Orange County NC Website
DocuSign Envelope ID:6D71E46E-75E6-4DD6-88AE-D4E522DA8D24 <br /> � N DATE(MMtoINYYYY) <br /> AC"RL> CERTIFICATE OF LIABILITY INSURANCE <br /> ��. 01/09/2020 <br /> THIS CERTIFICATE 15 ISSUED AS A NIATTER OF INFORNIA71ON 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 <br /> NAME: Charile Dickerson <br /> The Insurance Pros. Inc. A"oNNo,E (919)294-6613 Air No; (866)294-9470 <br /> 1210 Cole Mill Road EMAIL if I rosonline.com <br /> no nsurance <br /> ADDRESS: � p <br /> Suite 101 INSURERS AFFORDING COVERAGE NAIC# <br /> Durham NC 27705 IN$URER A: Erie Ins Exch 26271 <br /> INSURED INSURER 13, Erie Ins Exch 26271 <br /> Fortress Fencing, LLC INSURER C: Erie Ins Exch 26271 <br /> PO Box 1377 INSURER D: Erie Insurance Company 35585 <br /> INSURER E <br /> Carrboro NC 27510-3377 INSURER <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. NOTW"STANDING 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 ADOLSUBR POLICY E <br /> LTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER (MWDDrYYYY1 fMM1DDffYYYILIMITS <br /> X COMMERCIALGENERALLIASILITY EACH OCCURRENCE $ 1000000 <br /> DAMAGE TO RENT Eff- <br /> CLAIMS-MADE X OCCUR PREMISES a occurrence $ 1000000 <br /> MED EXP(Any amp person) $ 5000 <br /> A Y Q38-2250720 0212212019 02/22/2020 PERSONAL a ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2000000 <br /> JECT LOC PRODUCTS GOMP+OP ACG $ 200D000 POLICY� <br /> OTHFR $ <br /> AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 1DO000O <br /> Ea accident <br /> X ANYAUTO BODILYINJURY(Per person) $ <br /> OWNED LEI[)AUTOS <br /> AUTOS ONLY AUTOS Q02-2240032 02/22/2019 02/22/2020 BODILYINJURY(Per accden[) $ <br /> HIRED NON-OWNED PROPERTY D AGE $ <br /> AUTOS ONLY AUTOS ONLY Peracc!deni <br /> X UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 4000000 <br /> C PDED <br /> XCESS LIAB CLAIMS-MADE Q26-2270226 0212212019 02/22/2020 AGGREGATE $ <br /> II RETENTION$ $ <br /> WO PIKE R9 COMPENSATION X $TA UTE ERH <br /> AND EMPLOYERS'LIABILITY <br /> D a FIIN <br /> ANY CER:MIEMSER EXCLUDED? DUnvE Y❑ NIA Q87-5900217 0310912019 03/09/2020 E.L.EACH ACCIDENT $ 9000000 <br /> (Mandatory in HH) E.L.DISEASE-EA EMPLOYE $ 1000000 <br /> Iryes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMTF $ 1000000 <br /> ❑ESCRP-no N OF OPERATIONS+LOCATIONS I VEHICLES (A CORD 101.Additional Remarks Schedule,may be attached if more space is requiredI <br /> Orange County is listed as additional insured. <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 /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> Fax: Email, ©1988-2015 ACORD CORPORATION. Al rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACOR❑ <br />