Orange County NC Website
ĞƌƚŝĨŝĐĂƚĞŽĨ>ŝĂďŝůŝƚLJ/ŶƐƵƌĂŶĐĞ <br />ĞůŝǀĞƌLJDĞŵŽ <br />ƚƚĂĐŚĞĚ ŝƐ ƚŚĞ ĐĞƌƚŝĨŝĐĂƚĞŽĨŝŶƐƵƌĂŶĐĞ ƌĞƋƵĞƐƚĞĚ ǁŝƚŚ ĂƉƉůŝĐĂďůĞ ƉŽůŝĐLJĐŽǀĞƌĂŐĞĨŽƌŵƐĂŶĚ <br />ĞŶĚŽƌƐĞŵĞŶƚƐ͘ WůĞĂƐĞ ůĞƚ ƵƐ ŬŶŽǁ ŝĨƚŚĞƌĞĂƌĞ ĂĚĚŝƚŝŽŶĂů ƌĞƋƵŝƌĞŵĞŶƚƐĨŽƌƚŚŝƐĐĞƌƚŝĨŝĐĂƚĞ͕ĂŶĚ <br />ǁĞΖůů ŐĞƚ ĂŶ ƵƉĚĂƚĞƚŽ LJŽƵ ĂƐ ƋƵŝĐŬůLJĂƐ ƉŽƐƐŝďůĞ͘ <br />Note for risks, properties, or operations in the state of Georgia, the "Description of Operations Box", located at the bottom of the ACORD 25- Certificate of Liability Insurance, may NOT be used to insert verbiage that summarizes policy language, contractual requirements, certificate holder requirements, or coverage sections of the certificate. <br />Pursuant to Georgia Insurance Code § 120-2-103-.07, the Description of Operations Box on the Acord 25-Certificate of Liability Insurance, may be used to reference the job/project number and job/project description. Policy provisions may be referenced by listing the forms' exact titles, form numbers and edition dates. Listed forms are subject to applicable policy terms, conditions and exclusions. <br />For more information on the Georgia Office of Insurance and Fire Safety Commissioner's regulation please visit: http://rules.sos.ga.gov/ <br />ĞƐƚ ƌĞŐĂƌĚƐ͕ <br />'ƌĂLJƐŽŶWŽƐĞLJ  <br />ŽŵŵĞƌĐŝĂůĐĐŽƵŶƚDĂŶĂŐĞƌ <br />ŐƉŽƐĞLJΛŵƉƐƉĞĐŝĂůƚLJ͘ĐŽŵ <br />ϭϭϳϵ^ƵŶƐĞƚůǀĚ͘tĞƐƚŽůƵŵďŝĂ͕^ϮϵϭϲϵͬWK ŽdžϰϭϭϵtĞƐƚŽůƵŵďŝĂ͕^Ϯϵϭϳϭ <br />WŚŽŶĞ͗ϴϬϯͲϵϯϲͲϭϲϬϭͬ&Ădž͗ ϴϬϯͲϵϯϲͲϭϯϲϲͬϭͲϴϳϳͲϮϵϯͲϭϴϱϯ <br />Docusign Envelope ID: 09D4125A-9C2E-46BB-8FA5-45DFCD0A5A01