Orange County NC Website
DocuSign Envelope ID: FCF5428E-CDAB-43C0-919A-3038D14845A6 <br /> ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> L...../- 2/5/2017 2/8/2016 <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(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 LOCKTON COMPANIES CONTACT <br /> NAME: <br /> 500 West Monroe,Suite 3400 PHONE FAX <br /> CHICAGO IL 60661 <br /> (A/C, <br /> -MAILo,Ext): (A/C,No): <br /> (312)669-6900 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartford Underwriters Insurance Company 30104 <br /> INSURED Video Group Holdings,LLC INSURER B:Hartford Casualty Insurance Company 29424 <br /> 1408101 Stratus Video,LLC INSURER C:Aspen Specialty Insurance Company 10717 <br /> 33 N Garden Ave,Suite 1000 INSURER D:Hartford Fire Insurance Company 19682 <br /> Clearwater,FL 33755 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 13891819 REVISION NUMBER: XXXXXXX <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 W LIMITS <br /> LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY N N 83UUN2110043 2/5/2016 2/5/2017 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTE <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occur ence) $ 300,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PE� LOC PRODUCTS-COMP/OP AGG $ Included <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY N N 83UUN2110043 2/5/2016 2/5/2017 COMBINED SINGLE LIMIT $ <br /> (Ea accident) 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> ALL <br /> AUTOS OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX <br /> X X NON-OWNED PROPERTY DAMAGE $ XXXXXXX <br /> HIRED AUTOS AUTOS (Per accident) <br /> $ XXXXXXX <br /> B X UMBRELLA LIAB OCCUR N N 83R11UVV9733 2/5/2016 2/5/2017 EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED RETENTION$ $ XXXXXXX <br /> WORKERS COMPENSATION NOT APPLICABLE PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y7 E.L.EACH ACCIDENT $ XXXXXXX <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX <br /> C E&O N N LP81772 2/5/2016 2/5/2017 $3,000,000 Agg. <br /> D Property 83UUN2110043(Property) 2/5/2016 2/5/2017 $3,163,004 BPP <br /> C Coastal Property ESP730276500 2/5/2016 2/5/2017 $3,104,682 Per Occ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The following are included as Named Insureds:Video Group Ioldings,LLC;Stratus Video Group,LLC;Stratus Video,LLC <br /> CERTIFICATE HOLDER CANCELLATION <br /> 13891819 <br /> Stratus Video,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Clearwater,FL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE R <br /> r, <br /> d <br /> �' <br /> -2 <br /> 1988� •„ � .� <br /> © 014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />