Orange County NC Website
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 07/25/2012 <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 be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER NAME: Lee Hargrove <br /> Professional Service Associates, LLC aONN E�e; 919.235.4530 acN,;866.889.2956 <br /> P.O. Box 20102 AIL <br /> ADDRESS: <br /> Raleigh, NC 27619-0102 INSURER(S)AFFORDING COVERAGE NAK:# <br /> Lee Hargrove INSURER A: Travelers Casualty Ins Co Amer 19046 <br /> INSURED SECURE ENTERPRISE COMPUTING, INC. INSURER B: Travelers Insurance Companies <br /> 909 AVIATION PARKWAY SUITE 600 INSURERC: Farmington Casualty Co. 41483 <br /> MORRISVILLE, NC 27560-8486 INSURER D: Beazley Insurance Company <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 2011-12 Master 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 /> rA TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/Y MMIDD LIMITS <br /> GENERAL LIABILITY 680639M161 12121/2011 12/21/2012 EACH OCCURRENCE $ 1,000,00 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 1,000,00( <br /> CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,00( <br /> X PERSONAL&ADV INJURY $ 1,000,00( <br /> GENERAL AGGREGATE $ 2,000,00( <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( <br /> POLICY PRO- LOC $ <br /> JECT <br /> AUTOMOBILE LIABILITY BA1169X48 12/21/2011 12/21/2012 Ea accident $ 1,000 OO <br /> Ix ANY AUTO BODILY INJURY(Per person) $ <br /> A ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIREDAUTOS L NON-OWNED P $ <br /> AUTOS Per accident_ <br /> UMBRELLA LIAB X OCCUR CUP1219XO3 12/21/2011 12/21/2012 EACH OCCURRENCE $ 3,000,00 <br /> B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 <br /> DED I X I RETENTION$ 0 $ <br /> WORKERS COMPENSATION UB639M384 12/21/2011 12/21/2012 X <br /> AND EMPLOYERS'LIABILITY YIN <br /> TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNERIEXECUTI E.L.EACH ACCIDENT $ 1,000,00 <br /> C OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 3,000,00 <br /> ec nology Pro essional V11FE911010 10/12/2011 10/12/2012 $2,000,000 Each Claim <br /> D ervices/Products $2,000,000 Aggregate Limit <br /> Liability $25,000 Deductible Each Claim <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> range County is named as an Additional Insured as required by their contract with the Insured. <br /> Ns Additioinal Insured Orange County will be provided a 30 Day Notice of Cancellation, Non-Renewal <br /> r Reduction in coverage as required by their contract with the insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> 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 /> Orange County <br /> Attn: Todd E. 31one5 AUTHORIZED REPRESENTATIVE <br /> P.O. Box 8181 <br /> Hillsborough, NC 27278 Lee Hargrove <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> I - I i <br />