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DocuSign Envelope ID: E5010427- 82C4- 4E4F- B85E- EDF96ECD3F42
<br />vncnarr. c IV
<br />ECSCAR01
<br />ACORDM CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DD /YYYY)
<br />12/28/2017
<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 Parkwa y
<br />Suite 130
<br />Centreville, VA 20120
<br />NAME: Meg S. Lee, CIC
<br />PHA NE o, FAX
<br />703- 988 -0900 A/C , No Ext. 102
<br />E LEll:
<br />ADDRESS: meg @theandersengrp.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Cincinnati Insurance Company
<br />10677
<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 />INSURER C :Hartford Casualty Insurance Co.
<br />29424
<br />INSURER D ACE American Insurance Company
<br />22667
<br />INSURER E
<br />INSURER F:
<br />PREMISES ERENTED
<br />r nce
<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 /YYYY
<br />POLICY EXP
<br />MM /DD /YYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />X
<br />ENP0219991
<br />12/01/2017
<br />12/01/2018
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMISES ERENTED
<br />r nce
<br />$ 500,000
<br />CLAIMS -MADE L* 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 tJ
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OPAGG
<br />$2,000,000
<br />PR LOC
<br />POLICY X JEC
<br />$
<br />A
<br />AUTOMOBILE LIABILITY
<br />X
<br />X
<br />CPP1097785
<br />12/01/2017
<br />12/01/201
<br />COMB d.rr'3 SINGLE
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />NON -OWNED
<br />X HIRED AUTOS X 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 />s5,000,000
<br />AGGREGATE
<br />s5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION $0
<br />$
<br />C
<br />AND EMPLOYERS' LIABILITY WORKERS COMPENSATION
<br />YIN
<br />ANY PROPRIETOR /PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? N
<br />N/A
<br />X
<br />42WNMS9633
<br />All States Endt
<br />12/01/2017
<br />12/01/2018
<br />X T AlTU- OTH-
<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 />IX
<br />X
<br />CPMG28192289
<br />12/01/2017
<br />12/01/2018
<br />$5,000,000 Inc/Aggr
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Re: All Jobs
<br />Certificate Holder is included as an Additional Insured on all policies except Worker's Compensation. A
<br />waiver of subrogation is granted in favor of the Certificate Holder.
<br />RNfai's u a lAd\ Ia• G L., A., Q! "1110L faAAG \tNJ0
<br />Orange Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />g y 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 />a
<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 />#S252836/M236221 MEF
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