Orange County NC Website
AC OOR" CERTIFICATE CIF LIABILITY INSURANCE °08/06//2014 2014 ATE` r,"' <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 CONTACT <br /> Marsh USA,Inc. NAME: <br /> 13015th Avenue,Suite 1900 PHON o E . C No: <br /> Seattle,WA 98101 E-MAIL <br /> ADDRESS: <br /> Attn:Seattle.CertRequest @marsh.com/F:212-948-4326 <br /> INSURE S AFFORDING COVERAGE NAIC# <br /> 184424-STND-GAWUp-14-15 INSURER A:Continental Casualty Company 20443 <br /> INSURED National Fire Insurance of Hartford 20478 <br /> Physio-Control International,Inc. INSURER B <br /> Physio-Control,Inc. INSURER C:N/A N/A <br /> 11811 Willows Road NE INSURER D <br /> Redmond,WA 98052 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: SEA-002487937-01 REVISION NUMBER:2 <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 /> ILTR TYPE OF INSURANCE A OL SU POLICY NUMBER MM/DDY� MM/uDDNYYY LIMITS <br /> A GENERAL LIABILITY 4030507381 05/01/2014 05/01/2015 EACH OCCURRENCE It 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1,000,000 <br /> PREMISES Ea occurrence $ <br /> CLAIMS-MADE CXI OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ EXCLUDED <br /> X I POLICY EJ PRO- LOC $ <br /> B AUTOMOBILE LIABILITY 4029265138 05/01/2014 05/01/2015 COEa MBINED dent S IN LE LIMIT 1,000,000 <br /> acci <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> COMP/COLL DED. $ 1,000 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION 4030507378 (ADS) 05/01/2014 05101/2015 X I WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY T (fviiT ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 4030507364 {CA} 0510112014 0510112015 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? ❑N N/A <br /> E.L.EACH ACCIDENT $ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE_$ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Emergency Management SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ATTN:Kimberly Woodward THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> Cheryl Bermudez c"'' �,.—;, ►w�"" <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />