Orange County NC Website
DocuSign Envelope ID: 89E4337A -6A77- 4892- 89EC- 2DE9BO7DEEA3 <br />CERTIFICATE OF LIABILITY INSURANCE <br />F DA E(MMI2nIYYYY) S <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 />CONAME NTACT Charlie Dickerson <br />The Insurance Pras, Inc. <br />1210 Cole Mill Road <br />PHONE . (919)294 -6613 Fvc Na (866)294 -9470 <br />-MAIL info insurance rasonline.COm <br />ADDRESS: P <br />IN SURER(S)AFFORDING COVERAGE <br />NAIL # <br />Suite 101 <br />INSURER A : Erie Ins Exch <br />26271 <br />Durham NC 27705 <br />INSURED <br />INSURERS: Erie Ins Fxch <br />26271 <br />INSURER C: Erie Ins Exch <br />26271 <br />Fortress Fencing, LLC <br />INSURER D: Erie Insurance Company <br />35585 <br />Po Box 1377 <br />INSURER E: <br />GENERAL AGGREGATE <br />$ 2000000 <br />INSURER F: <br />$ 2000000 <br />Carrboro NC 27510 -3377 <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIODIYYYY <br />POLICY €XP <br />MMfDDIYYYY <br />- LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE N OCCUR <br />N <br />N <br />Q3 8-2250720 <br />0212212018 <br />02/2212019 <br />EACH OCCURRENCE <br />$ 1000000 <br />PROJISES ooccurrence <br />$ 1000001) <br />MED EXP (Any one person) <br />$ 5000 <br />PERSONAL& ADV INJURY <br />$ 1000000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY OX MT LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2000000 <br />PRODUCTS - COMPIO'PAGG <br />$ 2000000 <br />$ <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />N <br />N <br />Q02- 2240032 <br />02/22/2018 <br />02122/2019 <br />COMBINED SINGLE LIMIT <br />Ea acc dent <br />$ 10()0000 <br />BODILY INJURY (Per person) <br />_ <br />$ <br />BODILY INJURY (Per acckieng <br />$ <br />PROP €RTYDAMAGE <br />Pereccidani <br />�" <br />$ <br />C <br />X <br />UMBRELLA LIAB <br />EXCESS LIAa <br />X OCCUR <br />CLAIMS -MADE <br />N <br />N <br />Q26- 2270226 <br />0212212018 <br />02122!2019 <br />EACH OCCURRENCE <br />$ 4000000 <br />AGGREGATE <br />$ <br />DED RETENTION <br />$ <br />D <br />WORKERS GOMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in HIM) <br />I r ye s, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />N <br />Q87- 5900217 <br />03/0912018 <br />0310912019 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />E.L. DISEASE - EA EMPLOYEE <br />1000000 <br />E.L. DISEASE - POLICY LIMB <br />$ 1000000 <br />DESCRIPTION OF OPERATIONSI LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached II'maraspace Is required) <br />L.CR,I Ir•IL+1A I C PnULUCTt <br />Orange County Parks and Rec <br />6823 Milihouse Rd <br />V <br />il"17.1IF <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />I AUTHORIZEDREPRESENTATVE <br />NC 27516 <br />n 19RR -7nir, Ar..r)pn r.()RPnPATInAI all rinhfc racnnrari <br />TheACOR❑ name and logo are registered marks of ACORD <br />