Orange County NC Website
DocuSign Envelope ID:9F423729-A57A-4E25-8C7D-5BDA1666lB7A <br /> p DATE(PAPNOD/YYYY) <br /> AcoRO CERTIFICATE OF LIABILITY INSURANCE <br /> 1�1 1 0411912016 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER NAME: TCharlie Dickerson <br /> The Insurance Pros,Inc. PHONE 919 294-6613 uc No: 866 294-9470 <br /> 1210 Cole Mill Road .MAIL <br /> Suile 101 AODRESS•charlie insurance rosonline.cona <br /> Durham,NC 27705 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:Erie Insurance Exchange <br /> INSURED INSURERB:Lrie InSUranCe Exchange <br /> FOriress Fencing,LLC INSURER C:Erie InSUrante Exchange <br /> Po Box 1377 <br /> Carrboro,NC 27510-3377 INSURER D:Insurance Solutions <br /> INSURER E <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 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 /> INSR ADDLSUBR POLICY EFF POLICY EXP LIrA1TS <br /> LTR TYPE OF INSURANCE POLICYNUMBER rd1.UDDfYYYY FAWDDJYYYY <br /> A X COMMERCIALGENERALLIABILITY 0382250720 212212016 2/2212017 EACHOCCURRENCE $ 1000000 <br /> DAMAGE TORE JTED <br /> CLAIMS-MADE I—XI OCCUR PREMISES Ea occurrence $ 1000000 <br /> MED EXP(Any one person) $ 5000 <br /> PERSONAL&ADVINJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPOESPER, GENERAL AGGREGATE $ 2000000 <br /> X POLICY D JECO T PR [J LOC PRODUCTS-COMP/OPAGG $ 2000000 <br /> $ <br /> OTHER. <br /> B AUTOA90BILELfABILITY 0022240032 2!2212016 2122!2017 SINGLE LIMIT $ 1000000 <br /> X ANY AUTO BODILY INJURY(Per person) S <br /> 01hNED SCHEDULE rJ BODILY INJURY(Per accident) S <br /> AUTOS ONLY AUTOS <br /> HIRED NON-O'AlNEO PROPERTY DArAAGE S <br /> X AUTOS ONLY Ix AUTOS ONLY IPer act dent <br /> S <br /> C UMBRELLALIA13 i x OCCUR 0262270226 2122!2016 212212017 EACHOCCURRENCE $ 1000000 <br /> x EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1000000 <br /> DEC RETErdTION$ 1 $ <br /> D <br /> WORKERS COMPENSATION WC100-0007808-2014A 3{9!2016 319/2017 X STAFUTE ER" <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANYPROPREETOMPARTNERIEXECUTWE ❑ N rA E.L_EACH ACCIDENT $ 1000000 <br /> OF F1 CEPJM EM BER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1000000 <br /> if yas,describe under 1000000 <br /> DESCRIPTION OF OPERATIONS h,-Tow E.L.DISEASE-POLICY LIMIT $ <br /> E <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may bo attached if more space is requ[red) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ORANGE COUNTY DEAPR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> OR <br /> OR BOX 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> HILLSBOROUGH NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016703) The ACORD name and logo are registered marks of ACORD <br />