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�, ® DATE(MM/DD/YYYY) <br /> A ° CERTIFICATE OF LIABILITY INSURANCE 11/23/2013 <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 pollcy(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 CLIENT CONJACT CENTER <br /> FEDERATED MUTUAL INSURANCE COMPANY PHONE <br /> HOME OFFICE: P.O.BOX 328 A/C No Ext:888-333-4949 a/c No):507-446-4664 <br /> OWATONNA, MN 55060 E_IMDRESS:CLIENTCO ACTCENTE FED NS.CO <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> p <br /> INSURED 346-500-2 INSURER B: <br /> i <br /> WARREN HAY MECHANICAL CONTRACTORS INC INSURER C: p, <br /> PO BOX 818 INSURER D: <br /> HILLSBOROUGH,NC 27278 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:60 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, r <br /> INSR TYPE OF INSURANCE DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD MMIDDIYY / YY p <br /> GENERAL LIABILITY EACH OCCURRENCE ; <br /> DAMAGE T RENTED <br /> COMMERCIAL GENERAL LIABILITY P ac.".nce <br /> ❑ - MED EXP(Any one person) <br /> CLAIMS-MADE OCCUR <br /> PERSONAL A ADV INJURY 'I <br /> GENERAL AGGREGATE <br /> i <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO _ <br /> POLICY JE T LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT don <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED BODILY INJURY(Per eccldent) <br /> AUTOS AUTOS - <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE C <br /> DED RETENTION <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> TORY LIMITS I ER <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 <br /> A OFFICER/MEMBER EXCLUDED? NIA N 9076999 12/31/2013 12/31/2014 <br /> (Mandatory to NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes,describe under E.L DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below $500,000 F <br /> s <br /> i <br /> i <br /> i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> 3 09, <br /> i <br /> CERTIFICATE HOLDER CANCELLATION <br /> 346-500-2 60 0 <br /> ORANGE COUNTY PUBLIC WORKS 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 /> © 1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />