Orange County NC Website
DocuSign Envelope ID:552855AF-58F3-4436-9AF8-DEOE613204FD <br /> ACa TY CERTIFICATE OF LIABILI INSURANCE DATE;M` °DIYYYY' <br /> 10/31/2018 <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 <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERSS], AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to l <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsements, <br /> PRODUCER CONTACT <br /> NAME: <br /> York International AgencGyy, LLC PHONE 914-37B-2200 FAx 914-376-2891 <br /> Attn. hartlettcert@yorkintl.com E-MAIL <br /> 500 Mamaroneck Avenue <br /> Harrison NY 10528 INSURERS AFFORDING COVERAGE NAIC N <br /> INSURERA:Travelers Property&Casualty Co of 25674 <br /> INSURED INSURER a.-Travelers Indemnity Company 25658 <br /> The F.A. Bartlett Tree Expert Company INSURER C: <br /> 1290 East Main Street <br /> Stamford CT 06902 INSURER D: <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 1966006783 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 PERTOD <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 POLICY EFF POLICY EXP LIMITS <br /> LTR I SD WVD POLICY NUMBER MMIoDlYYYY MMFt;l)NyYV <br /> A x COMMERCIAL GENERAL LIABILITY TC2J-GLSA-1005A129-TIL-18 12/1/2018 12/112019 EACH OCCURRENCE $1.000.000 <br /> OCCUR PREMISES Ea oc u D $1 000,000 CLAIMS-MADE X❑ <br /> DAMAGE TO RENTE <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1 000,000 <br /> G E N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5 000,000 <br /> x POLICY❑JECT FILOC PRODUCTS-COMP/OP AGG $2 000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY TC2J-CAP-1005A130-TIL-18 12/112018 12/112019 $ <br /> Ea accident 2,000,000 <br /> x ANY AUTO BODILY INJURY(Per person) $ <br /> ALL AIUTOS Ep AAUTOESDULFO BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS x NON-OWNED PROPERTY DAMAGE AUTOS $ <br /> Par accident <br /> $ <br /> UMBRELLA LIAO OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DIED I I RETENTION$ $ <br /> B WORKERS COMPENSATION TC2K-UB-1005A105-18 12/1/2018 1211/2019 PER OTH- <br /> B AND EMPLOYERS'LIABILITY YIN TRK-U8-1005A117.18 12/1/2018 12/1/2019 STATUTE I I ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA E.L.EACH ACCIDENT $1,000,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatm In NH) E.L.DISEASE-EA EMPLOYEE $1.000.000 <br /> It yes,describe under <br /> t)ESCRIPTIONOF OPERATIONS below E.L.DI SEAS E-POLICYllMIT $1.000.000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 V EH ICLES(ACORD 101,Additional Remarks Schedule,may he&Uached if more space is required) <br /> Proof of Insurance. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> d 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2G14101) The ACORD name and logo are registered marks of ACORD <br />