Orange County NC Website
DocuSign Envelope ID:33837691-9CB9-4615-B4FE-A371 F7D294A7 <br /> AC"Rn°� CERTIFICATE OF LIABILITY INSURANCE DArEIh1M1DDC21/2016I16 <br /> 12 <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, EXTENT?OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br /> PRODUCER,AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. It SUBROGATION IS WAIVED,subject to the terins <br /> and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder <br /> In lieu of such endorsements. <br /> PRODUCER ""TACT <br /> FEDERATED MUTUAL INSURANCE COMPANY HA_IdEI CLIENT CONTACT CENT ER.-• _ <br /> HOME OFFICE:P.O.BOX 328 gtc�we,Ex)-888-333.44i9 �. AT(AJc No:507 446 4Cs5?i _. <br /> OWATONNA,MN 55060 EMAIL <br /> _ADORI45s:CL.IENTCONTACTCENTER@FEDINS.COM-, <br /> tNSURERISI AFFCIRDING COVERAGE NAIC JI <br /> _ INSURER A.FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED --- 348-705-5 INSURER a; �_...-- -- <br /> TRADEMASTERS SERVICES INCORPORATED INSURER c: -- <br /> 5012 NEAL RD -- <br /> DURHAM,NC 27705 INSURER D: <br /> INSURER E: u <br /> INSURER F. <br /> COVERAGES CERTIFICATE NUMBER:34 REVISION NUMBER:0 <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,EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> lkT R TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY Err POLICYDE VYI P LIMITS <br /> X COMMERCIAL GENERAL UAWLITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE I X]OCCUR DAMAGE <br /> E�tl TO REN.TED-...L $100,000 <br /> MED EXP IAny one per3on) EXCLUDED <br /> A Y N 9337203 02/11/201T 0 211 112 01 0 PERSONAL a ADV INJURY $1,000,O0D <br /> 4£i'L AGORE"IT LIMIT APPLIES PER; GENERAL AGOREOATE $2,000,000 <br /> X POLICY ❑rC LAG PRODUCTS-COMPIOP AGO $2,000,000 <br /> OTHER: —....._ <br /> AUTOMOBILE LIABILITY eOMBINED SINGLE LIMIT <br /> �a aeeiderl0 __ $1,ODO,DOD <br /> X ANY AUTO BODILY INJURY{Per Penflnl <br /> ALL OWNED SCHEDULED <br /> A AUTOS AUTOS Y N 9337203 0211112017 02/11/2018 BODILY INJURY(Paraccidenl) <br /> HIRED AUTOS NO NEp A PROPERTYcFden DAMAGE <br /> AUTOS <br /> ar a <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $5,000,DT30 <br /> A EXCESS LIAR CLAIMS-MADE N N 9337204 02/1112017 02/11/2018 ACOREGAT£ _ $5,000,000 <br /> DED RETENTION <br /> WDRKERS COMPENSATYDN XPER STATUTE ER- <br /> AND EMPLOYERS'LIABILITY Y J N'ANY PROPRIETORIPARTNERI£XECUTIVE F.L.EACH ACCIDENT $1,000,DDD <br /> A OFFICERIMEMBER EXCLUDED? ❑N f A N 9337205 02/11/2017 02/1112016 - <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> It yet,descrl under <br /> OESCRlPTYON OF OPERAT0.ON5 below E.L DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACGRO 101,Additional Remarks Schedule,11 more Sphce Is required) <br /> SEE ATTACHED PAGE <br /> CERTIFICATE HOLDER CANCELLATION <br /> 348-705-5 340 <br /> ORANGE COUNTY SHOUTS)ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8161 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> i9B8-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014101f The ACORD name and logo are registered marks of ACORD <br />