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DocuSign Envelope ID: EF7D31 F4-C251-4CD9-B521-6FB1 A424D8C7
<br /> DocuSign Envelope ID:22EC41ID-EAE3-4084-8IF7-CB9D1D8971355
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE=18
<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 ISSUfflo INSURER(S), AUTHORIZED REPRESENTATIVE OR
<br /> PRODUCER,AND THE CERTIFICATE HOLIER,
<br /> IMPORTANT: If The certificate holder Is an ADDTIONAL INSURED, the poliey(les) must have ADDITIONAL INSURED provisions or be endorsed, If
<br /> SUBROGATION Is 'WAIVED, subject to tho leans and Conditions of Iho policy, certaln policies may require an endorsement. A statement on INS,
<br /> certificate does not confer r4 hts to Me certificate holder In lieu of such andorsoment s
<br /> PRODUCER CONTACT C C E
<br /> FEDERATED MUTUAL.INSURANCE COMPANY
<br /> HOME OFFICE:P.O.BOX 326 41-3. ExI t 088-333-4949 FAX Na r 5D7-440-4804
<br /> OWATONNA,MN 55060 A, S,Ss•CLI ENTCONTACTCENTERna FEDINS.COM
<br /> _
<br /> INSURER(S)AFFORDINC,COVERAOE IJAIO0
<br /> INSURER Aa FEDERATED MUTUAL INSURANCE COMPANY 13935
<br /> INSURED 157.075-3 INSURER B:
<br /> PHOENIX FIRE PROTECTION INC INSURER Cr
<br /> 2863 LEE AVE
<br /> SANFORD,NC 27332-6205 INSURER or
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:80 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 aY 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 CLAIMB.
<br /> IN?sR OL Suan OLICY EF POLICY EXP LIMITS L R TYPE OF N POLICY NUMGER - lnuly Y #,Min Y Y'
<br /> X COMMERCIAL OENERAL LIABILITY EACH OCCURRENCE $1,000,0D0
<br /> OUAIM&•µACE ❑OCCUR DAM OFT RENTED $100,000 0 PREM
<br /> MEO EXP(Any and parson)
<br /> EXCLUDED �
<br /> A N I! 6057280 0412212018 04/2212019 PsRWHALAADVINJURY S1,0DD,DSD
<br /> a 'LAOCR�j E OMIT APPLIES PER; OEI1ERALA0ORE0ATE $2,000,00D
<br /> X POLICY L�,IJEcr ❑LOO PRODUCTS-COMPIOPA40 '$2,000,GDO
<br /> OTNER�
<br /> AUTOMOBILE LIABILITY OMBI EP" NISOLE LIMIT 31,000,000
<br /> E eti de
<br /> X ANY AUTO BODfLY INJURY(Per parson)
<br /> A OWIIED Auras ONLY AAUTOSULER N N 6057200 0412212018 04/22/2019 BODILY INJURY(Per eee140
<br /> HIRED AUTO8 ONLY NOR-OWNED ROPEI TY DAMAOE
<br /> AUTOS ONLY no
<br /> X UMBRELLALIAB X OCCUR EACH OCCURRENCE S,OOOs000
<br /> A I EXCESS LOAD I CLAIMS-TAAoE N N 6057201 11412212018 0412212Dt9 ACOREOATE $5,000pou
<br /> DED RETENTION
<br /> WORKERS COMPENSATION X PER.STATUTE O H
<br /> AND NMPLOYFCRs'LIABILITY
<br /> ANY PROPRIETORIPARTRERtEXEOUTIVE EL.EACH ACOID€NF
<br /> $1,000,000
<br /> A OFFIOERMEMBEREXCLUDED? N t A N 6057204 04122/2018 0412212019
<br /> E.L.DISEASE-EAEMPLCYEE
<br /> IMAndilary In RNl $1,000,000
<br /> If yas,dacgThe(IRder E.L DISEASE-POUCY LIMIT I
<br /> DESCRIPTION OF OPERATIONS below $1,000,000
<br /> }.
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VCHICLEs{AcoRU 10 1,Addillonel RainarKs Goodglo,may ho rlddlod II more space Is require dl r
<br /> POLICY COVERAGE As OF 04/29/2028 "
<br /> ���t � 1 1�4❑
<br /> `+ 1 4 117 �
<br /> 6y:
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> 157.075-3
<br /> 000
<br /> ORANGE COUNTY ASSET MANGEMENT SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 131 W MARGARET LN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> HILLSBOROUGH,NC 27278.2547 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATFVE �
<br /> l�
<br /> W 1800-2015 ACORD CORPORATION,All rights reserved,
<br /> ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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