Orange County NC Website
DocuSign Envelope ID: EFCD6537-BEA4-4lF3-8680-FA37D42AB8E1 <br /> Jun 19 Z015 89;24:17 (303) 679-7634 —> 9602093 Jen Nickerson Page 0aZ <br /> rtyl Ca to <br /> e of"Insurance <br /> << fi <br /> OCCURRENCE.Ct.I+. C.ft� C..l)1r1!..R���'E <br /> Y Y i i ^I'' M'", <br /> i � <br /> A:131'1!I.I' II"E-C)ires I:11�iNrllity :I'rograi"tIt <br /> A.BM.P M.AI'.LIM3 ADDRESS, MAS'iTR !'(, LI.t."Y HOLDER <br /> FAws<aauted 1:3udy klark(I:.Yllasue IYrlaibwsicuuz.l.a ) "' <br /> A.11,icrl I'r(�f'�.s,l(7t�ttf5 .1:►��tl.►•�xr�(�c:K.f (::, <br /> :?5.1$M(:.Ic..r1GWi:�u'3"a;.1.i1 ftgliCl <br /> Suilc Zoo A(.'EN I"/rlli.(.)K.m <br /> Ciltldt:lt,CO H401 <br /> yF(��11.yN�:yd Prol.essf(>nals Insurance Services <br /> ., IS'�I,)iIM.ffy; <br /> POLI.(:1!�1: �..N'I-A..I31VI.1:'yl� Allied, rof'.0,$si.Onal.s, .InsuranCO{..'<)Mpany, A. <br /> Risk, Retention (;it up, 111C. <br /> A(3)t;:i.l'(.ti',(3A."1"ti ........................................................ $6,000,000 <br /> (Y <br /> ` .' •"' ' l.�.ri.�;r�c::�r'°�;L.rn�Il°I` ...,..,... S79()�)(),E)�)E� <br /> C"(,)M.I IER IAL(,,'E 'tR 'L LL;,B." .: 1:x1sl.{.t:)C;•C":C.1" <br /> '.I'/C7:1?;:• In.clucle l <br /> (31EN'L'RA1'.,LIABILITY—, Included <br /> FIRE LIABILITY LIMIT.-...... ., .. . ... , $1 00,000 <br /> rT0" 1rify;Infurmatiun,contn.c.t.ABP. 'Tel. 303-674-8478 'Fax: 30-674-0859 <br /> °I bis Policy is is tte:cl::ly'y Y<iia:r:.r w.lr?rc iit.iol 1 rouly• Your risk,I•ut:ulttic>l.t xoup Itltly,'Itat:l.�c s>.liyje;4.t:1:�5 wE.lk crl'tJ�.e; il:)wu.I<,.Iy4e lal��s;;l:nd <br /> rQg111.;'t1k)11.S of your 5tk`.9.t1;;.;Str.1,i;C,.1'I14'€rance ulsolvuwy guI..In"Inty'Fonds tB.Q not:tiv,l.Ik1:>bh,for yiruf risk.rctmtfoll.gfoup, Ci>wri.g4 is <br /> sff'ord(ad to person(s)n.al-n I'Ilsureds Il c(:).rd.ing tc l'0 terffis IAnck c,c.)rld1t3o1IS of the I1o11ey to vvl.lic.11 t1:1i,L";c:rtifl;:Itc <br /> rufors,, No otk-wr rights cii'i(i:i:d'ifi:<>ll ,�. t1,Pt..�IS Specifically �ttlt�d;la�resi.rl: ia.re grwited or illfu,rred. <br /> „,. 1✓ <br /> l..,fl,1s1.1LL�iShl.11..1.)1(:1' ADDI:TI(,)NAL INSI;l:RE;D: <br /> I'Ill:i I SS.,IU..1I?INAIML I)Iii.lL.(./W.111 iIlcG�tiUl(1:)1.aA('.:1 E1(IC111'1I T.i Ill..l3"ti'I:)f.;iri\°'\'f f•'t.lili.ti(7`LY,1'(:)'"` (with jpC4,Ilion dale; <br /> IIi.;IIiM'PiN'I"5l'J'1=l:a')V'Ira't.AfiEi C:+"!N'1'IN1.1raU5i.,1'I'N 1')l..A(1::tiiNS.;f.{"I'Nl'Ci I:Ni:;'Ii.i'-I'LI:)N'(:)T':fT'l9C;NAyI'Iiil:) <br /> f <br /> INSI.1'RVI)'F 1')(.)1..1<.:Y,C:I-LAN10 h:.9T OC(:l VIiI4.n(:r'I::iARN..f.:i4`hl:lf,TI VF,Al:i"IT O.M.11VELY1:)Nl'.h' <br /> f:7A'1'F::'I'tti5(r{ni.e'rlil wA,S M':\I:>13.r't.l`.;I`r)i2'f iti Wtt1"rlNt:i WIT1`Irtt a°r Ptl;rl.;i1.4 nv3',.,\i,l„(JI::'\L!,1S, <br /> +'alt iNC:d'E:FCiN'G4'ni'A'I'YC:II.! <br /> lil'r,I.d4 VE MAY 1{1'.:41.!1."1'1!11 A CLAIM.IiiVE N IV ORCIUNi)1.1'5& <br /> I ldxC01.IFlNAL1 41141 NJ,wtih the Pollcg to wItI h it refem.lx,'111110111e31ce of e(roeroge eatauded N)tI)v <br /> C)r.angc:County f)�:partnimit of.A�;rn� Mli:y€,):1.,2015: <br /> <.:crlltlrYllr.11older11sted below. 2551.I"1 o1:t cstC`•£Id Rd <br /> (°l,,,i:p,I I"I ill, N'C '27516 <br /> tlt.)L.I)'ti,I2 H.'Iv4)i,,. ,.tl:u:,tipl'I It'1'`ell:rl i.rL r tcnl............ ................::,:::.::, Mny...E)..............,....,....... <br /> It 2015; <br /> T'i#'tytyaz I.1`ri.I'IIZt:c>r'I Vil'II1 �.C't.r <br /> 7 <br /> f,,di lir1:lie iverr�i189crrnGers'ern:'on iln,.vide the! i.ILA!/'.d9<.•nalxrr.\Ergo Vire�tuw) <br /> (.),NC.'2731.2 <br /> MeIn17er/M.med fnsu'I.4;`,& N2Ik]+:y I,ede I"IiJnks (,'irnr:rpgIrj,el,zrr,wdq7 a:1.YYrlljni;ilnrvl/If"rnr3e.71i rnn(Pt inrl,cQfMII()f)lit.):. <br /> M'.eimber. :lip LD,fi: 836221 <br /> M'c^I171)c.r/I'olic;y'T'41II1.A.cti've;( Mi:ty 40.k-2()15 <br /> .Apr-:30-2016 <br /> O[)1'Uti11 L1'rIlzE.r t.,C)lt: I Meader Liability C,,vezyhe) <br /> (Al iMT)MaI,chll,Inkliug, <br /> A:Irtkl.c>1�ize:d:kt.�la'r�)se�nt�.Itivc; j <br /> C..".AN(':9�,1.,LAT'I(1N:Sfinul:I mly'If 010,alx)w cfouit,Gxl.lx')Itc:inK bh c.:nr13:.(:II'id 1Wdt)e QW' <br /> tnpiraiiorl dato tllcrcoi',the isariirig""dimly\vill crideavor to naail €1)flays w^riftal wKice for <br /> niY'r!•jhrayl11L111 011 90 dliyS wl'liltn 11CAiU fOr Ally 011181'r MMOC(0 i1zu,twt1flCuatci 110Ide1'SIASUiI i <br /> alaom,Izut ftilt1w..lta lawid nuc.il noYict.niuili il.rlpusr no obRgatiou(v liulailily'of"any kind upoll 1110 <br /> (:(IlYl11 i3l1y.!l5)lhaill.�c l)S'I'L'i111'uYLVt I'lYllY�'K. <br /> i <br />