Orange County NC Website
DocuSign Envelope ID: 3DDODE2F-2C89-478B-837C-E1F4C1A5DF02 TEMPI <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)7/18/2017 <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 ACT R. Ivette Aponte <br /> (M)Wharton/Lyon &Lyon PHONE 973 992-5775 FAX 9739926660 <br /> (A/C,No,Ext): (A/C,No): <br /> 101 S. Livingston Avenue ADDRESS: iaponte @whartoninsurance.com <br /> Livingston, NJ 07039 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 973 992-5775 INSURER A:Continental Casualty Company 20427 <br /> INSURED INSURER B: <br /> Tempest Interactive Media LLC <br /> INSURER C: <br /> 30 S. 15th Street,Suite 800 <br /> INSURER D: <br /> Philadelphia, PA 19102 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> LTR L POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE SR WVD POLICY NUMBER <br /> N LIMITS <br /> (MM/DDIYYYY) (MM/DDIYYYY) <br /> A GENERAL LIABILITY X B4031355889 01/26/2017 01/26/2018 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY <br /> DAMAGE TO RENTED $300,000 <br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO- <br /> JECT LOC $ <br /> A AUTOMOBILE LIABILITY B4031355889 01/26/2017 01/26/2018 (Eo acccdentSINGLE LIMIT $1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE <br /> AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION WC431355892 01/26/2017 01/26/2018 X WC STIMITS OTH- <br /> ER <br /> AND EMPLOYERS'LIABILITY <br /> Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> A Employee Liab B4031355889 01/26/2017 01/26/2018 $1,000,000 <br /> A E&O B4031355889 01/26/2017 01/26/2018 $2,000,000/$2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Coverage is subject to policy terms, conditions and exclusions <br /> Orange County Government included as additional insured for commercial General Liability with respect to <br /> work performed by the named insured if/when required by a written and executed contract.,as per form <br /> Blanket Additional Insured's SB-146932E. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 200 S.Cameron St. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> reir <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #5347621/M342137 RIA <br />