Orange County NC Website
A#l.r C>R" DATE(MMRID/YYYY) <br /> - CERTIFICATE OF LIABILITY INSURANCE 11/=13 <br /> THIS CERTIFICATE IS ISSUED ASR 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 BELOW. THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br /> PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms <br /> and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder <br /> in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER <br /> HOME OFFICE: P.O.BOX 328 (A/C,No Est:888-333-4949 FAX,`No_507-446-4664 <br /> OWATONNA, MN 55060 no RIESs:CLIENTCONTACTCENTER FEDINS.COM <br /> INSURER(S)AFFORDING COVERAGE NAIC$ <br /> INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED <br /> 346-$00-2 INSURER B: _ <br /> WARREN HAY MECHANICAL CONTRACTORS INC INSURER C: <br /> PO BOX 818 <br /> HILLSBOROUGH,NC 27278 INSURER D: <br /> INSURERS: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:156 REVISION NUMBER:4 <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,EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE INSR SW VD POLICY NUMBER POLICY EFF POLICY EXP <br /> MIDDIY Y MMIODIYYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE <br /> COMMERCIAL GENERAL.LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence) <br /> .CLAIMS-MADE ❑OCCUR MED EXP(Any one Person) <br /> PERSONAL&ADV INJURY <br /> GENERAL AGGREGATE <br /> GEWL AGGREGATE LIMIT.APPLIES PER: PRODUCTS-:COMPIOP AGO <br /> MPOUCY JJ,ECT 7 LOC. <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident). <br /> HIRED AUTOS NON OWNED <br /> AUTOS PROPERTY DAMAGE. <br /> . Pe iden <br /> UMBRELLA LIAR HOCCUR <br /> EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE <br /> DED I .RETENTION <br /> WORKERS COMPENSATION X WC STATU• OTH- <br /> AND EMPLOYERS'LIABILITY YIN ]TORY] ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 <br /> A OFFICERIMEMBER EXCLUDED? []NIA N 9076999 12/31(2013 1.2/31/2014 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below. E.L DISEASE-POLICY LIMIT $500,000 <br /> DESCRIPTION.OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addifienaf Remarks Schedule,it more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> 346-500-2 1560 <br /> ORANGE COUNTY FINANCIAL SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH, NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Q 1988-2010 ACORD CORPORATION.Ali rights resolved. <br /> ACARD 25(2010705) The ACORD name and logo are registered marks of ACORD <br />