Orange County NC Website
'� " CERTIFICATE OF LIABILITY INSURANCE "A 070f"3 <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 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 poliay(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 C NTACT CLIEN CONTACT <br /> FEDERATED MUTUAL INSURANCE COMPANY <br /> HOME OFFICE:P.O.BOX 328 Who, •888-333-4949 •507-4t6-4664 <br /> OWATONNA,MN 55060 kifts.CLIENTCONTACTCENTER FEDINS.COM <br /> IN URER 5 AFFORDING COVERAGE NAIC# <br /> INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED 346-500.2 INSURER B: <br /> WARREN HAY MECHANICAL CONTRACTORS INC INSURES C: <br /> PO BOX 818 INSURER D: <br /> HILLSBOROUGH,NC 27278 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:156 REVISION NUMBER:0 <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 /> INS TYPE OF INSURANCE I 4VUDR POLICY NUMBER LID EFW MWD POLICY EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> CLAIMS-MADE F]OCCUR MED EXP(Any one per-in) <br /> PERSONAL&ADV INJ RY <br /> GENERAL AGGREGATE <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPiOf AGG <br /> M n <br /> .POLICY LOC <br /> AUTOMOBILE LIABILITY CEOMBINED SINGLE LI IT <br /> ANY AUTO BODILY INJURY(Per lit mon) <br /> ALL OWNED SCHEDULED. <br /> AUTOS AUTOS BODILY INJURY(Per a4cident) <br /> HIRED AUTOS NON-OWNED <br /> AUTOS P20aER]. AMAGE <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE <br /> DED I t RETENTION <br /> WORKERS COMPENSA71ON we UU TH <br /> AND EMPLOYERS'LIABILITY X TORY LAMITS OER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 <br /> A OFFICER+MEMBEREXCLUDED? NIA N 5076999 12/31/2012 12131/2013 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> I[yyes,describe under $50U 000 <br /> DESCRIPTId OF OPERATIONS below E.L DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> POLICY COVERAGE AS OF 06/29/2013 <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 /> C 1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />