Orange County NC Website
DocuSign Envelope ID:A46FFBEB-E499-450D-B968-F18A0432F90F <br /> DATE(MMIDDIYYYY) <br /> AC OR CERTIFICATE OF LIABILITY INSURANCE 10/10/2017 <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 <br /> CONTACT <br /> NAME: Charlie Dickerson <br /> PHONE 919 294 6613 FAX No): (866)294 9470 <br /> The Insurance Pros.Inc. wvc.No.Ext): (919)294-6613 <br /> 1210 Cole Mill Road <br /> E-MAIL <br /> ADDRESS: charlie@insuranceprosonline.com <br /> Suite 101 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Durham NC 27705 INSURERA: Erie Insurance Company 26271 <br /> INSURED INSURERS: Erie Insurance Company 26271 <br /> Fortress Fencing, LLC INSURER C: • <br /> Po Box 1377 INSURERD: Flagship City Ins Co 35585 <br /> Carrboro, NC 27510-3377 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO INDICATED.CERTIFY POLICIES OF INSURANCE LISTED <br /> NT, TERM OR CONDITION HAVE BEEN ISSUED <br /> OF ANY CONTRACT OOR OTHER DOCUMENT FOR THE <br /> RESPECT POLICY PERIOD <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 /> ILTR ADDL SUER POLICY EFF POLICY EXP LIMITS <br /> TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD YYYY) (MM/DD YYYY) <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> �/ <br /> DAMAGE TO RENTED 1000000 <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ <br /> MED EXP(Anyone person) $ 5000 <br /> A N N Q38-2250720 02/22/2017 02/22/2018_PERSONAL&ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 <br /> X POLICY 5P81: LOC PRODUCTS-COMP/OP AGG $ 2000000$ <br /> OTHER: COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY (Ea accident) $ 1000000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> 01 SCHEDULED <br /> AUTOS N N Q02-2240032 02/22/2017 02/22/2018 BODILY INJURY(Per accident) $ <br /> B <br /> AUTTOS OS ONLY PROPERTY accident) AGE $ <br /> X HIRED X AUTOS ONLY (Per accident) _. <br /> AUTOS OtJLY AUTOS ONLY $ <br /> UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1000000 <br /> C X EXCESSS LLIAB X CLAIMS-MADE N N WC100-0007808-2014A 03/09/2014 03/09/2015 AGGREGATE $ 1000000 <br /> DED X RETENTION$ $ <br /> WORKERS COMPENSATION X STATUTE OTH <br /> AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ 1000000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> ER/MEMB RlEXCLUDEDXECUTIVE N/A N Q87-5900217 03/09/2017 03/09/2018 <br /> D (mandatory in N E.LDISEASE-EAEMPLOYEE $ 1000000 <br /> (M1landatorym NH) <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER -CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ORANGE COUNTY DEAPR ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO BOX 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> I NC 27278 <br /> Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />