Orange County NC Website
Browse       Search
DocuSign Envelope ID:6B93A96D-42B0-4993-BD08-232787EF99B4 <br /> Ac�® CERTIFICATE OF L t�•1L TY INSURANCE DATE(MM1DDfYYYY) <br /> 7/6/2016 <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 /> NAME: <br /> Insurance Management Consultants Inc. PHONE (704)799-1600 FAX (704)799-2955 <br /> g (A/C.No,Ext): _(AlC,No): <br /> P.O. )Sox 2490 E-MAIL Ort @i lA DRESS: mcips.com <br /> INSURER(s)AFFORDING COVERAGE NAIL# <br /> Davidson NC 28036 INSURERASeaZley Insurance Company, Inc. 37540 <br /> INSURED INSURER B: <br /> CRA Associates, Inc. INSURER C: <br /> 222 Cloister Court • INSURER D: <br /> ,' INSURER E: <br /> Chapel Hill NC 27514 INSURERF: - <br /> COVERAGES CERTIFICATE NUMBER:6/7/16 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 RAID CLAIMS. <br /> INSR ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE. INSD„WVD POLICY NUMBER (MMIDD/YYYY) (MM)DDIYYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> ■ RENTED <br /> CLAIMS-MADE OCCUR PREMISES(Es occurrnce) $ <br /> ■ • MED EXP(Any era person) $ <br /> ■ PERSONAL&ADV INJURY $ <br /> GEM.AGGREGATE LIMiT APPLIES PER: GENERAL AGGREGATE $ <br /> ■ POLICY JERT LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> _(Eaaccident) _5 <br /> ■ ANY AUTO BODILY INJURY(Per person) $ <br /> ■ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS PROPERTY DAMAGE $ <br /> I <br /> HIRED AUTOS NON-OWNED <br /> AUTOS i Q (Per accident) <br /> $ <br /> UMBRELLA LiAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEC) RETENTIONS $ <br /> WORKERS COMPENSATION PER OTH- <br /> STATUTE ER <br /> . AND EMPLOYERS'LIABILITY — <br /> Y!N <br /> ANYPROPRIETORJPARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A PROFESSIONAL LIABILITY V15TPT160901 6/7/2016 6/7/2017 PER CLAIM 1,000,000 <br /> AGGREGATE 2,000,000 <br /> pRscRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> I <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 131 West Margaret Lane <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> Jeff Todd/BD �—J <br /> 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> INS0 2 5 1201 4 711 <br />