HomeMy WebLinkAboutBLD03-967-INS CERT.PDFOCT-15-2003 14:51 FROM:SMITH & ASSOCIATES 7045678401 T0:1 929 465 8962 '06001/001
PRACORIDTM CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDWrY)
()536-0246 FIuX (704)167-8401 THIS CERTIFICATE_ IS 1-SSURD AS A MATTER C. fNr RMATION003
Smith Associates Insurance services , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4922 Albemarle Rd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P, 0. Box 25368 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Charlotte, NC 29229 INSURERS AFFORDING COVERAGE
INSUpF.D Po son Construction Inc
350 Goodman Rood INSURERIA: Hanover Insurance Co.
Concord, NC 29027-9520 INSLREr0
IN^•^.+IJRER :�
INSURER D
COVERAGES INSURCR E;
��
THE POLICIES OF INSURANCE LISTED BELONV
ANY REQUIREMENT, TERM OR CONHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
DITION 6� ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHIC
MAY PERTAIN. THE INSURANCE AFFORDrO iH THIS CERTIFICATE MAY RF I>sl lcn no
6� THE Mill IPIRe ncer v..
'-vuWea.
AUUI4tGATE LIMITS SHOWN
MAY
14AVE BEEN REDUCED DY PAID CLAIMS,
U nLL IIIL I tKMs,
FXCLUSIONS AND CONDITIONS
OF SUCH
OF INSURANCE
POLICY NUMBHR
IIILITY
LIMITS
F,ACHOCCUpRFNCE
IM. OENE-RAL LIABILITYFIRE
B MADE X OCCUR
EA
ATE LIMIT APPLIES PER;
X jECT LOCPRODUCTS-COMPIOPA00
BD
09/Ol/2003
09/O1/2004
i JQQQQQQ
DAMAOC (Airy We 91e)
S 100000
MED EXP (Any rn. pgrs l)
S 5,000
PERSONAL & AOV INJURY
S 1,000 00GENERAL
AGGREGATE
P 2 00O 00
D 2,000 00IABILITY
A
X
ANY AUTO
ALL owNrD nuros
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ADR601591903
09/01./2003
09/01/2004
COMBINED SINGLE LIMIT
(EA,eddem)
11000.000
X
ODILY(PwrA j' RY
S
X
BODILY INJURY
I Per AC0k*+r+q
S
PROPFRTY DAMAGE
Pnr p_rRII M1
_
GARAGE
LIABILITY
ANY AUTO
ONLY • GA ACCIDENT
A
R THAN EA ACC
LAUTOONLY AGO
S
S
EXCEWUABII.ITY
X OCCUR LEI CLAIMS MADE
DEDUCTIBLE
RFTENTION S
HR6259982
09/01/2003
09/01/2004
OCCURRENCE
11 4 000,000
A00REOATE
S 4,000,000
6
a
s
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TBD
09/01/2003
09/O1/2004
TO!7Y IAA TS
E.L. EACH ACCIDENT
a 1()0,00(
FI. 0ISFACP-EAFI4PI.OYE
0 100,00(
E,L DISEASE -POLICY LIMIT
! 500 00
A
nstallation
DR4
(.G545
09/O1/2003
09/01/2004
50,000 limit
DESCRIPTION OF OPERJLTIONSILOCATIONSAfEHICLES/INCLUSIONS
ADDED DY L'NDORSEMENTISPrCIAL PROVISIOND
CERTIFICATE HOLDER ADDITIONA
NSURED;IN.9URERLETTER; CANCELLATION
Catawba County
Attn: Mary Lou
PO Box 399
Routing a 0389
Newton, NC 28658
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE IRAUINO COMPANY VALLENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITRAGENTS OR REPRE'BP-NTATRIER.
AUTHORIZED REf`REBENTATIVF �}
John Smith H7M
ACORD 25-S (7197) FAX: (829 467962
OACORD CORPORATION 1908