Orange County NC Website
EW211LL-PC 14 JMAGA <br /> A�aRr7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> �.� 1/3/2023 <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 JIII Maga <br /> Liberty Insurance Agency PHONE FAX <br /> 1910 Cochran Road (A/C,No,Et):(412)571-5700 (A/C,No):(412)571-9909 <br /> Manor Oak Two Suite 800 ADDRESS: <br /> Pittsburgh, PA 15220 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Cincinnati Casualty Company 28665 <br /> INSURED INSURER B:Lackawanna American Insurance Company 11219 <br /> EW2 11, LLC dba Mobile Concepts Specialty Vehicles INSURERC: <br /> 480 Bessemer Road INSURER D: <br /> Mount Pleasant, PA 15666 <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 MM/DD MM/DD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE �OCCUR ENP0601006 12/30/2022 12/30/2023 DAMAGE TO RENTED 100,000 <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY CMBINED SINGLE LIMIT 1,000,000 <br /> EaO accident $ <br /> X ANY AUTO EBA0601006 12/30/2022 12/30/2023 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> HIRED NON-OWNED P. cctlentDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY <br /> A X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 <br /> EXCESS LIAB CLAIMS-MADE ENP0601006 12/30/2022 12/30/2023 AGGREGATE $ 2,000,000 <br /> DED I X I RETENTION$ 0 $ <br /> B WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> YIN WCP000885502 12/30/2022 12I30I2023 1,000,000 <br /> ANY PROPRIMBER/PXCLUDE/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <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 /> A Property ENP0601006 12/30/2022 12/30/2023 Contents 985,000 <br /> A Property ENP0601006 12/30/2022 12/30/2023 Deductible 5,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> All coverages listed are subject to the terms,conditions and exclusions within the policies. <br /> Evidence of Coverage <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 200 South Cameron Street <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />