Orange County NC Website
CLIEFIR-01 PESA <br /> DATE(MM/DD/YYYY) <br /> ,a`coR° CERTIFICATE OF LIABILITY INSURANCE 1 6118/2014 <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 <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 <br /> (888)825-4322 NAME: <br /> Bowermaster&Associates PHCNNo Ext:888-825-4322 ac No):714-252-8253 <br /> P.O.BOX 6026 E-MAIL <br /> 10805 Holder Street-Suite 350 ADDRESS: <br /> Cypress,CA 90630 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:Valley Fore Insurance Company 20508 <br /> INSURED Client First Consulting Group,LLC INSURERB:The Hartford Insurance Group 00914 <br /> 1181 California Street INSURER C:Philadel hia Indemnity Insurance <br /> Suite 101a INSURERD: <br /> Corona,CA 92881 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 /> IN RI TYPE OF INSURANCE ADDL S B POLICY NUMBER MM/DDY MM DD/YYYY LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY X 2097701290 411512014 411612015 PREMISES E ocTTEr6rence $ 300,00 <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,00 <br /> PERSONAL&ADV INJURY $ 2,000,00 <br /> GENERAL AGGREGATE $ 4,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,00 <br /> X POLICY PRO LOC $1-1 <br /> AUTOMOBILE LIABILITY EO aBICNdEDtSINGLE LIMIT $ 1,000,00 <br /> A ANY AUTO 2097701290 411612014 4116/2015 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIREDAU70S X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X WC STATUS OTH- <br /> AND EMPLOYERS'LIABILITY T RY LIMIT ER <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA 72WECTR6325 4116/2014 4/16/2015 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000, <br /> Ii yes,describe under E. DISEASE-POLICY LIMIT $ 1,000,00 <br /> DESCRIPTION OF OPERATIONS below L. <br /> C Commercial Errors&Omissions PHSD926611 3131/2014 3/31/2015 Per Claim/Agg-Ded$10 2,000,000/2,000,00 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space Is required) <br /> Orange County,its officers,official agents and employees are Additional Insureds with respects to General Liability per SB146932E. <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 /> Orange County Information Technologies ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Keith Chnupa <br /> Business.Analyst/Project Manager AUTHORIZED REPRESENTATIVE <br /> 131 W Margaret Ln. — --- <br /> Hillsborough,NC 27278- <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />