Orange County NC Website
Browse       Search
DocuSign Envelope ID: F4D38498-6182-495F-9F57-49F44D76229A FESCO-1 OP ID: NS <br /> ,acoRO CERTIFICATE OF LIABILITY INSURANCE DATE(M3120 <br /> 03/23/20 6 <br /> `••--°''� 16 <br /> PRODUCER Phone: 410-312-7800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> McFarlin Insurance Agency,LLP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 8325 Guilford Rd,Suite A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Columbia,MD 21046 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Jeffrey S.Anderson <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Laake Enterprises Inc. INSURER A:Travelers Indemnity Co. 25666 <br /> d/b/a Fesco Emergency Sales <br /> 7010 Troy Hill Drive INSURER B: <br /> Elkridge, MD 21075 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSR TYPE OF INSURANCE DATE MM/DD/YYYY DATE MM/DD/YTIO <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> • X COMMERCIAL GENERAL LIABILITY AD-911 BL644-16-CAG 0112212016 0112212017 DAMAGE <br /> PREMISES R oNcurence $ 300,000 <br /> OCCUR MED EXP(Any one person) $ 1,00 <br /> X PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 3,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,00 <br /> POLICY PRO- <br /> AUTOMOBILE LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 <br /> • X X ANY AUTO AD-911 BL644-16-CAG 0112212016 0112212017 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (PER PERSON) $ <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (PER ACCIDENT) $ <br /> PROPERTY DAMAGE $ <br /> (PER ACCIDENT) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ 1,000,00 <br /> • X X ANY AUTO GA-9123L783-16-CAG 0112212016 0112212017 OTHER THAN EA ACC $ 1,000,00 <br /> AUTO ONLY: AGG $ 3,000,00 <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 8,000,00 <br /> • X X OCCUR CLAIMS MADE YSM-CUP-9114L762-TIL-16 0112212016 0112212017 AGGREGATE $ 8,000,00 <br /> DEDUCTIBLE $ <br /> X RETENTION $ 0 $ <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY TORY LIMITS ER <br /> • ANY PROPRIETOR/PARTNER/EXECUTIVE YYKUB-9112L41-8-16 0112212016 0112212017 E.L.EACH ACCIDENT $ 500,00 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 <br /> If yes,describe under 500 00 <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> • Property Section Y-660-9114L762-TIL-16 0112212016 0112212017 Various <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Orange County Emergency Services is named as additional insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> ORANGE COUNTY EMERGENCY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> SERVICES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 510 MEADOWLANDS DRIVE <br /> HILLSBOROUGH,NC 27278 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVEJeffrey S.Anderson <br /> ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />