Orange County NC Website
DocuSign Envelope ID:A34DOEFD-2D9B-454D-9548-D241OC733DCA <br /> DATE(MM/DDIYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE FDATE <br /> DN <br /> 019 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <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 endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Amy Summers <br /> Scott Ins(Greensboro) PHONE FAX <br /> 628 Green Valley Road Ste. 306WC, <br /> C No Ext: 336-510-0075 A/C No: <br /> Greensboro NC 27408 ADDRESS: asummers@scottins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Zurich American Insurance Company A+ 16535 <br /> INSURED BRADY-7 INSURER B:Houston Casualty Company A++ 42374 <br /> Brady Trane Service Inc, Brady Services Inc, Brady INSURER C:CINCINNATI INS CO A+ 10677 <br /> Sales&Services Inc, Brady Parts Inc,J Brady <br /> Contracting Inc, Brady Integrated Security Inc. INSURERD:Travelers Casualty and Surety Company A++ 19038 <br /> PO Box 13587 INSURER E:Travelers Property Casualty Company of America A+ 25674 <br /> Greensboro NC 27415 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:5631237 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 MM/DD <br /> A X COMMERCIAL GENERAL LIABILITY GL03433329 10/1/2019 10/1/2020 EACH OCCURRENCE $1,000,000 <br /> � OCCUR DAMAGE RENTED <br /> CLAIMS-MADE <br /> PREMISESS(Ea occurrence) $300,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY� JP� LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY BAP3433330 10/1/2019 10/1/2020 COMBINED SINGLE LIMIT $ <br /> Ea accident 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NO -X HIRED AUTOS X AUTOOWNED Parrs cideROPERTntDAMAGE $ <br /> C X UMBRELLA LIAB X OCCUR EPP 0172859 10/1/2019 10/1/2020 EACH OCCURRENCE $10,000,000 <br /> E ZUP-16N64086-19-NF 10/1/2019 10/1/2020 <br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DIED X RETENTION$0 Excess over$10M $5,000,000 <br /> A WORKERS COMPENSATION WC3433328 10/1/2019 10/1/2020 X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE I JER <br /> ANY <br /> OFFICER/MEM ER EXCLUDED? <br /> ECUTIVE I N/A E.L.EACH ACCIDENT $1,000,000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> B Professional&Pollution Liab HCC1866341 10/1/2019 10/1/2020 5,000,000 35,000 ded <br /> D Cyber Liability 105480879 10/1/2019 10/1/2020 5,000,000 50,000 ded <br /> C Installation Fltr(Any One Loc) EPP 0172859 10/1/2019 10/1/2020 500,000 <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 /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County Gov <br /> 131 W Margaret Lane AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />