2019-152-E AMS - Trademasters Passmore IVU repair

Browse Search

DocuSign Envelope ID:300ClC4C-4016-4747-9FOE-2EFF60AA8834 A CERTIFICATE OF LIABILITY INSURANCE DAT12)'21DD,YYYY' 1212i12018 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 pollcytles) Inust have ADDITIONAL INSURED provisions or 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 endorsemen!s. PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY PHONE - LIFMT-G�LVTACI ANT 13__.._ _._____ HOME OFFICE:P.O.BOX 328 LOLEx11.888-333-4949 ��_... ..f A,c Hol:5pI-4464684 OWATOHNA,MN 55060 E-MAIL A_un>Zss:CLf 1IQ__9A_TCFNTEPQFEOINS�CDlu1 INSURERS AFFORDI NO COVERAGE NAiC ...____-. _ ...... .........------ _ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED _ 348-705-5 INSURER B: TRADEMASTERS SERVICES INCORPORATED INSURERC: 5012 NEAL RD — DURHAM,NC 27705-2362 INSURER D: INSURER E: INSURER F. .- COVERAGES CERTIFICATE NUMBER:34 REVISION NUMBER:0 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 TYPE OF INSURANCE ADDL SURR POLIO LIMITSL R N POLICY NUMBER MMIDDIYYYY MMIPDI YY X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE �X OCCUR 6Ard46E TG RENTED $10D,000 MED EXP(Any and person) EXCLUDED A T Y N 9337203 02/11/2019 02/11/2020 PERSONAL A ADV INJURY $1,00D,000 GFN L A001RECATE LIMIT APPLIES PER: GENERAL AGGREGATE � $2,000,000 PRO• X POLICY Ll JECT L]LOC PRODUCTS-COMPIOP AGO $2,00,000 OTHER: --•---. .. .._._. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,ODD,ffDD Ma accld n X ANY AUTO BODILY INJURY(Per psrsonl OWNED AUTOS ONLY SCHEDULED A AUTOS Y N 9337203 02/11/2019 02/11/2020 BODILY INJURY(Per sccidenq HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAAE AUTOS ONLY Per cciden ]( UMBRELLA LIAR X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAR CLAIMS-MADE N N 9337204 02/11/2019 02/11/2020 AGOREGATE $6,000,000 CEO RETENTION N WORKERS COMPENSATION G R AND EMPLOYERS'LIABILITY X PER STATUTE ANY PROF'R IE TORIPARTHEMEXEC UTIVE Y r N E.L.EACH ACCIDENT $1,000,000 A OFFICERIMEMBER EXCLUI NIA N 9337205 02/11/2019 02/11/2020 ;Mandatary In NO) E.L.DISEASE-EA EMPLOYEE $1,000,DDO It yea,describe under DESCRIPTION OF OPERATIONS below El DISEASE-POLICY L1Mn• $1,flOD,D00 DESCRIPTION OF OPERATION5 I LOCATIONS I VEHICLES(ACORD 101•Additlonal Remarks Schedule,may he amOlad n more space is required} SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 348-705-5 340 ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HILLSBOROUGH,NC 2727"181 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 19BO-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD