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DocuSign Envelope ID: 59E8E223- 3519- 4CD9- B63D- 6B5A82C32C26
<br />VrICrrGT. L rV
<br />ECSCAR01
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DD/YYYY)
<br />1 11/06/2017
<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
<br />Andersen Insurance Group
<br />5870 Trinity Parkway
<br />Suite 130
<br />CONTACT Meg S. Lee, CIC
<br />PHONE 703 -988 -0900 FAX Ext. 102
<br />A /C, IN Ext : (A/C, No):
<br />E-MAIL meg @theandersengrp.cam
<br />GENERAL LIABILITY
<br />X
<br />Centreville, VA 20120
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A :Cincinnati Insurance Company
<br />77
<br />106A
<br />INSURED
<br />ECS Southeast, LLP
<br />14026 Thunderbolt Place Suite 500
<br />Chantilly, VA 20151
<br />INSURER B • Federal Insurance Company
<br />20281
<br />o Casualty Insurance Co..
<br />INSURER C : NartfM ra
<br />29424
<br />INSURER D mer ACE AicanlnsunmeaCompany
<br />22667
<br />INSURER E
<br />INSURER F:
<br />MED EXP (Any one person)
<br />$10,000
<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 CONTRACTOR 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM /DD
<br />POLICY EXP
<br />MM /DD
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />X
<br />ENP0219991
<br />12101/2017
<br />12/01/2018
<br />EACHOCCURRENCE
<br />$1,000,000
<br />RREM13ESOEa occurrence
<br />$500,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL & ADV INJURY
<br />$1,000,000
<br />X Contractual Liab
<br />X
<br />X C U
<br />GENERALAGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$2,000,000
<br />POLICY X PRO LOC
<br />JECT
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />X
<br />X
<br />CPP1097785
<br />12/01/2017
<br />12/01/2018
<br />(CEO, accident) MBINED SINGLE LIMIT
<br />1,000,000
<br />X
<br />BODILYINJURY(Perperson)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />X
<br />X
<br />79891344
<br />12/01/2017
<br />12/01/2018
<br />EACH OCCURRENCE
<br />$5,000,000
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION $0
<br />$
<br />`+
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVEY /N
<br />OFFICER /MEMBER EXCLUDED? F 7N
<br />N / A
<br />X
<br />42WNMS9633
<br />All States Endt
<br />12/01/2017
<br />12/01/2018
<br />X WCSTATU- OTH-
<br />TORY LIMITS R
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />A
<br />Excess Liability
<br />X
<br />X
<br />EXS0220000
<br />12/01/2017
<br />12/01/2018
<br />$10,000,000 Limit
<br />Excess of $5,000,000
<br />D
<br />Pollution Liab
<br />X
<br />X
<br />CPMG28192289
<br />12/01/2017
<br />12/01/2018
<br />$5,000,000 Inc /A r
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />ECS job nos. 06.23206, 06.23206 -A, 06.23207, 06.23207 -A - Environment and Agriculture Center -
<br />Hillsborough, NC / Proposed Library Site, Carrboro, NC
<br />Certificate Holder is included as an Additional Insured on all policies except Worker's Compensation.
<br />III a.7 I1 a Pfd IME G t•JIII■1 aG 4Gll a L"R aPILV PJ I:
<br />Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />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 />#S245945/M236221 M E F
<br />
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