Orange County NC Website
'`~~ ° CERTIFICATE OF LIABILITY INSURANC DATE (MM/DD/YYYY) <br /> 6F <br />2011 5/27/2010 <br />PRODUCER Lockton Companies, LLC-1 Kansas City THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />444 W. 47th Street, Suite 900 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Kansas City MO 64112-1906 HOLDER. THIS CERTIFICATE DOES NOT A MEND, EXTEND OR <br />(816) 960-9000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED HDR ENGINEERING, INC. OF <br />1014392 INSURER A: Hartford Fire Insurance Com an 19682 <br />THE CAROLINAS <br /> <br />8404 INDIAN HILLS DRI wsuRER B: St. Paul Fire and Marine Insurance Co 24767 <br />VE <br /> <br />ATTN: LOUIS J <br />PACHMAN <br />INSURER C: New Ham shire Insurance Com an <br />23841 <br />. <br />OMAHA NE 68114-4049 INSURER D: Insurance Com an of the State of PA 19429 <br /> INSURER E: Zurich American Insurance Com an 16535 <br />eu RertttseR tAnvE OR PRODUCER AND THE CERTIFICATE HOLDER. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE 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 <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />, <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR D' <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD POLICY EXPIRATION <br />DATE MM/DD <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 1 000 000 <br />A X COMMERCIAL GENERAL LIABILITY 37CSEQU0950 6/1/2010 6/1/2011 DAMAGE TO RENTED <br />PREMI ES Ea occurrence <br />$ 1,000,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10,000 <br /> X CONTRACTUAL LIAB PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 2,000,000 <br /> POLICY X PRO X LOC <br />JECT <br /> AU TOMOBILE LWBILRY <br />A X ~ OMBINED ~ INGLE LIMIT $ 2 <br />000 <br />000 <br /> ANV AUTO 37CSEQU0951 (AOS) 6/1/2010 6/1/2011 Ea accident , <br />, <br />A ALL OWNED AUTOS 37CSEQU0952 (HI) 6/1/2010 6/1/2011 <br /> <br /> <br />SCHEDULED AUTOS goDlLV INJURY <br /> <br />(Per person) <br />$ XXXXXXX <br /> X HIRED AUTOS <br /> <br />X <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) $ XXXXXXX <br /> <br /> PROPERTY DAMAGE <br />$ XXXXX <br /> (Per accident) XX <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXJi;XX <br /> ANY AUTO NOT APPLICABLE ~+ ACC $ X <br /> OTHER THAN X7{JCXJCX <br /> AUTO ONLY: AGG $ }{J{XX}(}{J{ <br /> EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 1 000 000 <br />B X OCCUR ~ CLAIMS MADE QK08000912 6/1/2010 6/1/2011 AGGREGATE $ 1 000 000 <br /> <br />UMBRELLA (EXCLUDES PROF. LIAB) g XXXXXXX <br /> Q <br /> DEDUCTIBLE FORM $ ~(~{}{}[}(}(}( <br /> RETENTION $ $ XXXXXXX <br /> WORKERS COMPENSATION WC STATU- OTH- <br />X <br />C AND EMPLOYERS'LWBILITY Y/N 3621195(AOS) 6/1/2010 7/1/2011 TORY IMIT ER <br />D ANY PROPRIETORlPARTNER/EXECUTIVE ^ <br />OFFICER/MEMBER EXCLUDED? N 3621196 (CA) 6/1/2010 7/1/2011 E.L. EACH ACCIDENT $ 1,000,000 <br /> (Mandatory in NH) <br />If <br />es <br />describe <br />d E.L. DISEASE- EA EMPLOYE $ 1,000,000 <br /> y <br />, <br />un <br />er <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />E OTHER EOC9260026-03 6/1/2010 6/1/2011 PER CLAIM: $2,000,000 <br /> ARCH & ENG AGGREGATE: $2,000,000. <br /> PROFESSIONAL <br /> LIABILITY <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />RE: GENERAL SOLID WASTE ENGINEERING AND ENVIRONMENTAL MANAGEMENT SERVICES. ORANGE COUNTY, NC IS NAMED AS <br />ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT, ON A PRIMARY, NON-CONTRIBUTORY BASIS. WAIVER OF <br />SUBROGATION APPLIES WHERE APPLICABLE BY LAW. <br />VXIYVCLLNIIVry <br />10895149 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />ORANGE COUNTY DATE THEREOF, THE ISSUING INSURER WILLjFBUE?NC~74'~ MAIL 30 DAYS WRITTEN <br />ATTN: GAYLE WILSON NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 7[t75}EXIKI7ti~E7ll~p~0(S~13XUt <br />PO BOX 17177 ](Ars~~4?{JB ~~~~~ <br />CHAPEL HILL NC 27516 al~~x8t1XB6X <br />ACORD 25 (2009/01) <br />© 1988-20AJA(~"5RD C_ARPARATIAN All rinh4c rocorvnrl <br />The ACORD name and logo are registered marks of ACORD <br />For questions regarding this eertHleate, contact the number listed in the'Produeer'saetion above and specify the client eode'HDRIN01'. <br />