Orange County NC Website
Docusign Envelope ID:230C4AAA-8F3E-805F-8375-AC27622853D5 <br /> —10 DATE(MM/DD/YYYY) <br /> AC"Rf> CERTIFICATE OF LIABILITY INSURANCE 08/18/2025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE <br /> DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF <br /> INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE <br /> CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER NAME: CLIENT CONTACT CENTER <br /> FEDERATED MUTUAL INSURANCE COMPANY PHONE I FAX <br /> HOME OFFICE: P.O.BOX 328 (A/C,No,Ext):888-333-4949 (A/C,No):507-446-4664 <br /> OWATONNA, MN 55060 E-MAIL <br /> ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED INSURER B: <br /> HARRIS BROTHERS ELECTRIC AND CONTROLS, INC. INSURER C: <br /> 2712 HILLSBOROUGH RD <br /> DURHAM, NC 27705-4044 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:305 REVISION NUMBER:0 <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br /> 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 INSR VIVIDMMIDDIYYYY MM/DD/YYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE XI OCCUR DAMAGE TO RENTED PREMISES $100��� <br /> (Ea occurrence) <br /> MED EXP(Any one person) EXCLUDED <br /> A N N 1938578 08/14/2025 08/14/2026 PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> X POLICY SECT ❑LOC PRODUCTS&COMPIOP ACC $2,000,000 <br /> OTHER: ILL�JJF"' <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1������ <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per Person) <br /> A OWNED AUTOS ONLY SCHEDULED N N 1938578 08/14/2025 08/14/2026 BODILY INJURY(Per Accident) <br /> AUTOS <br /> HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY (Per Accident) <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 <br /> A IEXCESS LIAB CLAIMS-MADE N N 1938580 08/14/2025 08/14/2026 AGGREGATE $5,000,000 <br /> DED I RETENTION <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY YIN X PER STATUTE OTHER' <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> E.L EACH ACCIDENT $1,000,000 <br /> A OFFICEWMEMBER EXCLUDED? N/A N 1938579 08/14/2025 08/14/2026 <br /> (Mandatory in NH) E.L DISEASE♦=A EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY 305 0 PO BOX 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> HILLSBOROUGH, NC 27278-8181 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 7 <br /> © 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />