2017-138-E AMS - Signs Now to install vinyl warning sign at gate arms

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DocuSign Envelope ID:45C18779-2190-48A7-A87B-27365121 DB71 ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/06/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Louise Churchill Herring& Bickers Insurance Agency ac N E-MAIL 'Ext): FAX No): (919)479-1868 2344 Operations Drive ADDRESS: Suite 101 INSURER(S)AFFORDING COVERAGE NAIC# Durham NC 27705 INSURER A: HARTFORD CAS INS CO 29424 INSURED INSURER B: Erie Insurance Exchange 26271 Signs Now/Occasions Engraving,Stokes Inc dba INSURER C: 1322 Fordham Blvd INSURER D: INSURER E: Chapel Hill NC 27514 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 DAMAGE RENTED CLAIMS MADE X OCCUR PREMISES O(Ea occurrence) $ MED EXP(Any one person) $ 10000 A N N 22SBAUC3584 08/10/2016 08/10/2017 PERSONAL&ADV INJURY $ 1000000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 PRO X POLICY JECT LOC PRODUCTS COMP/OP AGG $ 2000000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED X X SCHEDULED AUTOS AUTOS N N Q09-0630393 09/06/2016 09/06/2017 BODILY INJURY(Per accident) $ NON OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY Y/N ANY D OFFICER/MEMBER/EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE © N/A N 22WECRH7577 08/10/2016 08/10/2017 E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Operations usual to sign banners mfg/engraving in NC. Officer's are excluded from Work Comp. CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 131 W Margaret Lane THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 Fax: Email:abarnes @orangecountync.gov ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD