br /> , <br />GENt AGG <br /> PaLlcr x ~~Pr Loc <br /> AOT OMOMLe uegiLiTT <br /> <br />r AUTO COMJINED 9MOLE LW~T <br />fEA AcJtlAnq { <br /> AN <br /> ALL OWNED AUTOS BODILY RlNRY { <br /> <br />CHEWLEDAUTOS IPer Mrt0A1 <br /> l <br /> HIRED AUTO6 e00RYiWURV S <br /> <br />AUT08 <br />VM IPN KtlimU <br /> NON~O <br />ED <br /> PROPERTY DAIMGJ <br />IPr AmwNl { <br /> <br /> A <br />LnY AUTOONLY ~~EA ACCIDENT { <br /> OAI JI <br />t10e LI <br />T OTHER THAN EA ACG f <br /> ANYAU <br />O AUTO ONLY: A00 { <br /> Exc Awilutt <br />eswMaaeu ~ MU70632304 03/19/2004 03/19/2005 EACHOCCURRENCE f 4.000 00 <br /> . <br />x OCCUR ~ClMM9MADE AOORGWTE f 4 OOO 00 <br /> <br />6 <br /> CTBIE <br />OED - S <br />-` <br /> U <br />x RETENTION { IO,OO - S <br /> WC 9TA OTrt• <br /> NO <br /> WORNERq COMPENJATON A <br /> etFLDDRJ'LWILITY El. EACH ACCIDENT ! _ <br /> t~ <br />OFFICEP/MEMSER G%RUDE~Dt ECUTNE 6.G DIfGA9E •EA EMPLOY f <br /> <br /> N Ef.awa udr E.L. DMEA9E • POLICY tIUrt f <br /> SPECIAL PROVI910N9ONOw <br /> OTMG <br />DIfCRlPTION OP OPERAiIONq I LOCATWNJ I VEHICLeb I EItOLWIONq AODGD 8Y eNDORfiNENT I JPJ4TAL PROY190NJ <br />Additional Insured:Orange County.Town of <br />Location: Chapel Hi11,NC <br />Chapel Hill,8lueCroas-SlueShield of <br />Date: 6/5/04 <br />North Carolina. <br />--------------------- - - <br /> Jl,ouso ANT DP TNJ AJOYi DEJCUgeD PDUCIeq qe wwceueD JePd1J ine <br /> e%FIMTION DAT! TNEREOf, TNi NfMND INJUaeR LNLL eMDlAV01{ TO LSAR <br /> 30 DAD WRnTJN NDYICl TO TNe CENTFICATq MOLDER NAMED TD TFIetUT. <br />H1ueCross B1ueShield qurwsuRETO{wLwcnNOTlcclNALLIMrofcraoeuwTRwoRUAeIUYY <br />of North Carollna OF ANY MIND UPON TNe INJURER. rcq AGEMTq OR aEP'eJJNTATiVeJ. <br />Cha 81 H 111 NC <br />p r ADTMOII KMTATID~ <br /> _1 <br />ACORD 25 (20D1100) WI1YVRy V Vrtr./m, w~. .--- <br />