Orange County NC Website
Browse       Search
DocuSign Envelope ID:68D03306-BE08-4226-8F38-FE1C9C52ED1F <br /> '`C7"R" CERTIFICATE OF LIABILITY INSURANCE DATE M) <br /> 110/31/2018 <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 be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> York International Agency, LLC NAME: FAX. <br /> Attu. bartlettcert@yorkintl.com .914-376-2200 .9114-376-2891 <br /> 500 Mamaroneck Avenue E-MAIL ADDRESS- <br /> Harrison NY 10528 INSURERS AFFORDING COVERAGE NAIL <br /> INSURER A:Travelers Pro_pert &Gasualt Co of 25674 <br /> INSURED INSURER B:Travelers Ind_emnit K]p any 25658 . <br /> The F.A. Bartlett Tree Expert Company INSURER C: <br /> 1290 Fast Main Street Y"— <br /> Stamford CT 06902 INSURER D <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 1966006783 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 TYPE OF INSURANCE T 1ICYEFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MMIDDIYYYY MWDDrfYYY <br /> A X COMMERCIAL GENERAL LIABILITY TC2J-GLSA-1005A129-TIL-18 12/112098 121112019 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE �OCCUR DAMAGE (RENTED <br /> PREMISES Ea occurrence) A1,009,000 <br /> 0 <br /> _ I <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,OD0,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $5,000,000 <br /> X POLICY❑PRO- ❑LOG PRODUCTS $2,000,000 <br /> JECT �. <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY TC2J-CAP-1005A130-TIL-18 12/112018 12!112019 12 accident $2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) S <br /> AUTS OWNED AUTOSULEp BODILY INJURY(Per accident) S <br /> X HIRED AUTOS ,�( NON-OWNED PROPERTY DAMAGE <br /> AUTOS Per accident <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> g WORKERS COMPENSATION TC2K-LIB-1005A105-18 1211/Z018 12/112019 PER OTH- <br /> g AND EMPLOYERS'LIABILITY YIN TRK-UB-1005AI17-18 12/1/2018 12/1/2019 STATUTE ER <br /> ANY PROPRIETORIPARTNER1EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000 <br /> OFFICE D? <br /> RIM EXCLUDE <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE E $1,000,000 <br /> If es,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) <br /> Proof of Insurance. <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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> (AUTHORIZED REPRESENTATIVE <br /> V PrI�— <br /> Q 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />