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Client#: 241702 <br />70WKDIC <br />ACORD,~ CERTIFICATE OF LIABILITY INSURANCE OATE,MAV°D(YYYY) <br /> 6/28/2009 <br />paooucER THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br />BB&T McPhail Bray Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P <br />O <br />BOX 11148 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />. <br />. ALTER 7HE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />5925 Carnegie Blvd Suite 400 <br />Charlotte, NC 28220 INSURERS AFFORDING COVERAGE NA1C # <br />INSURED INSURER A: Travelers Ind Co ofAmer. (Emp 25006 <br />W.K, Dickson & Co, Inc. INSURER B: Travelers Property Casualty Co 25(174 <br />018 Colonnade Drive INSURER c: National Trust Insurance Compan 20141 <br />Charlotte, NC 28205 INSURERD; FCCI Commercial Insurance Compa 33472 <br /> INSURER E: <br />CGVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEENlSSUED TO 7HE 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 MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PALO CLAIMS. <br /> <br />LTR <br />TYPEOFINSURANCE <br />POLICYNUMB£R POLICY EFFECTIVE POLICYEXPIRA710N <br />LIMBS <br />A GENERAL LIABILITY P030855J0$24TIA08 09/18/08 09/18/09 EACH OCCURRENCE s1 000 000 <br /> X COIJAIERC44LGENERALLLAB[LITY DAI,IAGETORENTED SIOOOOO <br /> CW ASS MADE a OCCUR MED EXP one person) $5 OOO <br /> PERSONALdAOVINJURY S1 OOO OOO <br /> GENERAL AGGREGATE 52 OOO OOO <br /> GENLAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPfOPAGG $2 OOO OOO <br /> POLICY PRO- LOC <br />B AUTOMOBiLELIABILITY P810097K1710TIL08 09118/08 09/18/09 <br /> <br /> <br />X ANY AUTO COMBINED SINGLELIMIr <br /> <br />(Ea aocidert) <br />s1 oao 000 <br />, , <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br /> SCHEDULEDAUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY $ <br /> X NON-0YJNEO AUTOS (Par atadenl) <br /> X Hired Car PD Ded: Comp: $500 Coll: $50 PROPERTY DAldAGE <br /> <br />P $ <br /> ( <br />er attidenl) <br /> GARAGE LIABILITY AUTO ONLY- EAACCIOT:NT S <br /> ANY AUTO OTHER THAN ~ EA ACC S <br /> AUTO ONLY: AGG $ <br />B EXCESSAIMBRELLALIABILITY PSMCUP470E0301TIL0 09/18/08 09/18/09 EACH occuRRENCH s5 000 000 <br /> X OCCUR ~ CLAIMS A410E AGGREGATE $5 OOO OOO <br /> S <br /> trEtrUCT1BLE $ <br /> X RETENTION $ O $ <br />C WORK£RSCOMP£NSATIONAND OtOWC08A00494 09/18/08 09/18109 X WCSTATU- OTH- <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETOR7PARTNERIEXECUTNE E.L. EACH ACCIDENT 5500 OOO <br /> OFFICERRAEASBER EXCLUDED? YES E.L. DISEASE - EA EMPLOYEE $5OO OOO <br /> if yes, desrnbe under <br />SPECIAL PROVISIONS beloH <br />EL. DISEASE - POLICY LIAIR <br />$SOO,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />Workers Compensation Information: The following individual is excluded from coverage: Corporate Secretary <br />Cabarrus County is to be added as an additional Insured as evidenced by an endorsement attached to this <br />cen.lficate. <br />~.cr~nn~.„i c <br />Cabarrus County Park & Recreation Dept <br />Attn: Londa Sfrong, Parks Director <br />P.O. Box 707 <br />Concord, NC 28020 <br />ACORD 25 (2001!08)1 of 2 #S3709056/M3593237 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E7fPIRATIOH <br />DATE THEREOF, TH£ ISSUING INSURER WILL ENDEAVOR TO MAIL an PAYS WRfFTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, eUT FAILURE TO DO 90 SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OFANY KIND UPON THE INSURER,IT3AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />~R, b e~ G. SeN,.l~a ~ s ~ <br />e ACORD CORPORATION 1988 <br />G-9 <br />Attachment number 3 <br />Page 520 of 627 <br />