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DocuSign Envelope ID: 3B7FF6D8-761 B-4C88-A691-9E7C554A969C ECSCAR01
<br /> DATE(MM Do
<br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1/12/2016
<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 Meg S. Lee, CIC
<br /> Andersen Insurance Group PHONE 703-988-0900 FAX Ext. 102
<br /> A/C,No,Ext: (A/C,No):
<br /> 5870 Trinity Parkway ADDRESS: meg@theandersengrp.com
<br /> Suite 130
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Centreville,VA 20120 INSURERA:Cincinnati Insurance Company 10677
<br /> INSURED INSURER B:Hartford Fire Insurance Company 19682
<br /> ECS Carolinas, LLP INSURER C:Federal Insurance Company 20281
<br /> 14026 Thunderbolt Place INSURER D: `Y Hartford Casualty Insurance Co. 29424
<br /> Suite 500
<br /> INSURER E:
<br /> Chantilly,VA 20151
<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.
<br /> LTR TYPE OF INSURANCE NSR ADDLSUBR
<br /> WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> (MM/DD/YYYY) (MM/DD/YYYY)
<br /> A GENERAL LIABILITY X X ENP0219991 12/01/2015 12/01/2016 EACH OCCURRENCE $1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY PREMISES(ERENTED
<br /> occurrence) $500,000
<br /> CLAIMS-MADE FXI OCCUR MED EXP(Any one person) $10,000
<br /> • Contractual Liab PERSONAL&ADV INJURY $1,000,000
<br /> • X C LI GENERAL AGGREGATE $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
<br /> POLICY X PRO LOC $
<br /> JECT
<br /> B AUTOMOBILE LIABILITY X X 42ABMS9642 1210112015 121011201 Ea aB D
<br /> cidetSINGLE LIMIT $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 /> $
<br /> C X UMBRELLA LIAB X OCCUR X X 79891344 1210112015 121011201 EACH OCCURRENCE s5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000
<br /> DED I X RETENTION$O $
<br /> D WORKERS COMPENSATION X 42WNMS9633 1210112015 121011201 X T,ORYTLMITS EERH
<br /> AND EMPLOYERS'LIABILITY
<br /> YIN
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE All States Endt E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N] NIA
<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 $1,000,000
<br /> A Excess Liability X X EXS0220000 1210112015 121011201 $5,000,000 Limit of Ins
<br /> Excess of$5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> ECS job nos. 06.23206, 06.23206-A, 06.23207, 06.23207-A-Environment and Agriculture Center-
<br /> Hillsborough, INC/Proposed Library Site, Carrboro, INC
<br /> Certificate Holder is included as an Additional Insured on all policies except Worker's Compensation.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Orange Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Hillsborough, INC 27278
<br /> AUTHORIZED REPRESENTATIVE
<br /> 0
<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 /> #S162750/M148750 MEF
<br />
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