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, a.. CERTIFICATE OF LIABILITY INSURANCE 10/14/2014) <br /> `--� 10/14/2014 <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 N ME:NIA T Kell]. Pollock <br /> Bynum Insurance PHONE (803)469-3030 FAX (303)469-6565 <br /> 1170 Wilson Hall Road E-MAIL <br /> ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> Sumter SC 29150 INSURERANational Trust Insurance Co 20141 <br /> INSURED INSURERB:FCCI Insurance Cc 10178 <br /> Office Church School Supply Company Inc. DBA INSURERC: <br /> OCS, Lockers by Design, Tri State Installation INSURER D: <br /> 780 .South Pike West INSURERE: <br /> Sumter SC 29150 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER-CL1421807992 REVISION NUMBER:. <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 /> I�TR TYPE OF INSURANCE POLICY UMBER POLICY EFF MM`DD EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMA PREMISES E oNT $ 100,000 <br /> A CLAIMS-MADE ❑X OCCUR CPPOO16139 /20/2014 /20/2015 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> POLICY X PRO- X LOC $ <br /> AUTOMOBILE LIABILITY Ea accident) I IT 11000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> B ALL OWNED SCHEDULED DA 0023444 /20/2014 /20/2015 BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS <br /> AUTOS (per accident <br /> $ <br /> X UMBRELLA I" X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 <br /> DED I X I RETENTION$ 10,00 UNE0016120 /20/2014 /20/2015 $ <br /> B WORKERS COMPENSATION X WC STATU- OTI+ <br /> AND EMPLOYERS'LIABILITY TORY LIMITS <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 <br /> OFFICER/MEMBER EXCLUDED? NIA 001-WC13A-1195960 /20/2014 /20/2015 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under d <br /> u : <br /> lde OC Scott Jr. <br /> DESCRIPTION OF OPERATIONS below xc E.L.DISEASE-POLICY LIMIT 1$ 500,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) <br /> RE: Orange County Parks and Recreation <br /> CERTIFICATE HOLDER CANCELLATION <br /> (803)775-9244 ksimmons @ftc-i.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Hawkins & Kolb ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 698-B Bultman Dr. <br /> Sumter, SC 29150-2549 AUTHORIZED REPRESENTATIVE <br /> Kelli Pollock/KSP <br /> Awakt <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved, <br /> IN211025 ontnns)m The Af npn name and Innn arc rani¢}nrarl m2r4e of Ornpn <br />