Orange County NC Website
Client#:216 ECSCAR01 <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE DS/12/2011 rn <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />rmrvrc ~ r.rr r : ~r me cemnca>ce nolaer Is an Al)uITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER NAME: Meg .S. Lee, CIC <br />Andersen Insurance Group PHONE 703-988-0090 FAX <br />Ext ` <br />5870 Trinity Parkway wc' "° <br />M,v~ <br />ADDRESS: meg@theandersengrp.com <br />Suite 130 <br />Centreville <br />VA 20120 CUSTOMER ID #: <br />, <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED INSURERA: Federal InSUranCe Company 202$1 <br />ECS Carolinas, LLP <br /> INSURER B :Hartford Casualty Insurance Co. 29424 <br />14026 Thunderbolt Place <br /> <br />Suite 500 INSURER c :Cincinnati Insurance Company 10677 <br />Chantilly, VA 20151 INSURERD: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS <br />TYPE OF INSURANCE D L UBR <br />POLICY NUMBER POLICY EFF <br />MM/DD POLICY EXP <br />MM/DD <br />LIMITS <br />A GENERAL LIABILITY X X 35786346 12/01/2010 12/01/2011 EACH OCCURRENCE $1 OOO OOO <br /> <br />COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$1,000,000 <br /> CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $10,000 <br /> X Contractual Liab PERSONAL 8 ADV INJURY $1 <br />000 <br />000 <br /> X X C U GENERAL AGGREGATE , <br />, <br />$2 <br />000 <br />000 <br /> , <br />, <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2,000,000 <br /> POLICY X PRO LOC $ <br />A AUT OMOBILE Lu-BILnY X X 73564544 12/01/2010 12/01/2011 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1 000 000 <br /> <br />ALL OWNED AUTOS BODILY INJURY (Per person) $ <br /> <br />SCHEDULED AUTOS BODILY INJURY (Per accident) $ <br /> <br />X <br />HIRED AUTOS PROPERTY DAMAGE <br />$ <br /> (Per accident) <br /> X NON-OWNED AUTOS $ <br /> <br />A X UMBRELLA LIAB X OCCUR X X 79828851 12/01/2010 12/01/2011 EACH OCCURRENCE $5 OOO OOO <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5 OOO OOO <br /> <br /> DEDUCTIBLE <br /> X RETENTION O <br /> $ <br />B WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />Y X 42WNMS9633 12/01/2010 12/01/2011 X WC STATU- OTH- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />/ N <br />OFFICER/MEMBER EXCLUDED? ^N <br />N/A All States Endt E.L. EACH ACCIDENT $1,000,000 <br /> (Mandatory in NH) <br />If <br />d <br />ib <br />d E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> yes, <br />escr <br />e un <br />er <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1 000,000 <br />C Excess Liability XS1176842 12/01/2010 12/01/2011 $5,000,000 Each Occ <br /> Excess of $5M $5,000,000 A re ate <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />Re: 2.691 Acre Parcel, 210 Hillsborough Street, Carrboro (Orange County), NC <br />ECS client no. 06.848807 <br />Certificate Holder is included as an Additional Insured on all policies except Worker's Compensation. <br />Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />200 S. Cameron Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Box 8181 <br />Hillsborough, NC 27278-8181 I AUTHORIZED REPRESENTATIVE <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S39511/M31932 MEF <br />