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Feb 10 12 02:26p Hale Artificier, Inc. <br />336 249 -6743 p.3 <br />012 <br />CERTIFICATE OF INSURANCE <br />Company Name: National Fire And Marine Insurance Company <br />3024 Har StreeteOrnaha, Nebraska 68131 -3580 <br />bThis 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 requirement, term or condition of any contract or olher document with respect to wnxh this certificate may be issued or may pertain; <br />the insurance afforded oy 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 LhniL those 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 />Date: 111312012 <br />NAME OF INSURED: Hale Artifrcier, Inc <br />P.O. ADDRESS 545 New Bowers Road, Lexington NC 27292 <br />POLICY NUMBER KINDS OF INSURANCE LIMITS <br />EFFECTIVE EXPIRES <br />72LPS013917 <br />COMMERCIAL GENERAL LIABILITY <br />4128/2011 4!2812012 <br />® Occurrence Form ❑ Claims -Made Form <br />Coverages <br />Premises - Operations <br />® ProductslCompleted Operations <br />❑ Other (Specify) <br />General Aggregate Lino $2,000,000 <br />Producls-Completed Operations Aggregate Limit 52,000,000 <br />Personal a Advertising Irqury Limit $1,000,000 <br />Each Occimrence Limit - $1,000,000 <br />Damage to Premises Rented $100,000 <br />Medical Expense Umit (Any One Person) $5,000 <br />Aggregate Limit an Caims Expenses $ <br />AUTOMOBILE LIABILITY <br />Body Injury Each Person $ <br />Each Accident $ <br />Property Damage Each Accident $ <br />Bodily Injury and Property Darts a Combined Single Limit $ <br />GARAGE LIABILITY <br />Bodily Injury and Property Damage Auto Only Other than Auto <br />Combined Single Limit $ $ <br />Aggregate Limit $ <br />Garagekeepers Insurance ❑ Legal Liability $ <br />❑ Direct Access $ <br />❑ Direct Prim $ <br />EXCESS LIABI LITY <br />❑ Automobile ❑ General Liability <br />Name of Primary Insurer <br />Primary Limits $ <br />Excess Limits $ <br />General Aggregate Limit $ <br />❑ Aggregate Limit inclusive of Claims Expenses <br />Workers Compensation $ Stanton umfc <br />ErrVqyees Liability $ <br />_ <br />Other <br />_____.__. _-- _.__.._ <br />- .. ..__._.___.•......�� n_:_n_._. nmm�n�n rrrr rrrr <br />c•..e Convince Tmininn <br />uWukir ium GF OPERA U�txa. rw v,. a,anae— -_ -- o -.. , _. - <br />Center, town of Sanford, Lee County is Additional Insured on the General Liability Policy. 'Policy includes Company specific non -standard <br />endorsements which maybe restrictive or exclusionary in nature.' <br />In the event of any material change in or cancellation of said policies, the COMPANY intends to, but is not obligated to, notify the party to whom <br />this Certificate R addressed of such change or cancellation, and COMPANY undertakes no responsibility by reason of any failure to do so. <br />This Certificate issued to_ <br />Central Carolina Community College <br />By: rpongfat,7.- Sander <br />1105 Kelly Drive <br />Sanford, NC 27330 <br />Title: President <br />M -1001 (4191) NOTE TO AGENT –Mail Copy to Home ONice Immediately <br />