2016-385-E BOCC - Velaquez Media for cablecasting services

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DocuSign Envelope ID:01 C08F99-3E33-4FDC-9EB4-BCE0773169F1 �'c CERTIFICATE OF LIABILITY INSURANCE DATE`0/2o 6) THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. This CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate.holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: WELLS FARGO INS INC/PHS/NEW (AINGNn,E:tk FAX (888) 443-6112 272525 P: F: (888) 443-6112 EMAIL ADDRESS: PO BOX 29611 INSURERG)AFFORDINOCOVERAGE NAICN CHARLOTTE NC 28229 INSURER A:Hartford Casualty Ins Co INSURED INSURER B: VELASQUEZ DIGITAL MEDIA COMMUNICATIONS 1NSURERC: LLC /' n INSURER D: PO BOX 62441 INSURERE: DURHAM NC 2771 5 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 'THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , BM TYPE OFINSURANCE ADDL SUER POLICY NUMBER POUCXELIMITS FF POLICY EXP LIMITS jiysR IVI'D alM/DD/YYYYL 4NM/DD/YPYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2, 000, 000 ,I CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $3 Q o r 000 0 0 _ A X General Liab 22 SBM VD4347 07/01/2016 07/01/2017 MED EXP(Any one person) 510, 000 PERSONAL BADV INJURY S2, 000, 000 GENT AGGREGATE LIMITAPPIJES PEE GENERAL AGGREGATE $4, 000, 000 POLICY PELT rX I LOC PRODUCTS-COMP/OP AGG $4, 0 0 0, 0 0 0 ',... OTHER: 5 `AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2,000, 000 (Ea accHenl) _—_� ANY AUTO BODILY INJURY(Per person) $ -__-- '... A OWNED SCHEDULES 22 SBM VD4347 07/01/2016 07/01/2017 BODILY INJURY(P eraccent id AUTOS ONLY AUTOS )$ x HIRED X NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ — EXCESS LIAR CLAIMS-MADE AGGREGATE $ Der RETENTION S $ WOWSSCOM'ENSAUON PER OTN- ANO EMPLOY EAS'LlASNJ77 STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVEYIN S OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT (Mandatoryln NH) NiA E.L.DISEASE-EA EMPLOYEE$ — It yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIC(63NORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. q,i CERTIFICATE HOLDER CANCELLATION IL.s Orange County, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Division of Purchasing/Control Services DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Pam Jones AUTHORIZEDREPRESENTA77VE PO BOX 8181 7 _ � HILLSBOROUGH, NC 27278 r ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ■