Orange County NC Website
DocuSign Envelope ID: B6EBD8BD-8B1B-405A-9F59-69AD4D5430FB <br /> ACQR�� CERTIFICATE OF LIABILITY INSURANCE FDAT12/21/D/YYYY) <br /> 12/21/2018 <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 BELOW. THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br /> 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. If <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsements. <br /> PRODUCER CONTACT <br /> E. CLIENT CONTACT CENTER <br /> FEDERATED MUTUAL INSURANCE COMPANY NA' <br /> HOME OFFICE: P.O. BOX 328 (AC <br /> A CNNo EMI:888-333-4949 FAX <br /> No):507-446-4664 <br /> OWATONNA, MN 55060 ADDRESS:CLIENTCONTACTCENTER FEDINS.COM <br /> INSURER S)AFFORDING COVERAGE NAIC# <br /> INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED 348-705-5 INSURER B: <br /> TRADEMASTERS SERVICES INCORPORATED INSURER C: <br /> 5012 NEAL RD <br /> DURHAM, NC 27705-2362 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:34 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 BY 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 CLAIMS. <br /> INSR TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR M ! Y MIDDIY-Y <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X❑OCCUR DAMAGE TO RENTED $100,000 <br /> MED EXP(Any one person) EXCLUDED <br /> A Y N 9337203 02/11/2019 02/11/2020 PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> NOTHER: <br /> SECT ❑ <br /> LOC PRODUCTS-COMPIOP AGG $2,000,000 <br /> POLICY El <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> Ea acciden <br /> X ANY AUTO BODILY INJURY(Per person) <br /> OWNED AUTOS ONLY SCHEDULED <br /> A AUTOS Y N 9337203 02/11/2019 02/11/2020 BODILY INJURY(Per accident) <br /> HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY IPer accident)) <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 <br /> A EXCESS LIAB CLAIMS-MADE N N 9337204 02/11/2019 02/11/2020 AGGREGATE $5,000,000 <br /> DED RETENTION <br /> WORKERS COMPENSATION TERR <br /> AND EMPLOYERS'LIABILITY X PER STATUTE E <br /> Y/N <br /> ANY PROPRI ETORIPARTNE RI EXECUTIVE E,L,EACH ACCIDENT $1,000,000 <br /> A OFFICERIMEMBER EXCLUDED? [:]NIA N 9337205 02/11/2019 02/11/2020 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below t <br /> E.L DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> SEE ATTACHED PAGE <br /> CERTIFICATE HOLDER CANCELLATION <br /> 348-705-5 340 <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH, NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE 1 _ ' <br /> �+ 40V, <br /> O 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />