Orange County NC Website
DocuSign Envelope ID:9E74DO66-FEOF-4DOA-9E4C-E84B8ACBE979 <br /> UNITMOV-01 M LPITT <br /> AC[7Ro` CERTIFICATE OF LIABILITY INSURANCE DAT4/3/2 D/YYYY) <br /> /3/2020 <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 Leeann A. Caldwell <br /> NAME: <br /> Towne Insurance Agency LLC PHONE FAX <br /> 301 Bendix Road Suite 300 (A/C,No,Ext):6374 (A/C,No): <br /> Virginia Beach,VA 23452 ADDRESS:Caldwell@tOwnelnsurance.cOm <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Penn-America Insurance Company 32859J <br /> INSURED INSURER B:Progressive Southeastern Insurance Company 38784 <br /> Unity Moving&Storage Inc. INSURER C:Sirius America Insurance Company <br /> 3650 Rogers Road <br /> Suite 305 INSURER D:Travelers Property Casualty Company of America 25674 <br /> Wake Forest, NC 27587 INSURERE: <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 NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTRINSD WV <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE � OCCUR PAC7139791 2/7/2020 2/7/2021 DAMAGE TO RENTED 100,000 <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY F7 JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 750,000 <br /> Ea accident $ <br /> ANY AUTO 00402706-1 2/7/2020 2/7/2021 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY X AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PerOac RTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ <br /> C WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> YIN WC2209 9/13/2019 9/1312020 100,000 <br /> ANY PROPRIMBER/PXCLUDE/EXECUTIVE NIA E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,describe under 500,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> D Motor Truck Cargo QT-660-5H61069A-TIL-19 7/1/2019 7/1/2020 $2,500 Deductible 75,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Officer;Laura Nunes-Excluded <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 /> Orange County <br /> PO Box 8181 <br /> Hillsborou h INC 27278 <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />