Orange County NC Website
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 />INSURER(S) AFFORDING COVERAGE <br />INSURER F : <br />INSURER E : <br />INSURER D : <br />INSURER C : <br />INSURER B : <br />INSURER A : <br />NAIC # <br />NAME:CONTACT <br />(A/C, No):FAX <br />E-MAILADDRESS: <br />PRODUCER <br />(A/C, No, Ext):PHONE <br />INSURED <br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES <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 />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 />OTHER: <br />(Per accident) <br />(Ea accident) <br />$ <br />$ <br />N / A <br />SUBR <br />WVD <br />ADDL <br />INSD <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 />$ <br />$ <br />$ <br />$PROPERTY DAMAGE <br />BODILY INJURY (Per accident) <br />BODILY INJURY (Per person) <br />COMBINED SINGLE LIMIT <br />AUTOS ONLY <br />AUTOSAUTOS ONLY NON-OWNED <br />SCHEDULEDOWNED <br />ANY AUTO <br />AUTOMOBILE LIABILITY <br />Y / N <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />DESCRIPTION OF OPERATIONS below <br />If yes, describe under <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />$ <br />$ <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. EACH ACCIDENT <br />EROTH-STATUTEPER <br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />EXCESS LIAB <br />UMBRELLA LIAB $EACH OCCURRENCE <br />$AGGREGATE <br />$ <br />OCCUR <br />CLAIMS-MADE <br />DED RETENTION $ <br />$PRODUCTS - COMP/OP AGG <br />$GENERAL AGGREGATE <br />$PERSONAL & ADV INJURY <br />$MED EXP (Any one person) <br />$EACH OCCURRENCE <br />DAMAGE TO RENTED $PREMISES (Ea occurrence) <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO-JECT LOC <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />CERTIFICATE HOLDER <br />The ACORD name and logo are registered marks of ACORD <br />HIRED <br />AUTOS ONLY <br />12/16/2024 <br />Marsh &McLennan Agency LLC <br />4900 Libbie Mill East Boulevard <br />Suite 100 <br />Richmond VA 23230 <br />800-285-1778 <br />macoirequest@marshmma.com <br />Nautilus Insurance Company 17370 <br />FIRSTCALL6 The Cincinnati Insurance Company 10677FirstCallEnvironmental,LLC <br />Fox Cross Properties LLC <br />CMS Real Estate Holdings LLC <br />P.O.Box 6035 <br />Ashland VA 23005 <br />Greenwich Insurance Company 22322 <br />XL Specialty Insurance Company 37885 <br />806891378 <br />A X 1,000,000 <br />X 300,000 <br />X 25,000 10,000 <br />1,000,000 <br />2,000,000 <br />X <br />ECP202625616 5/20/2024 5/20/2025 <br />2,000,000 <br />C 1,000,000 <br />X <br />X X <br />RAC9438387 8/1/2024 7/1/2025 <br />Deductible $5,000 BI&PD <br />A X 5,000,000 <br />X <br />FFX204359710 5/20/2024 5/20/2025 <br />5,000,000 <br />X 0 <br />D X <br />Y <br />RWC3002216 8/1/2024 7/1/2025 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />A <br />B <br />Contractors Pollution Liability <br />Business Personal Property <br />Leased/Rented Equipment <br />ECP202625616 <br />ENP0616303 <br />5/20/2024 <br />5/20/2024 <br />5/20/2025 <br />5/20/2025 <br />$1,000,000 Occ.Limit <br />$1,301,401 Limit <br />$700,000 Limit <br />$2,000,000 agg. <br />$5,000 Ded. <br />$1,000 Ded. <br />Microbial Substance Deductible $25,000 <br />Professional Liability Limit $1,000,000 with $25,000 deductible <br />Scheduled equipment value $264,476 with $1,000 deductible <br />Auto comprehensive deductible is $1,000 <br />Auto collision deductible is $3,000 <br />As of 12/30/2021 2 additional named insureds were added to coverage:INvironmental TECHnologies LLC and Invite Management Inc <br />Mark Helberg and Custis Coleman are excluded officers. <br />Orange County,its officers,agents and employees are designated as "additionally insured." <br />Orange County <br />300 West Tryon Street <br />P.O.Box 8181 <br />Hillsborough NC 27278 <br />Docusign Envelope ID: 76E6B9B7-1C69-49DA-B222-E031D8127002