Orange County NC Website
DocuSign Envelope ID: 19FBA3A4-8A02-4528-9BD0-C27F6FE5B431 <br /> DATE(MM/DD/YYYY) <br /> ACCOR" CERTIFICATE OF LIABILITY INSURANCE <br /> o2/2s/zo16 <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 /> Willis of North Carolina, Inc. NAME: <br /> c/o 26 Century Blvd PHONE FAX <br /> A/C No Ext:1-877-945-7378 A/C,No:l-888-467-2378 <br /> P.O. Box 305191 E-MAIL <br /> Nashville, TN 372305191 USA ADDRESS:certificates@willis.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Federal Insurance Company 20281 <br /> INSUREDDude Solutions, Inc. INSURERB:Chubb Indemnity Insurance Company 12777 <br /> Attn: Darrin Dexter INSURERC: <br /> 11000 Regency Parkway <br /> S INSURERD: <br /> Suite 110 <br /> Cary, NC 27518 INSURER E7 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:W1317832 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 BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE � OCCUR PREMISE, RENTED 1,000,000 <br /> PREMISES Ea occurrence $ <br /> A <br /> Y MED EXP(Any one person) $ 10,000 <br /> 35951753 11/09/2015 11/09/2016 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO [:] LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> JECT El <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A ALL OWNED SCHEDULED <br /> AUTOS AUTOS 73591547 11/09/2015 11/09/2016 BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS P era ccident $ <br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE 79878739 11/09/2015 11/09/2016 AGGREGATE $ 5,000,000 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> B Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? � N/A 71745083 11/09/2015 11/09/2016 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> A Technology Errors & Omissions 35951753 11/09/2015 11/09/2016 $2,000,000 Per Claim <br /> $2,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Named Insured: Dude Solutions, Inc. dba Facilitydude <br /> Dude Solutions, Inc. dba Schooldude <br /> General Liability: Blanket Additional Insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Orange County <br /> 200 S Cameron St. <br /> illsborough, NC 27278-2505 <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> SR ID:11425042 BATCH:Batch #: 207236 <br />