2017-361 VB - Town of Chapel Hill - Contract for Transit Advertising

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A� 06/2288/22017 017 Y) /® CERTIFICATE OF LIABILITY INSURANCE DATE( THIS CERTIFICATE IS 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 ALTER THE 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 ONTACT Lori Hiatt,CIC,CSRM,Account Manager NAME: Surry Insurance PHONE Ext: (336)386-8228 jac No): (336)386-4661 P.O.Box 128 E-MAIL lori.hiatt sur insurance.com ADDRESS: @ ry INSURER(S)AFFORDING COVERAGE NAIC# Dobson NC 27017-0128 INSURER A: The Charter Oak Fire Insurance Company 25615 INSURED INSURER B: Town of Chapel Hill INSURER C: 405 Martin Luther King Jr.Blvd INSURER D: INSURER E: Chapel Hill NC 27514-5705 INSURER 1: 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER P I Y EFF DDI EXP LIMITS (MOLIC YYYY) (MMIDD/YYYY) IDAMAGE TO RENTE17- X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE u--n OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ A ZLP-41M7991A 07/01/2017 07/01/2018 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY �..', LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident x ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 810-5J243370 07/01/2017 07/01/2018 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA UAB OCCUR EACH OCCURRENCE $ 10,000,000 A EXCESS LIAB CLAIMS-MADE ZUP-41M79921 07/01/2017 07/01/2018 AGGREGATE $ 10,000,000 DED 11 X11 RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE F7 N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Orange County/Chapel Hill Visitors Bureau ACCORDANCE WITH THE POLICY PROVISIONS. 501 W Franklin St. AUTHORIZED REPRESENTATIVE Chapel Hill NC 27516 I iiii ©1988-2015 ACORD CORPORATION. All hts reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD