Agenda - 10-19-1999 - 8c - Laserfiche WebLink

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ACQRV CERTIFICATE O F LIABILITY I N S U RAN C E— P to BW ENDS -2 DATE (MM /DD/YY) 12/02/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DATE MM /DDS E ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE First Insurance Services, Inc. P. 0. Box 13687 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE RTP NC 27709 Phone:919- 941 -0549 Fax:919- 941 -0135 INSURED INSURER A: Penn. Natl. Mutual Cas. Co. INSURER B: County of Orange Department of Purchasing & Central Services & Orange County Schools 132 W Ring Street Hillsborough NC 27278 INSURER C: INSURER D: INSURER E: $ XXX n0VFRAnF`R THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ICTR TYPE OF INSURANCE POLICY NUMBER DATE MM /DDS E DATEYMM /DD/ YON LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR 216105 OWNERS & CONTRACTORS PROTECTIVE LIABILITY 11/15/99 11/15/00 EACH OCCURRENCE $1,000,000. FIRE DAMAGE (Any one fire) $ XXX MED EXP (Any one person) $ XXX PERSONAL & ADV INJURY $1,000,000. GENERAL AGGREGATE $2,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: POLICY P JECT RO LOC PRODUCTS - COMP /OP AGG $ XXX AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ XXX BODILY INJURY (Per person) $ XXX BODILY INJURY (Per accident) $ XXX PROPERTY DAMAGE (Per accident) $ XXX GARAGE LIABILITY ANY AUTO H AUTO ONLY - EA ACCIDENT $ XXX OTHER THAN EA ACC AUTO ONLY: AGG $ XXX $ XXX EXCESS LIABILITY OCCUR FI CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ XXX AGGREGATE $ XXX $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ATU H- TORY LIMITS ER E.L. EACH ACCIDENT $ XXX E.L. DISEASE - EA EMPLOYEE $ XXX E.L. DISEASE - POLICY LIMIT $ XXX OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Project: Stanby Generator fitup for Stanford Middle School, Hillsborough, NC Cancellation Clause Attached GCK I II-1t A I t 17IULUCK J'4 1 ADD] IIUNAL INSU LU; INSUKCK LL I LK: %1MI1A1CL _M I Ivly PENDER1 2.0 00008 le Pendergraph Electric Inc. P O Box 11458 Durham NC 27703 •• CORPORATION 1988