Orange County NC Website
DocuSign Envelope ID:C5C2F1A6-36E4-407E-9577-453A79645862 <br /> ,d► R" CERTIFICATE OF LIABILITY INSURANCE DAQS/17/2Q18Y <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 CONTACT NAME Charlie Dickerson <br /> PHONE <br /> The Insurance Pros. Inc. JA"C_N Ext 294-6613 <br /> I A,. 919 PAx <br /> C Na (866)294-9470 <br /> 1210 Cole Mill Road E MAIL ADDRESS info@insuranceprosonline.com <br /> Suite 101 INSURERS AFFORDING COVERAGE NAIC# <br /> Durham NC 27705 INSURERA Erie Ins Exch 26271 <br /> INSLiRE,? INSURER B: Erie Ins EXch 26271 <br /> Fortress Fencing, LLC INSURER C: Erie Ins Exeh 25271 <br /> Po Box 1377 INSURER D: Flagship ally Ins CD 35585 <br /> INSURER E <br /> Carrhoro NC 27510-3377 INSURER F <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 /> IN SR ADDL SUBR POLICY EFF POLICY EXP <br /> TR TYPE OF INSURANCE POLICY NUMBER MM: :Y YYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> DAMAGE TO RENTEn-ET- <br /> CLAIMS-MADE OCCUR PREMISES aoccurrence) $ 1000000 <br /> MED EXP(Any one person) $ 5000 <br /> A N N Q38-2250720 0212212018 02/22/2019 PERSONAL s ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 2000000 <br /> X POLICY F-1 JECT LDO PRODUCTS-COMF+pP AGG $ 2000000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COEa MaBINEDSINGLE <br /> LIMIT $ 1000000 <br /> ccb2nl <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED N N Q02-2240032 0212212018 02/22/2019 BO DILYINJURY(Pe raccideri $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PRO PERTYDAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> X UMBRELLA LIAR OCCUR EACH OCCURRENCE Is 4000000 <br /> C EXCESS LIAB HCLAIMS-1VIADE N N Q26-2270226 02/2212018 02/222019 AGGREGATE Is <br /> DIED I I RETENTION $ <br /> WORKERS COMPENSATION X STATUTE OT <br /> AND F;MPLOYERS'LIABIUTY Y+N - <br /> D <br /> ANY FOCER.'MEMBER EXCLUOED ECUTIVE ❑ N rA N 087-5900217 0310912'018 03109/2019 E.L EACH ACCIDENT $ 1000000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 <br /> It yes,descTibe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 100000 <br /> ESCRIPTION OF OPERATIONS!LOCATIONS:VEHICLES (ACORD 101,AdditlDnal Remarks Schedule,may oe attached if more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Change County Solid Waste ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1207 Eubanks Road <br /> AUTHORIZED REPRESENTATIVE <br /> Chapel Hill NC 27516 <br /> Fax: Email: Q 1988-2015 A CORD CORPORATION. Ail rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />