Orange County NC Website
DocuSign Envelope ID: F8C83BF7-D894-4694-B957-D8A7A84CO272 <br /> AC�® DATE(MM/DD/YYYY) <br /> ��. CERTIFICATE OF LIABILITY INSURANCE 07/30/2019 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Beth Lee <br /> Turbeville Insurance Agency PHONE FAX <br /> 2718 Middleburg Drive A/c No Ext: 803 779-7666 A/c No): <br /> 803 779-7444 <br /> Columbia,SC29204 ADDRESS: BethL@tiasc.biz <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Ohio Security Ins Co 24082 <br /> INSURED Security Technology INSURERB: Ohio Cas Ins Co 24074 <br /> PO Box 105 INSURERC: Everest Insurance Company 26921 <br /> Columbia,SC29209 INSURERD: Travelers Casualty Ins Co Amer 19046 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> A COMMERCIAL GENERAL LIABILITY BKS57901946-Non Alarm Work 07/17/2019 07/17/2020 EACH OCCURRENCE $ 1,000,000 <br /> C CLAIMS-MADE � OCCUR 51 GLM01832-181 -Alarm w ork 07/17/2019 07/17/2020 PDAMAGE TO REE REMISES(Ea occurs nce) $ 100,000 <br /> MED EXP(Any one person) $ 15,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY JECT PRO ❑ 2,000,000 <br /> LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY BAS57901946 07/17/2019 07/17/2020 COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> B UMBRELLALIAB OCCUR US057901946 07/17/2019 07/17/2020 EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED V/ RETENTION$ 10,000 $ <br /> A WORKERS COMPENSATION XWS57901946 07/17/2019 07/17/2020 J PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> D Crime 0105814800LB 07/23/2019 07/23/2021 Limit $1,000,000 <br /> A Leased/Rented Equipment BMNV57902849-$100,000 07/17/2019 07/17/2020 Deductible $10,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attn:MY.Bruce Woody ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Solid Waste Management Department <br /> PO Box 17177 AUTHORIZED REPRESENTATIVE fke� <br /> Chapel Hill,NC 27516 (f (� <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />