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DocuSign Envelope ID: CDA358DE-25B5-4DOA-916F-A1E693AB219A <br /> DATE(MWDDmYY) <br /> ACC)1?0 CERTIFICATE OF LIABILITY INSURANCE 2/4J2015 <br /> THIS CERTIFICATE IS ISSUED AS A MATT1=11 OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> 0511TIFICAYE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAOE AFFORDED BY THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINIO INSURER($), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, <br /> IMPORTANT,, If tho eorlifloato holder Is an ADDITIONAL INSURED,the polio y(lea)must be 011dorssd. If SUBROGATION IS WAIVED,subject to <br /> We leans and oond[lloNs of lho policy,certain pollcios may require an ondorsomoot, A statement on thI5 cortiftcat0(loos not confor rights to 1110 <br /> certificate holder in Ilou of Such ondorselnant(s), <br /> PRODUCER car+, CT Lynn Linderman <br /> The Mechanic Group H NE (845)735-0700 1 FAUX.N01,.(845)735-8383 <br /> One Blue Hill Plaza DBIE .1lindermanpTnachsnicgroup.00m <br /> Suite 530 INSURERS AFFORDRIOCOVERAGE NA10 0 <br /> Pearl River NY 10965 INSURURA>Allied World Surplus vines 4319 <br /> INSUR€O INsuRERBktartford Fire Insurance Co, 19602 <br /> Southeastern Security Consultants Ina INSURERO:Twin City Firo Insurance Co. 9459 <br /> 1853 Piedmont Road INSURER D: <br /> Suite 100 INSURER E: <br /> Marietta GA 30066 INSURER i <br /> COVERAGES CERTIFICATE;NUMBERl2015-2016 REVISION NUMBER: <br /> THIS[S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BCLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$SUBJECT TO ALL THE T1 RMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN I.fAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LT 4 <br /> R TYPEOPINSURM409 DD SUBR POLICYNUMBER 1 PA ld ExP LIFATS <br /> CIENERALLIABIUrY EACHOCCURRENCE $ 1,000,000 <br /> X COrtIdERCW 0E <br /> 4=NRALLIAB:t1TY P EMISEr RE TE $ 100,000 <br /> A X CLAIMSVADE El OCCUR X 200-0109-02 /14/2016 /14/2016 kIEDFXP Arr om (Wn) $ 10,000 <br /> X grrara & Omlaslona PERSONAL&ACVINJURY S 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 '. <br /> OFULA00REGATE LIMIT APPLIESPER: PRODUCTS.CO,UPIOPAGO $ 31000,000 <br /> X POLICY PRO• LOC $ <br /> AUTOMOBILE LIABILITY EahlBl END S ti CE hill 0 <br /> X ANY AUTO BCDILYINAIRY(Pat peron) $ <br /> ALLVANEO pSSLCH[FIDULIZO 6U OZg1605 /14/2915 /1412016 BWILYINJVRY(Pcvao0dwq $ <br /> AUTOS <br /> P—Oav'NE0 PR PERTYDA' E $ <br /> X HIREDAVTOS X AUTOS <br /> S <br /> UMBRELLA€IA13 OCCUR EACH OCCURRENCE $ <br /> EXCESS0AB HCLAWSWADE AGGREGATE S <br /> DED I I RETENTION $ <br /> C YNRKER$COMPENSATIOII X �SICSTATIT <br /> ANDEMPLOYERSEIAMI-ITY YIN <br /> ANY PROPRIETONVARINERrDIMiVE E.L.EACHACCOENT $ 100 000 <br /> OFFiC£R,N1VJRERFXOWDEO? NIA Cn' CO1I3056 114/2015 j14J2e16 <br /> tMan"ory(n(IN) E.L.WEASE-EA"tPLOYEI $ 500,000 <br /> DESI;RPTIO,YOF OPERATIONS bo:aN E.k.DiSEASE•POLICY EIMTT $ 100 000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS IVUDDLES(AHachACORDI6I,Add[tlon3IRarmrRsSchodule,Ifm roS a0o13 rogdad) <br /> With respect to the Commercial. Liability plan referenced, the below noted entities are inaluded as <br /> Additional insured per Endoraement # CC 2010 (47/04) Additional insured -- Owners, Lessors, or <br /> Contractors- Schedule Person or Organization. <br /> Orange County, its officers, ofPioial agents and employees <br /> CERTIFICATE=HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE:;DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Oxange Country <br /> Attu( Risk Management <br /> 200 Sough Cameron Street AUTRORIZ£oRFPRESe(trAmE <br /> PO Box 8181 <br /> Hillsborough, NO 27278 <br /> Steve Z•techanio/I,XtaN <br /> ACORD 215(2010/06) 01988.2010ACORD CORPORATION. All rights reservod. <br /> fNR02A 1M1AM1AI Thn Anosin nw"a nnr(Innn nrn rPnICIpmrtmpr(rR of A(:0141) <br />