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DocuSign Envelope ID: 2E2609DA -01 E2- 479B- 9C15- 90AAE85E5878 <br />FEDEENG -01 CWHOOLERY <br />ACORO" CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />06/25/2018 <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 Certificate Department <br />NAME: <br />PHONE FAX <br />(A /C, No, Ext): (703) 667 -5940 (A /C, No): (703) 991 -4838 <br />Preferred Insurance Services, Inc <br />4035 Ridge Top Road, Suite 150 <br />Fairfax, VA 22030 <br />ADDRESS: certs @preferins.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: National Fire Insurance Company of Hartford <br />20478 <br />INSURED <br />INSURER B: The Continental Insurance Company of New Jersey <br />42625 <br />INSURER C: Continental Casualty Company <br />20443 <br />Federal Engineering, Inc. <br />INSURER D: Continental Insurance Company <br />35289 <br />10600 Arrowhead Drive #160 <br />Fairfax, VA 22030 <br />INSURER E: National Fire Insurance Company <br />41068 <br />INSURER F: <br />MED EXP (Any one person) <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 />INSD <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 />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1'000'000 <br />CLAIMS -MADE X OCCUR <br />X <br />6012243370 <br />07/01/2018 <br />07/01/2019 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />500,000 <br />$ <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1'000'000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2'000'000 <br />POLICY El PRO- LX LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />$ <br />X <br />BODILY INJURY Per person) <br />$ <br />ANY AUTO <br />6012197507 <br />07/01/2018 <br />07101/2019 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 3'000'000 <br />AGGREGATE <br />$ 3'000'000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />X <br />X <br />6012243529 <br />07/01/2018 <br />07/01/2019 <br />DED X RETENTION $ 10,000 <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR /PARTN CUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N / A <br />X <br />6049743312 <br />07/01/2018 <br />07/01/2019 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1'000'000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />E <br />Technology E &O <br />6012243370 <br />07/01/2018 <br />07/01/2019 <br />Each Claim /Aggregate <br />4,000,000 <br />E <br />Technology E &O <br />6012243370 <br />07/01/2018 <br />07/01/2019 <br />Deductible <br />25,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Orange County, 200 South Cameron Street, PO Box 8181, Hillsborough, NC 27278 its officers, official agents and employees are Additional Insured with <br />respect to General Liability regarding all work performed by the named insured. Waiver of Subrogation in favor of Additional Insureds applies to Workers' <br />Compensation. Umbrella Liability Follows form. 30 Days Cancellation. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Orange Count Emergency Services <br />9 Y 9 Y <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Dinah L. Jeffries, Director <br />510 Meadowlands Drive <br />AUTHORIZED REPRESENTATIVE <br />Hillsborough, NC 27278 <br />1- ` 4,__ <br />ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />