Orange County NC Website
DocuSign Envelope ID: 34524780-73C6-4CB6-96BA-FBCD698FCD21 <br /> ACCORDO DATE(MMIDDlYYYYI <br /> Ila� CERTIFICATE ®F LIABILITY INSURANCE 3/2/2016 <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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may requlre 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 Dipple <br /> ...._._-- <br /> Insurance Management Consultants, Inc, PHONE Exil: (704)799-1600 FAX No;(704)7992955 <br /> P.O. BOX 2490 E-MAIL <br /> ADDRESS: <br /> INSURERS AFFORDING COVERAGE ._ NAIC# <br /> Davidson NC 28036 _— INSURER.A;Beazley Insurance Company, Inc. _ 37540___,_,__ <br /> INSURED INSURER B: <br /> CRA Associates, Inc. INSURER <br /> 222 Cloister Court iNSURERD: <br /> _INSURER E; <br /> Chapel Hill NC 27514 I INSURERF: <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 /> ILTR TYPE OF INSURANCE INS UBQ POLICY NUMBER MW�DIYYY POLICY DI EXP LIMITS i <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE-- $ <br /> CLAIMS-MADE OCCUR PREMISES Eaoccarrbence._ $ <br /> MED EXP(Any one person) $ <br /> PERSONA- AOVINJURY S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> _ POLICY❑jRa F-]LOC PRODUCTS-COMPIOP AGO $ _ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea acdda, _ <br /> ANY AUTO BODILY INJURY(Perperson) S <br /> ALL OrMED SCHEDULED BODILY INJURY(Peraccident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY AMAGE $ <br /> I pp . <br /> AUTOS _(Peraccidenll_ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> _ DED RETENTION$ $ <br /> WORKERS COMPENSATION PER T - <br /> AND EMPLOYERS'LIABILITY y/N STATUTE 77ER _ <br /> ANY PROPRIETOR/PARTNEWFXECUTiVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? u N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> I(yyes describe under <br /> 1)S6RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A PROFESSIONAL LIABILITY V15TPT150801 6/7/2015 6/7/2016 PER CLAIM $1,000,000 <br /> AGGREGATE $2,000,000 <br /> DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) <br /> I <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 /> ' �;✓. .�_tr -mss:- t:=�?-.. <br /> Jeff Todd/BD <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> INS025120mm) <br />