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Client#: 1594 <br />~w>~ N~R~n <br />~'~Q,~ CERTIFICATE OF LIABILITY INSURANCE ioi`i9/ <br /> /99 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Davis-Garvin Agency, IriC . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PO BOX 21627 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Columbia, SC 29221-1627 <br />8 0 3 7 3 2- 0 0 6 0 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: CRSMC - S I F <br />Owens Roofing, Inc . <br /> INSURER B: <br />301 West Cabarrus St. <br /> INSURER C: <br />Raleigh, NC 27601 <br /> INSURER D: <br />I INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDfTION OF ANY CONTRACT OR OTHER DOCUMENT WfTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T11E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />D POLICY EXPIRATION <br />D M DD <br />LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE $ <br />-~ <br />i !COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (Anyone tire) <br />$ __ __ <br /> <br />L_~ CLAIMS MADE OCCUR <br />MED EXP (Any one person) _ <br />$ <br />~ ' PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br />iGEN'LAGGREGATELIMITAPPLIESPER: <br />- PRODUCTS-COMP/OP AGO $ <br />~ POLICY 'PRO- LOC <br />j <br />AU <br />~! TOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br />! ~ HIRED AUTOS <br />BODILY INJURY <br />j I NON-OWNED AUTOS (Per accident) $ <br />~~ <br />P <br />OPERTY <br /> R <br />DAMAGE ~ $ <br />! (Per accident) <br />I GARAGE LIABILITY AUTO ONLY- EAACCIDENT~ $ <br /> <br />ANY AUTO <br />~-- <br />OTHER THAN EA ACC <br />$ <br />I <br />~ I <br />AUTO ONLY: AGG ____ <br />$ <br />i EXCESS LIABILITY EACH OCCURRENCE $ '. <br />OCCUR ~ CLAIMS MADE AGGREGATE $ <br />-- <br />I $ <br /> <br />DEDUCTIBLE ~ $ <br />I 'RETENTION $ $ <br />A i WORKERSCOMPENSATIONAND ~ <br />~ SI1999 01/01/99 01/01/00. x WCSTATU- OTH- <br />EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT $1 O O O O O O <br />i E.L.DISEASE-EAEMPLOYEE $1, O O O ,_ O O O <br /> E.L. DISEASE-POLICY LIMI $1 O O O O O O <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Project: Richard Whitted Human Services, Remedial Roofing <br />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />.County Of Orange DATETHEREOF,THEISSUINGINSURERWILLI MAIL3_(Z_DAYSWRITTEN <br />13 2 East King St . NoTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, t? <br />Hillsborough, NC 27278 <br />REPRESENTATIVE <br />ACORD25-S (7/97)'1 of ~ ff~22F72/MdAFti <br />f-'(''C (~ 4f~(~Rn Cl7RPf1RATIf1N 19RA <br />