Orange County NC Website
DocuSign Envelope ID: 187C85AD-DC20-46B5-86B8-A54BD110D96D <br /> ...- CERTIFICATE OF LIABILITY INSURANCE DATE{MMiDOIYYYY}3/2/2a16 <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 Brenda Di le <br /> NAME: _ PP <br /> Insurance Management Consultants, Inc. {AtC0,3�o,Ext) (704)799--1600 Ne:t7o4)?49-24s5 <br /> iC,P.O. Box 2490 E-MAIL <br /> ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC N <br /> Davidson NC 28036 ------------ ----._... .-- <br /> INSURERA:Beazley--Insurance Company, Inc _ 97540 <br /> INSURED <br /> INSURER B <br /> CRA Associates, Inc. INSURERC: <br /> 222 Cloister Court iNSURERD: <br /> INSURER E: <br /> Chapel Hill NC 27514 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:6/7/15 PL Renewal 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 I TYPE OF INSURANCE ADDS SUER POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MMlDDIYYYY MMIDDIYYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED _ <br /> CLAIMS-MADE EJ OCCUR PREMISES Eaoccurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMPIOP AGO $ <br /> OTHER: $ ---... <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea acc dent <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OrIED SCHEDULED – <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS _.{Peraccidenti_ -- --_--...._..._.... _ <br /> $ _ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> OED RETENTION$ $ <br /> WORKERS COMPENSATION STATUTE OERH <br /> AND EMPLOYERS'LIABILITY --- <br /> ANY PROPRIETORlPARTNER/EXECUTIVE YL—N, E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> NIA <br /> (Mandatory In NH) E,L.DISEASE-EA EMPLOYE $ <br /> It es,describe under <br /> O SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> i <br /> A PROFESSIONAL LIABILITY V15TPT150801 6/7/2015 6/712016 PER CLAIM $1,000,000 <br /> AGGREGATE $2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) <br /> i <br /> i <br /> i <br /> a <br /> CERTIFICATE HOLDER CANCELLATION <br /> tcomar @orangecountync.gov <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> P. O. Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> Jeff Todd/BD <br /> @ 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br /> INS025 12014011 <br /> I <br /> 1 <br />