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AC40® CERTIFICATE OF LIABILITY INSURANCE DATE/2014 IYVW)
<br /> 09125120,4
<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 /> IMPORTANT: If the certificate holder is an ADDITIONAL 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 CONTACT
<br /> MARSH USA INC. NAME:
<br /> FAX
<br /> 200 PUBLIC SQUARE,SUITE 1000 PHONE t: (A'C'No):No,
<br /> CLEVELAND,OH 44114 E-MAIL
<br /> ADDRESS:
<br /> INSURERS AFFORDING COVERAGE NAIC M
<br /> 12345e-EPQC-#11 -14-15 INSURER A: Old Republic Insurance Co 24147
<br /> INSURED INSURER B:
<br /> EATON CORPORATION,PLC,
<br /> EATON US HOLDINGS,INC.,EATON CORPORATION AND ALL OTHER DIVISIONS, INSURER C:
<br /> SUBSIDIARIES AND CONTROLLED ASSOCIATE COMPANIES THAT ARE PART OF EATON OR INSURER D:
<br /> COOPER INDUSTRIES,PLC
<br /> EATON CENTER INSURER E,
<br /> 1000 EATON BLVD CLEVELAND,OH 44122 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 05-004145348-01 REVISION NUMBER:I
<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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY) (MM/DD/YYYYl LIMITS
<br /> A GENERAL LIABILITY MWZY 301036 01/01/14 01/01/15 EACH OCCURRENCE $ 500,000
<br /> X DAMAGE TO RENTED 2,500,000
<br /> COMMERCIAL GENERAL LIABILITY
<br /> PREMISES Ea occurrence $
<br /> CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 2,500,000
<br /> GENERAL AGGREGATE $ 10,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 10,000,000
<br /> X POLICY PRO-
<br /> JECT Loc PROD COMP/OP OCC $ 6,500,000
<br /> A AUTOMOBILE LIABILITY MWTB 300334 01101/14 01101/15 COMBINED SINGLE LIMIT 7,500,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> X ALL OWNED SCHEDULED
<br /> AUTOS AUTOS BODILY INJURY(Par accident) $
<br /> XNON-OWNED PROPER
<br /> HIRED AUTOS X RTY DAMAGE $
<br /> AUTOS Per accident
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _
<br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $
<br /> DED I I RETENTION$ $
<br /> A WORKERS COMPENSATION MWC 300333 00(ADS) 01101/14 01/01115 X I WC STATU- I JITI-
<br /> AND EMPLOYERS'LIABILITY FR
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 5,000,000
<br /> OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 5,000,000
<br /> If yes,describe under 5,000,000
<br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $
<br /> A EXCESS WORKERS COMP MWXS 301035(OH) 01/01114 01/01/15 EMPLOYERS LIABILITY 4,000,000
<br /> (STATUTORY) SELF INSURED RETENTION 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) D
<br /> EACH OCCURRENCE LIMIT-OTHER THAN PRODUCTSICOMPLETED OPERATIONS$5,000,000
<br /> EACH OCCURRENCE LIMIT-PRODUCTS/COMPLETED OPERATIONS$6,500,000 OCT 9 2014
<br /> By
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> ORANGE COUNTY EMERGENCY SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 510 MEADOWLANDS DR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> HILLSBOROUGH,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA Inc.
<br /> Kevin Robinson I ��itrht �^ _9&f-4t""
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) Issued By:WEB USEFthe ACORD name and logo are registered marks of ACORD
<br />
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