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032 <br />CERTIFICATE OF INSURANCE <br />3024 Hamey StreetoOmaha, Nebraska 681313580 <br />6This Certificate of Insurance is NOT an Insurance policy and does not amend, extend or alter the Coverage afforded by the policies listed herein. <br />Notwithstanding any requiement, term or condition of any contract or other document with respect to which this cerficate may be Issued or may pertain; <br />the insurance afforded by the policies described herein Is subject to all the terms, exclusions and conditions of such policies which may substantially limit <br />coverage. Where reference Is made to an Aggregate Limit, these limits are Company's maximum liability under the Policy for the entire policy period <br />regardless of the number of insureds, Claimants or occurrences. <br />Company Name: National Fire And Marine Insurance Company <br />Date: 4/28/2011 <br />• <br />NAME OF INSURED: Hale Artificier Inr <br />P.O. ADDRESS: 545 New Bowers Road Lexington NC 27292 _ <br />POLICY NUMBER <br />KINDS OF INSURANCE LIMBS <br />EFFECTIVE EXPIRES <br />72LPS013917 <br />COMMERCIAL GENERAL LIABILITY <br />412812011 412812012 <br />® Occurrence Form ❑ Claims -Made Form <br />Coverages <br />19 Premises-Operations <br />® Products/Completed Operations <br />❑ Other (Specify) <br />General Aggregate Limit $2,000,000 <br />Products - Completed Operations Aggregate Limit $2,000,000 <br />Personal & Advertising Injury Limit $1,000,000 <br />Each Occurrence Limit $1,000,000 <br />Damage to Premises Rented $100,000 <br />Medical Expense Limit (Any One Person) $5,000 <br />Aggregate Limit on Claims Expenses $ <br />AUTOMOBILE LIABILITY <br />Body Injury Each Person $ <br />Each Accident $ <br />Property Damage Each Accident $ <br />Bodily Infuty and Preperty, Dama a Combined Single Limit $ <br />GARAGE LIABILITY <br />Bodily Injury and Property Damage Auto Only O ther than Auto <br />$ <br />Combined Single Limit $ <br />$ <br />Aggregate Unit $ <br />Garagekeepers Insurance ❑ Legal Liability <br />❑ Direct Access $ <br />❑ Direct Prima $ <br />EXCESS LIABILITY <br />❑ Automobile ❑ General Liability <br />Name of Primary Insurer $ <br />- <br />Primary Limits $ <br />Excess Lands $ <br />General Aggregate Limit <br />❑ ate Limit inclusive of Claims Ex cows <br />Workers Compensation $s "" 1Jnd <br />Embers Liability $ - <br />other <br />..., vnanm�. Bain Date: TBD. Town of Sanford and Lee County H Adtlilional <br />DESCRIPTION OF OPERAHUNb: ror Pyroree,",,..­1­1 - •••s- ---- <br />Insured on the General Liability Policy. - Policy Includes Company speci - fic non - standard - <br />endorsements vfilch may be restrictive or exclusionary <br />this Certificate s ent o eased osuchcha ngein or c ancel ation d COMPANY undertakes no responsibility by eason any fa <br />re tify d so any to whom <br />o f sa id <br />This Certificate Issued to: <br />Contra[ Carolina Community College <br />1105 Kelly Drive <br />Sanford. NC 27330 <br />ey rJ)011g�dS ,'/. ,S4rl�ar'S <br />Title: Proaklont <br />M -100) (4191) NOTE TO AGENT - Mail Copy to Home Office Immediately <br />