Orange County NC Website
DocuSign Envelope ID:48948209-3790-4F96-B1EO-97EE1844697D 6WIRECOM2 <br /> DATE(MM/DD/YYYY) <br /> ACORD.. CERTIFICATE OF LIABILITY INSURANCE 2/0912015 <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 Pamela Tyson <br /> Willis of Maryland, Inc. PHONE 410 771-3838 FAX 410-527-7274 <br /> A/C,No,Ext: (A/C,No): <br /> 225 Schilling Circle E-MAIL <br /> ADDRESS: <br /> Hunt Valley, MD 21031-0000 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 410 771-3838 INSURER A Hartford Fire Insurance Co 19682 <br /> INSURED INSURER B: Hartford Casualty Ins. Co. 29424 <br /> Wireless Communications Inc. wsuRERC:Trumbull Insurance Company 27120 <br /> Infinity Technology DCS, Inc. <br /> INSURER D: Hartford Fire Insurance Co 19682 <br /> 4800 Reagan Drive <br /> INSURER E <br /> Charlotte, NC 28206 <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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.ADDLSUBR <br /> LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> A GENERAL LIABILITY 3000NAM7081 1213112014 121311201 EACHOCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISESOEa occur°nce $300,000 <br /> CLAIMS-MADE Fx_]OCCUR MED EXP(Any one person) $10,000 <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 M PRO LOC $ <br /> JECT <br /> D AUTOMOBILE LIABILITY 30UENAM7049 1213112014 121311201 s <br /> (CEO, .,dentINGLELIMIT $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> B X UMBRELLA LAB OCCUR 30RHUAM5889 1213112014 121311201 EACH OCCURRENCE $10,000,000 <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DED I X RETENTION$10,000 $ <br /> C WORKERS COMPENSATION X 30WECL3818 1213112014 121311201 X TORYTLMITS OERH <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? � N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $11,000,000 <br /> D Garage Liability 30UENAM7049 1213112014 121311201 $100,000 Auto Only <br /> Each Accident <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Rowan County Finance Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attn: David Sifford, Purchasing Agent ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 130 West Innes Street, Suite 110-120 <br /> AUTHORIZED REPRESENTATIVE <br /> Salisbury, NC 28144 <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S853896/M850279 6PTYS <br />