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DocuSign Envelope ID: EFACB3C4-C60B-416B-9CA1-B277DD2458EE ECSCARO1
<br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)11/08/2017
<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 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,5870 Trinity Parkway E-MAIL le o,Extt)T theandersen r com (A/c,No):
<br /> ADDRESS: g@ g p•
<br /> Suite 130
<br /> INSURER(S)AFFORDING COVERAGE NAIL#
<br /> Centreville,VA 20120
<br /> INSURER A Cincinnati Insurance Company 10677
<br /> INSURED INSURER B:Hartford Fire Insurance Company 19682
<br /> ECS Southeast, LLP
<br /> INSURER C Federal Insurance Company 20281
<br /> 14026 Thunderbolt Place Suite 500 29424
<br /> INSURER D:Hartford Casualty Insurance Co.
<br /> Chantilly,VA 20151
<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 /> LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> (MM/DD/YYYY) (MM/DD/YYYY)
<br /> A GENERAL LIABILITY X X ENP0219991 12/01/2016 12/01/2017 EACH OCCURRENCE $1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY PREMISESO(Ea occurrence) $500,000
<br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000
<br /> X Contractual Liab PERSONAL&ADV INJURY $1,000,000
<br /> X X C U GENERAL AGGREGATE $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
<br /> 7 POLICY X PRO LOC $
<br /> JECT
<br /> B AUTOMOBILE LIABILITY X X 42ABMS9642 12/01/2016 12/01/2017 (E°acdeDnt)INGLE 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 /> C x UMBRELLA LIAB X OCCUR X X 79891344 12/01/2016 12/01/2017 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$0 $
<br /> ,- WORKERS COMPENSATION X 42WNMS9633 12/01/2016 12/01/2017 X WCSTLMITS OTH-
<br /> ER
<br /> AND EMPLOYERS'LIABILITY
<br /> Y/N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE All States Endt E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<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 12/01/2016 12/01/2017 $10,000,000 Limit
<br /> Excess of$5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> Certificate Holder is included as an Additional Insured on all policies except Worker's Compensation.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Orange County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Hillsborough, NC 27278
<br /> AUTHORIZED REPRESENTATIVE
<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 /> #S251190/M223049 MEF
<br />
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