Orange County NC Website
Browse       Search
DocuSign Envelope ID:A4C366A3-F5D9-473B-9218-AF49BCCA02E0 <br /> ac R � CERTIFICATE LIABILITY ITf I DATE(M8/2 14 <br /> gage 1 of, 09/18/201.4 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER TAKE COVERAGE AFFORDED BYTHE 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.Astatement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER. CONTACT <br /> Willis Group PHONE FAX <br /> One World Financial Ctr. 877-945-7378 888-467-2378 <br /> 200 Liberty St. E-MAIL Cert:i 'iCatES @Wi.1lis.com <br /> New York, NY 10281 INSURER(S)AFFORDINGCCVERAGE NAIL# <br /> INSURERA::'See Subsequent Page 00000-004 <br /> INSURED INSURER B: <br /> Willis North America Inc. <br /> One World Financial Ctr. 'INSURERC: <br /> 200 Liberty Street. <br /> New York, NY 10281 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER.22048615 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 BYPAID CLAIMS. <br /> NSR DD' SUB POLICY EFF POLICY EXP LIMITS <br /> I, TYPE OF INSURANCE POLICY NUMBER <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Eaoccurence <br /> CLAIMS-MADED OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERA LAGGREGATE '$ <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPfOPAGG $ <br /> IFCT <br /> POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY (Ea accide© <br /> accident) <br /> LIMIT <br /> $ <br /> ANYAUTO 6001'LYINJURY(Perperson) $ <br /> ALLOWNEO SCHEDULED BODILY I'NJURY(Perac,*Ient) $ <br /> AUTOS :AUTOS <br /> HIREDAUTOS NON-OWNED {P Oacddent�AMAGE $ <br /> AUTOS - <br /> UMBRELLA LIAB �J OCCUR EACH OCCURRENCE: <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED I RETENTION'S $ <br /> WORKERS COMPENSATION 4NC nRYI IKAIT OFT R- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETORJPARTNEHIEXCCUTI"VE❑ NIA <br /> E.L.EACH ACCIDENT - $ <br /> OFFICERIMEMSER EXCLUDE[? <br /> IE.L.Mandatoryin NH) <br /> DISEASE-EA.EMPLOYEE $ <br /> f yes,describe tinder <br /> DESCRIPTION.OF OPERATIONS below E.L DISEASE-POLICY LIMIT <br /> A 0034031749 7/31/203.4 7/31/2015 <br /> Errors and Omissions See Coverage Schedule <br /> Attached <br /> DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES(Attach Acord 101,Additional Remarks Schedute,if more space is required) <br /> All employees of Willis North America and its subsidiaries are included as Insureds under the <br /> Errors & Omissions pOlicy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THERECF, NOTICE WILL BE 'DELIVERED IN <br /> ACCORDAN E WITH THE POLICY PROVISIONS. <br /> AUTHORIZ D REPRES NT TIVE; <br /> Evidence of Insurance <br /> Co11:4516779 Tp1:1848291 Cart:.. 8815 (c)1 BS--2010 ACORDCORPORATION,AllrigiltSrLse ved. <br /> ACORD 25(2010/05) The ACORD Came and Ioao are registered marks o ACORD <br />