Orange County NC Website
DocuSign Envelope ID:822F2A3A-D8BO-4E4A-8E3A-08067637D391 <br /> A� CERTIFICATE OF LIABILITY INSURANCE 2/4/2015 Y" <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-. It tho cortlticato holdor Is an ADDITIONAL INSURED,tiro polley(los)must be ontlorsed. If SUBROGATION IS WAIVE.%subject to <br /> (lie terms and 0oodhlolla of file polloy,cortahi pollcles may require an o33dorsoment, A statomeat on(tile cortlflcato doos not confor rlghla to tho <br /> corlllloato holder hl Ilou of suoh ondorsontonl(s), <br /> PRODUCER <br /> NAM <br /> E.004YAOT Lynn Linderman <br /> The Mechanic Group flip f E (845)735-0700 FAx {815)735-6383 <br /> One Blue Hill Plaza 'nafE ,ilinderman0meohanicgroup.corn <br /> Suite 530 <br /> MSURENSI,AFFORDING COVERAWE NATO ff <br /> Pearl River NY 10965 -Allied 'World Surplus Lines 4319 <br /> INSURED INSURERaJlartford Fire TnsuranoeTCo, 19682 <br /> Southeastern Security Consultants Ina IIISURERo:Twin City Fire Insurance Co. 9459 <br /> 1853 piedmont Road INSURERD: <br /> Suite 100 INSURER E l <br /> Marietta GA 30066 I <br /> COVERAGES CERTIFICATE NUMBER,2015--2016 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 NTH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY E3E 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 CtAIMS. <br /> INSR jR TYPE OF INSURANCE ADDLSDUR CC B poflpp BxP <br /> POLICYNUffBER Mr Dp I.3hVDO LIMJTS <br /> OENERACLIABILITY EACHDCCURRENCE S 1,000,000 <br /> X CO),IMERCfAL GENERALLtABILITY Ps'Eh S Ea ocourfencal $ 7_.00,000 <br /> R X _ <br /> CLAfhIS4,,AOE ❑OCCUR X 200-0109-02 /14/201b /14/2016 MEDEXP(A mu rson $ — 10,040 <br /> X Errors & omieaions PERSONAL&ADVINJURY $ 1,000,000 <br /> GENERALAGGREGATE $ 3,000,000 <br /> GEHL AGGREGATE LTWIT APPLIES PER: PRODUCTS•COMWOPA00 $ 3,000,000 <br /> -xl Poucy F1 FR:GOT- Loa $ <br /> AUTOMOBILE LIABILITY £a Ie ER NIU E h IT "01000 <br /> 13 ANYAUTO Oq,VV <br /> BODILY INJURY(Per perm) S <br /> ALLO',1MED SCH611.11-E0 16VECZQ1606 /14/2016 /14/2016 SDILY INJURY(Per soddnt) $AUTOS 3SxUEO PRO RDA1AE <br /> EIREDAtT05 AUTO $X X <br /> $ <br /> UMBRELIALIAB HO00UR EACH OCCURRENCE $ <br /> EXCESSLIAB CLAWSIAADE A©GREGMr- S <br /> D€D RETENTION $ <br /> C WORHERSCOMPENSATION X NYCSTATU- OTR- <br /> AhDEMPLOYERSLfABILIrY YIN <br /> ANY PROPRIETOWAHTNERIEXECUTN£}� f�lA E.L.EACHACCOENr $ 100,000 <br /> 01`1`4:RIMEWER EXCLUDED? �J <br /> ((Mand3torylnNH} "TCGX3956 /14/2015 /14/2016 E.L.Oi$EASE.EA£MPLOYE $ 500 000 <br /> Ir 45 dog6bowlder <br /> DMRPTIONOFOPERANONSWore< E.L.Di$EASE•POM LhVlT $ 100x000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Affath ACORD tef,Additional Remy*s Sthtdi%If rmra swo b roQdred) <br /> With respect to the Commercial Liability plan referenced, the below noted entities are included as <br /> Additional Insured per Endorsement 4 CC 2010 (07/04) Additional insured - Owners, Lessors, or <br /> Cont;raatoru- Schedule Person or Organization. <br /> Orange County, its officers, official agents and employees <br /> CERTIFICATE_HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13P CANCELLED BEFORE <br /> THE RXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCOROANCE WITH THE POLICY PROVISIONS. <br /> Attnl Risk Management <br /> 200 South Cameron Street AUTHORIZEDREPRESE;;rRTNE <br /> PO Box 8181 <br /> Hillsborough, NC 27278 Steve Meohanio/LYNN <br /> ACORD 26(2010106) ©188$•2010 ACORD CORPORATION, All rights reserved. <br /> IN9025 rm+n 101 'tho Arnnn r,ar„o and Innn ern rnrnlntnrnrl marfec of Ar,0PIT <br />