Orange County NC Website
DocuSign Envelope ID: AACA4047- 6701 - 4848- B437- 4B2E153639C0 <br />AC"R" S D <br />�� <br />CERTIFICATE OF LIABILITY INSURANCE 4/2o17 <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 Lauren Harmond <br />NAME: <br />Norfleet Solutions Inc PHONE 770 -904 -5274 FAX 678 -534 -6358 <br />(A)C. No, EAL _ . [AIC, N_ef; __ _ _ _ _ . _ <br />4485 Tench Road E- MAILss: HARM01@nationwide com <br />Suite 330 INSURER(S) AFFORD_I_NG_ _COVERAGE NAIC p <br />Suwanee, GA 30024 INSURER A: The Hartford <br />INSURED INSURER B: United States Liability Insurance <br />Business Oriented Software Solutions, Inc. INSURER C: <br />350 Research Court INSURER O: T <br />Suite 110 INSURER E: <br />I <br />Norcross, GA 30092 INSURER F : <br />f r1VFRAr:FS rF:PTIFIr ATF N[IMRFR• RFVISIr1N NIIMRFR- <br />THIS 15 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 />Orange County Information Technologies <br />INSR ADOC SUBRf POLICY EFF POLICY EXP <br />131 West Margaret Lane <br />TYPE OF INSURANCE <br />LTR POLICY NUMBER MMfDD1YYri MMlDDIYYri <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,0100 <br />CLAIMS -MADE X OCCUR <br />DAMAGE TO - <br />PREM SES (Ea RENTED <br />rrence) S 1.000,000 <br />MED EXP (Any one person) S 10,000 <br />A I X X 33 SBAUN5608 09101/2017 09/01/2018 <br />PERSONAL BADVINJURY 5 1,000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER, <br />GENERAL AGGREGATE 5 2.000,000 <br />POLICY PRO- <br />JECT LOC <br />_ 2,000,000 <br />PRODUCTS- COMPIOPAGG 5 <br />OTHER <br />S <br />AUTOMOBILE LIABILITY - <br />COMBINED SINGLE LIMIT S 1,000,000 <br />_LFa accidant) - — <br />ANY AUTO <br />BODILY INJURY (Per person} S <br />A ALL OWNED SCHEDULED X X 33 SBA UN5608 09/01/2017 0910112018 <br />BODILY INJURY (Per accident) S <br />AUTOS AUTOS <br />j <br />X X NON -OWNED <br />PROPERTY DAMAGE 5 <br />HIRED AUTOS <br />_ AUTOS <br />_LPer acctlent} <br />S <br />UMBRELLA LIAB OCCUR <br />_ EACH OCCURRENCE S <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE S <br />DED RETENTION S <br />5 <br />WORKERS COMPENSATION <br />X PER CTH- <br />ANO EMPLOYERS' LIABILITY YIN <br />STATUTE - - ,.ER_ . <br />A ANY PROPRILTORIPARTNERIEXECUTIVE <br />NIA X 33 WEC CD6554 06/29/2017 06/29/2018 <br />E.L. EACH ACCIDENT 5 1,000.000 <br />. - . -. <br />OFF ICERIMEMBER EXCLUDED? <br />1,000,000 <br />(Mandatory in NH) <br />E L. DISEASE - EA EMPLOYEE 5 <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />P DISEASE - POLICY LIMIT 5 <br />Professional Liability Insurance <br />$2,000,000 Each Claim Limit <br />B Cyber Coverage <br />TK 1552097 09101!2017 09/01/2018 <br />$2 000,000 Annual Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />r'FRTIFICIlTF Hrii nFR r'IlNCFI I GTIr1N <br />(`1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATIQN DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Orange County Information Technologies <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />131 West Margaret Lane <br />AUTHORIZED REPRESENTATIVE <br />Hillsborough, NC 29278 <br />(`1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />