Orange County NC Website
A CORD I N S U RAN C E BINDER DATE(MWDOJYYYY) <br /> '" 03/07/2008 <br /> r <br /> THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. <br /> AGENCY COMPANY <br /> BINDER# <br /> Durfey-Hoover-Bowden Travelers B08030703508 <br /> 3741 Benson Drive DATE EFFECTIVE TIME DATFIRATION <br /> ME <br /> Raleigh, NC 27609-7324 02/19/2008 12:01 X AM 04/19/2008 X 12:01 AM <br /> PHONE _�___..._.. .. ..._.. .. F _..._..__._...._....------ <br /> PM NOON <br /> A/C N Ext 919)790-6415 ,t NQ 919)T90-6422 :PER IS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br /> CODE: HESO7_ SUB CODE; — EXPIRING POLICY#- <br /> CUEFOYE 00000519 DESCRIPTION OF OPERATIOWVF�IICIESJPR(7PERTY Inclu(1 $Lecatbn) <br /> INSURED range County Animal Services F�aciTity <br /> Clancy & Theys Construction Company <br /> Site Construction - Site Package <br /> PO Box 27608 <br /> Raleigh, NC 27611 <br /> COVERAGES LIMITS <br /> TYPE OF INSURANCE COVERAGEFORMS DEDUCTIBLE _COINS°k___ ._.__.,- AMOUNT _ <br /> PROPERTY CAUSES OF LOSS Builders Risk - Inland Marine Form 1,000 1,30$,733 <br /> BASIC F]BROAD Q SPEC <br /> i <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO $ <br /> CLAIMS MADE D OCCUR MED EXP CAny one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE <br /> RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO 11.BODILY INJURY Per erson $ <br /> i <br /> ALL OWNED AUTOS BODILY INJURY Per acadeni S <br /> SCHEDULED AUTOS PROPERTY DAMAGE__-_ $ <br /> HIRED AUTOS MEDICAL PAYMENTS <br /> NON-OWNED AUTOS _PERSONAL INJURY PROT _. <br /> UNINSURED MOTORIST t-t <br /> AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ( ACT CASH VALUE <br /> COLLISION: A $ <br /> OTHER THAN COL. nTHFR <br /> -GARAGE LIABILITY _AUTO ONLY-FAACCIDENT <br /> ANY AUTO I-OTHER N AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE $ <br /> EXCESS UASILITY <br /> (H_9& URRENCE <br /> UMBRELLA FORM A0.07. ATE <br /> OTHER RM' RETRO DATE FOR CLAIMS MADE SELF-INSURED RETENTION <br /> O,,STATUTORY LIMIT, <br /> WORKER'S COMPENSATION CCIRE <br /> AND <br /> EMPLOYER'S LIABILITY Pl <br /> SPECIAL Named Insured: Clancy & Theys Construction Co and All Sub and FFFS <br /> CONDITIONS) Sub-Sub Contractors and Orange County, NC TAXrq <br /> COVERAGES <br /> NAME&ADDRESS <br /> MORTGAGEE ADDITIONAL INSURED <br /> SS PAYFF <br /> LOAN# <br /> AUTHORIZED REPRESENTATIVE <br /> Paul Hoover/PATTY �� <br /> ACORD 75(2004109) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE C ACORD CORPORATION 1993-2001 <br />