Orange County NC Website
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> �` <br /> 04/07/2014 <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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED REPRESENTATIVE <br /> 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 the <br /> 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 CONTACT E: <br /> NA <br /> INSURANCE SOLUTIONS INC aCNNo,Ext: 888 661-3938 A/C,No): 888 872-8921 <br /> 1428 A AVERSBORO ROAD E-MAIL <br /> GARNER,NC 27529 D RESS:Service.centor@travelers.co <br /> (888)661-3938 PRODUCER , 1555EA078 <br /> XV231 700 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A:THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br /> CHAPEL HILL INSTITUTE OF CULTURAL INSURER B: <br /> AND LANGUAGE EDUCATION,LLC INSURERC: <br /> 101 EAST WEAVER STREET INSURER D: <br /> 3RD FLOOR SUITE G-1 INSURER E: <br /> CARRBORO, NC 27510 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 528867107431790 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,EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> NSR ADDL SUBR POLICYEFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS <br /> A GENERAL LIABIITY 660-817X1471-14 01/01/2014 01/01/2015 EACH OCCURRENCE $1,00.000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAG TO NT $ <br /> ED 100,000 <br /> PREMISES a occurrence) <br /> CLAIMS-MADE OCCUR <br /> MED EXP(Any one erson $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/ P AGG $2,000,000 <br /> PRO- $ <br /> X POLICY JECT LOC <br /> AUTOMOBILE LIABILITY (Ea accident)S INGLE LIMIT $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE <br /> HIRED AUTOS (Per accident) $ <br /> NON-OWNED AUTOS <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION NIA UB-9113A412-14 01/01/2014 01101/2015 X TORYLIIMITB CER <br /> A AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $500,000 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 <br /> (Mandatory in NH) <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$500,00 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY GOVERNMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE <br /> PO BOX 8181 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br /> HILLSBORO,NC 27278 WITH THE POLICY PROVISIONS.�]� {�/ <br /> AUTHORIZED REPRESENTATIVE (I/� I � • ��Y, <br /> ©1988-2009 ACORD CORPORATION.All rights reserved. <br /> ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />