2013-517 Emergency Svc - Caldwell Fire Department Fire Protection and Emergency Services Agreement

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CALDW-1 OP ID: DP ACORE7� DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 01/02/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT W Cloyce Anders VFIS of North Carolina NAME: P.O.Box 12825 a/c°NN E.*919-755-1401 AIC .):919-755-1125 Raleigh,NC 27605 E-MAIL W.Cloyce Anders ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:American Alternative Ins.Co. 19720G INSURED Caldwell Fire Dept., Inc. Brad Allison,Chief INSURER B 7020 Guess Road INSURER C: Rougemont,NC 27572 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR P LICY EFF POLICY EXP LTR TYPE OF INSURANCE JNI&WVD POLICY NUMBER MM/DD/YYYY I IMMIDD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY FIS-TR-2052385 04/03/2013 04/03/2014 PREMISES Ea occurrence $ 1,000,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,00 POLICY PRO X LOC $ AUTOMOBILE LIABILITY COMBINED SIN LE LIMIT 1,000,00 Ea accident $ A X ANY AUTO FIS-CM-1051503 04/03/2013 04/03/2014 BODILYINJURY(Perperson) $ X ALL OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS PERACCIDENT $ UMBRELLA LIAB X OCCUR EACHOCCURRENCE $ 1,000,00 A X ExCESSLIAB CLAIMS-MADE FIS-TR-02052385 04/03/2013 04/03/2014 AGGREGATE $ 2,000,00 DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN T RY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,N more space is required) Commercial Blanket Bond $25,000 Management Liability $1,000,000 "Each Wrongful Act", $3,000,000 Aggregate. Orange County is included as Additional Insured per VGLNCI Who is an Insured "Blanket Additional Insureds". CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD