Orange County NC Website
DocuSign Envelope ID:8441 CC58-B07B-4704-ABA5-95A68B4173FE <br /> c�o�z° DATE(MM/DD/YYYY) <br /> ® <br /> ,4 CERTIFICATE OF LIABILITY INSURANCE 04/01/2016 <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 CONTACT <br /> MARSH USA,INC. P PHHOON: <br /> NE FAX <br /> 99 HIGH STREET (A/C,No,Ext): (A/C,No): <br /> BOSTON,MA 02110 E-MAIL <br /> Attn:Boston.certrequest @Marsh.com Fax:212-948-4377 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> 109012298--caspx-16-17 INSURER A:Continental Casualty Company 20443 <br /> INSURED INSURER B:Continental Insurance Company 35289 <br /> Everbridge,Inc. <br /> Attn: Kenneth S.Goldman,CPA INSURER c:Axis Insurance Company 37273 <br /> 25 Corporate Drive INSURER D: <br /> Burlington,MA 01803 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: NYC-008418229-03 REVISION NUMBER:1 <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 /Y LIMITS <br /> LTR INSD VD POLICY NUMBER (MMIDDYYY) (MMIDDIYYYY) <br /> A X COMMERCIAL GENERAL LIABILITY 6024186090 04/01/2016 04/01/2017 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE Y` OCCUR TO <br /> PREMISES(Ea occurrence) $ 1,000,000 <br /> MED EXP(Any one person) $ 15,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO X <br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY 6024186106 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X x NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS (Per accident) <br /> Comp/Coll.Deductibles $ 500/500 <br /> A X UMBRELLA LIAB X OCCUR 6024186042 04/01/2016 04/01/2017 EACH OCCURRENCE $ 15,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15,000,000 <br /> DED RETENTION$ $ <br /> B WORKERS COMPENSATION 6024186056 04/01/2016 04/01/2017 X PER oTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A E&O Network Technology Blended 596673563 04/01/2016 04/01/2017 Limit:(see add!page) 10,000,000 <br /> C Excess E&O MNN 783071/01/2016 04/01/2016 04/01/2017 Limit: 10,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Evidence of Insurance <br /> CERTIFICATE HOLDER CANCELLATION <br /> Everbridge,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 25 Corporate Drive THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Burlington,MA 01803 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> Susan Molloy "4,14,01,-41,v t.,'271.4.—€40-1-- <br /> I <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />