Orange County NC Website
Browse       Search
DocuSign Envelope ID: 5C4F3E91-6CBB-4EE5-8507-23A674D21410 <br /> r <br /> I <br /> k <br /> i <br /> f <br /> G <br /> i <br /> f <br /> _ f <br /> Llo d' s Certificate <br /> F <br /> h <br /> EF <br /> 1 <br /> ti <br /> This Insurance is effected with certain Underwriters at Lloyd's, j <br /> London(not incorporated). <br /> This Certificate is issued in accordance with the limited <br /> authorization granted to the Correspondent by certa, Underwriters. at Lloyd's, <br /> London whose names and the proportions underwritten by them can be <br /> ascertained from the office of said Correspondent (such Underwriters being <br /> hereinafter called "Underwriters") and in consideration of the premium <br /> specified herein, Underwriters do hereby bind themselves each for his own <br /> part, and not one for another, their heirs, executors and <br /> administrators. <br /> r; <br /> r,. <br /> The Assured is requested to read this certificate, and if not correct, Ir <br /> return it immediately to the Correspondent for appropriate alteration. <br /> In the event of a claim under this certificate, please notify the following <br /> correspondent: <br /> I <br /> Hays Affinity Solutions <br /> A Member of Hays Companies <br /> 1025 Thomas Jefferson Street,NW t <br /> I <br /> Suite 425W <br /> Washington, DC 20007 <br /> Page 1 of 7 <br /> 1= <br /> Y <br />