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2020-278-E Emergency Svc - PLM Equipment Services stretcher maintenance
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2020-278-E Emergency Svc - PLM Equipment Services stretcher maintenance
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5/6/2020 3:03:37 PM
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PLMEQUI-01 KBREWER <br /> '4+c'Q►zo CERTIFICATE OF LIABILITY INSURANCE F�ATE(MM/DD/YYYY) <br /> 5/4/2020 <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 Karen Brewer <br /> NAME: <br /> Hartsfield&Nash Agency,Inc. pHONE FAX <br /> 10405 Ligon Mill Rd.,Ste H (a/c,No,Et):(919)556-3698 A/C,No:(919)556-8758 <br /> Wake Forest,NC 27587 ppRIE :karen@hartsfield-nash.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartford Casualty Insurance Co 29424 <br /> INSURED INSURER B: <br /> PLM Equipment Services INSURERC: <br /> PO Box 10453 INSURER D: <br /> Raleigh,NC 27605 <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 NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE a OCCUR 22SBAUD5413 12/1/2019 12/1/2020 DAMAG nce E TO RENTED 300,000 <br /> PREMISES Ea occurre $ <br /> MED EXP(Any oneperson) $ 10,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICY JERCOT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT accident $ 1,000,000 <br /> X ANY AUTO 22UECAC8794 12/1/2019 12/1/2020 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> hDXED <br /> CESS LIAB CLAIMS-MADE 22SBAUD5413 12/1/2019 12/1/2020 AGGREGATE $ 1,000,000 <br /> I X I RETENTION$ 10,000 $ <br /> A WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N 22WBCAE4VSK 12/1/2019 12/1/2020 TAT TE ER 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE a N/A E.L.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? <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 /> DESCRIPTION OF OPERATIONS/LOCATIONS/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 Count EMS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> att: Dinah Jeffries <br /> 510 Meadowland <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> tkoi �� <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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