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<br />nrav~rTO onn <br />~B <br />t1,M CERTIFICATE OF LIABILITY INSURANCE ( <br />,. 10/ <br />19/99 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Davis-Garvin Agency, IriC . ONLY AND CQNFERS 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, IriC . <br /> INSURER B: <br />301 West Cabarrus St. <br /> INSURER C: <br />Raleigh, NC 27601 <br /> INSURER D: <br /> INSURER E: <br />GUVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFEp TIVE P pLICY EXPI oATION LIMITS <br />I GENERAL LIABILITY EACH OCCURRENCE $ <br /> <br />COMMERCIAL GENERALUABILITY <br />FIRE DAMAGE (Any one fire _ <br />$ <br /> <br />CLAIM <br />MAD <br />a _ <br />S <br />E <br />OCCUR MEDEXP(Anyoneperson) $ <br /> PERSONAL & ADV INJURY $ <br /> <br /> <br />f-~ GENERAL AGGREGATE $ <br />IGEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ <br />^~ POLICY PRO- ~ I LOC <br />~ AU TOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br />$ <br /> j ANY AUTO (Ea accident) <br />i ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Par person) $ <br /> <br />I-J ~ HIRED AUTOS <br />BODILY INJURY <br /> <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> <br /> PROPERTY DAMA <br /> GE $ <br /> (Per accident) <br />i <br />ARAGELIABILITY <br />-G AUTO ONLY-EA ACCIDENT $ <br />t <br />~ <br />i I ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: <br />AGG <br />I <br />--- <br />T <br />$ <br />i EXCESS LIABILITY EACH OCCURRENCE $ <br />_~ OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br />I <br />DEDUCTIBLE <br />$ <br />~ RETENTION $ $ <br />A ;WORKERS COMPENSATION AND S I 19 9 9 01 / O l / 9 9 01 / 01 / 0 0 X WC STATU- OTH- <br />EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1 O O O O O O <br /> E.L.DISEASE-EA EMPLOYEE $~ , O O OJ O O O <br /> E.L. DISEASE-POLICY LIMI $1 O O O O O O <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONSADDED BYENDORSEMENT/SPECIAL PROVISIONS <br />Project: 501/503 W. Franklin CompleX, Remedial Roofing <br />County of Orange <br />132 East King St. <br />Hillsborough, NC <br />ACORD 25-S (7/97)1 Of 2 <br />SHOO LD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATETHEREOF,THEISSUINGINSURERWILLt MAIL3.0_DAYSWRITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, ~ <br />27278 II <br />#522673/M4965 <br />IIZED REPRESENTATIVE <br />/ /.. <br />CCS ©ACORD CORPORATION 1988 <br />