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DocuSign Envelope ID:24ABA258-E523-44F8-BE50-C8F19D41AACC <br /> ECSSOUT-01 MLEE <br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DAT2/1/2 DYYYY) <br /> 2/1/2022 <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 Meg S. Lee,CIC <br /> The Andersen Insurance Group PHONE FAX <br /> 14026 Thunderbolt Place Suite 200 (A/C,No,Ext):(703)988-0900 102 (A/C,No): <br /> Chantilly,VA 20151 AD AIL meg@theandersengrp.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Cincinnati Insurance Company 10677 <br /> INSURED INSURER B:Federal Insurance Company 20281 <br /> ECS Southeast, LLP INSURER C:Bankers Standard Insurance Company 18279 <br /> 14026 Thunderbolt Place <br /> Suite 500 INSURER D: <br /> Chantilly,VA 20151 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 IN SD WVD MM DD MM DD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR ENP0219991 12/1/2021 12/1/2022 DAMAGE TO RENTED 500,000 <br /> X PREMISES Ea occurrence $ <br /> X Contractual Liab MED EXP(Any oneperson) $ 10,000 <br /> X X C U Incl PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY X JERCOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> X ANY AUTO EBA0559255 12/1/2021 12/1/2022 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED parr.citlentDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY <br /> B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE 79891344 12/1/2021 12/1/2022 AGGREGATE $ 5,000,000 <br /> DIED I X I RETENTION$ <br /> C WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY X STATUTE ER <br /> YIN 71764167 12/1/2021 1211/2022 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 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 /> Re:All Projects <br /> The Certificate Holder is included as an Additional Insured with respect to General Liability coverage where required by written contract.A Waiver of <br /> Subrogation is granted under the Worker's Compensation policy where required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count North Carolina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Planning&Inspections Department <br /> Attn: Christopher J.Sandt, P.E.,Staff Engineer <br /> 131 W.Margaret Lane,2nd Floor AUTHORIZED REPRESENTATIVE <br /> Hillsborough, NC 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 />