Orange County NC Website
DocuSign Envelope ID:AB2ABB74-BA4B-4734-A66D-EF10C56098ED <br /> CERTIFICATE OF LIABILITY INSURANCE FDAr12)21MIYYYYL <br /> 12/21f2016 <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 BELOW. THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR <br /> PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the policy(les)must he endorsed.If SUBROGATION IS WAIVED,subject to the terms <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 CONTACT <br /> FEDERATED MUTUAL INSURANCE COMPANY taP��CLJJENT C NTACT CENTFB .__—.-- ---. <br /> HOME OFFICE.,P.O.BOX 328 Pn�ENo,Ex1):888-333-4949 —_ Alc Not.-507-446-4664._. <br /> C3WATONNA,MN 55060 E-MAJAQarss;_CI�IENTCONTACTCENTE FEDINS,C❑M <br /> _ INSURERISI AFFORDING COVERAGE NAIC 11 <br /> INSURER A;FEDERATED MUTUAL INSURANCE COMPANY <br /> INSURED 13935 <br /> -. _..._ - __.._..__ <br /> 346-7®�� INSURER B: <br /> TRADEMASTERS SERVICES INCORPORATED INSURER C: — - -- <br /> 5012 NEAL RD - -- - <br /> ❑URHAM,NC 27705 INSURER n: <br /> INSURER E: <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 /> INSR DL SUER POLICY EFF POLICY EXP <br /> LT TYPE OF INSURANCE INS POLICY NUMBER M IGDIYYYY M IDnIY Y LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,00,000 <br /> CLAIMS-MADE I X-I OCCUR DAMAGE TO RENTED - ..—�$100,000 <br /> _PB���sEs 4€;r cu Tonto __ <br /> MED EXP IAny one person] EXCLUDED <br /> A Y N 9337203 02/1112017 02/11/2018 PERSONAL 6 ADV INJURY $1,600,0D0 <br /> 10EWLAGOR E LIMIT APPLIES PER: GENERAL AGGREGATE $2.000.000 <br /> Y PRO. <br /> POLIC LGC _..-_ <br /> JECr PRODUCTS-COMPIOP AGO $2,D00,000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY - COM81NEo 51NGLE LIMIT <br /> Ifl�LsU S1,0I10,000 <br /> X ANY AUTO BODILY INJURY(Per personl <br /> AT OWNED SCHEDULED <br /> A O AO Y N 9337203 02/1112017 02/11120/8 BODILY INJURY IPer accidenq <br /> HIRED AUTOS NON-OWNED AUTOS PRO PaERlTdeY UD—A.._Ge <br /> I <br /> X UMBRELLA LIAB I <br /> OCCUR EACH OCCURRENCE $510DD1000 <br /> A —]-EXCESSlIA9' CLASMS•MADE N N 9337204 02111/2017 02/11/2018 AGGREGATE - - $51t)00,DOD <br /> QED RETENTION <br /> WORKERS COM PEN SATI0N OER <br /> AND EMPLOYERS'LIABILITY Y!N x PER STATUTE _11 <br /> ANY PROPRIETORIAARTNEWEXECUTIVE E.L EACH ACCIDENT $1,DOD,000 <br /> A OFFICERIMEMBER EXCLUDED? NIA N 9337205 02/11/2017 02/1112016 - -- <br /> (Mandatory In NH) E.L.WSEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under —� <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,DDD,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ARad7 ACORD 101,Addifnnal Remarks Schedule,IL more apace Is required) <br /> SEE ATTACHED PAGE <br /> CERTIFICATE HOLDER CANCELLATION <br /> 348-705-5 34 D <br /> GRANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBt7ROUGH,NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> (D 1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD <br />