2013-516 EMS - Orange Rural Fire Department for Fire Protection Agreement

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ORANG-3 OP ID:HL A`coEZ°� CERTIFICATE OF LIABILITY INSURANCE DATE 0310 812 0 1 3Y► 03/08!2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone:919-755-1401-NAME: VFIS of North Carolina P.O.Box 12825 Fax:919-755-1125 PHONE x Raleigh,NC 27605 ADDRESS: ac No W.Cloyce Anders INSURER(S)AFFORDING COVERAGE NAIC p INSURER A:American Alternative Ins.Co. 19720G INSURED Orange Rural Fire Dept Not Inc INSURERB: Jeff Cabe,Chief P.O.Box 1511 INSURER C: Hillsborough,NC 27278 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE POLICY NUMBER M DI IYYFYY POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY TR-2052575-06 04114/2013 04/1412014 PREMISES eoccurrence $ 1,000,00 CLAIMS-MADE I OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 POLICY PRO- X Lac $ AUTOMOBILE LIABILITY COMBINED SINGLE LI T Ea accident 1,000,000 A X ANY AUTO CM-1051614-06 04/1412013 04/14/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED X AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS $ X NON AUTOS-0WNED PROPERTY D AGE Per accdent UMBRELLA LIAR )( OCCUR EACH OCCURRENCE $ 5,000,00 A X EXCESS LIAB CLAIMS-MADE TR-2052575-06 0411412013 04/14/2014 AGGREGATE $ 10,000,000 DE-7 RETENTION$ $ WORKERS COMPENSATION WC STATU- T'- AND EMPLOYERS'LIABILITY YIN R I R ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? D NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S Dyea,deacdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • Real Property TR-2052575-06 04/14/2013 04/14/2014 Building GRC • Personal Property TR-2052575-06 04/14/2013 04/1412014 Contents Bikt RC DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) Commercial Blanket Bond with a $3001000 limit. Portable Equipment on Guaranteed Replacement Cost with a 4500 deductible. Management Liability $1,000,000 Each Wrongful Act, $3,000,000 Aggregate. Orange County is Included as an Additional Insured per Form VGLNCl "Who Is An Insured Blanket Additional Insureds". CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE 1988-2010 ACORD CORPORATION. All rights reserved. - ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD