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DocuSign Envelope ID: 1E8BDD1 D-A826-4FDB-AB97-5EE804B7DCCB LIDO DATE(MM/DD/YYYY) <br /> A` O�RO CERTIFICATE OF LIABILITY INSURANCE R054 9/12/2014 <br /> THIS CERTIFICATEIS 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 SUBROGATIONIS 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 <br /> NAME: <br /> PAYCHEX INSURANCE AGENCY INC (AONN,Ext): (AC, No): (888) 443-6112 <br /> 210705 P: F: (888) 443-6112 E-MAIL <br /> ADDRESS: <br /> PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAIC# <br /> SAN ANTONIO TX 78265 INSURERA: Sentinel Ins Co LTD <br /> INSURED <br /> INSURERS <br /> INSURER C <br /> CERVIS TECHNOLOGIES INSURER D: <br /> PO BOX 64181 INSURER E: <br /> COLORADO SPRINGS CO 80962 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICYEFF POLICYE%P LIMITS <br /> LTR hV.SR I MM/DD/YYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s2, 000, 0 0 0 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED $1 000, 0 0 0 <br /> PREMISES(Ea occurrence) <br /> A X General Liab 76 SBU PD4239 01/17/2014 01/17/2015 MED EXP(Any one person) $10, 000 <br /> PERSONAL&ADV INJURY s2, 000, 0 0 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s4, 000, 0 0 0 <br /> JECT POLICY 71 PRO LOC PRODUCTS-COMP/OP AGG s4, 000, 0 0 0 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s2, 000, 0 0 0 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A ALL OWNED SCHEDULED 76 SBU PD4239 01/17/2014 01/17/2015 BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS (Per accident) <br /> 6 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I RETENTION$ $ <br /> WORKERS COMPEN.SATION PER OTH- <br /> ANDEMPLOYERS'LIABILITY STATUTE T ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) ❑ E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> A Technology E&O 76 SBU PD4239 01/17/2014 01/17/2015 1,000,00012,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured' s Operations . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ORANGE COUNTY PUBLIC LIBRARY AUTHORIZED REPRESENTATIVE <br /> 137 W MARGARET LN <br /> HILLSBOROUGH, NC 27278 <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />