Orange County NC Website
Browse       Search
DocuSign Envelope ID: 36B46388 -318C- 4415 - 8506- OB3E2BF07FED <br />Ac <br />OD DATE "R" CERTIFICATE OF LIABILITY INSURANCE Page � of 2 a9/z9laal7 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement <br />on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />'Willis of Pennsylvania, Inc. PHONE 877- 945 -7378 888 -467° <br />c/o 26 Century Pled. <br />P o. Box 305191 MAIL certificates@willis.com <br />Nashville, TN 37238 -5191 I No <br />Atlantic Specialty Insurance Company 27154 -001 <br />New Horizons Computer Learning Centers, Inc. - <br />1900 S. State College Blvd. INSURERC: <br />Suite 450 ]NSURER�: <br />Anaheim, CA 92806 <br />I NSURER E: <br />COVERAGES CERTIFICATE NUMBER: 25741381 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 HE 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 DDL SUB POLICY EFF POLICYEXP LIMITS TYPE OF INSURANCE POLICY NUMBER <br />COMMERGIALGENERALLIA6ILITY 711- 01 -28 -25 -0006 0/1/2017 10/1/2018 EACH OCCURRENCE $ 1 {100 OQO <br />PAOR -i 3RENTED I $ 1 4 0 0 0 0 4 <br />CLAIMS -MADE OCCUR accuranca <br />MED EX? (Anyone person) $ 10,000 <br />PERSONAL &ADWRJURY $ 3" 000 000 <br />GEN'L AGGREGATE LIMrrAPPLEnESPER: GENERAL AGGREGATE $ 2,000,000 <br />POLICY P O- L PRO DUCTS - COMPIOPAGG $ 2,000,000 <br />OTHER: Eaacryry <br />0 SINGLE LIMIT $ 1,000,OQO <br />A AUTOMOBILELIABIUTY 711 -41 -28-25 -0006 10/1/2017 70/1/2018 odeerl <br />X ANYA41T0 BO DILY INJU RY(Per person) $ <br />OWNED SCHEDULED SODILYINJURY(Paracddenl) <br />AUTOS ONLY AUTOS P PER AMAGE <br />X HIRER x AUTOS NLDD (Per accident] $ <br />AUTOS ONLY <br />A X UMBRELLALIAB X OCCUR 711- 01 -26 -25 -0005 10/1/2017 10/1/2018 EACH OCCURRENCE $ 10,000,000 <br />EXCESS LIAR CLAIMS -MADE AGGREGATE $ 10A00 400 <br />F—FDEDT 1RETENTION <br />A WORKERS COMPENSATION 406- 03 -78 -78 -0006 0/1/2017 10/1/2018 X <br />AND EMPLOYERS' UABIL[rY <br />ANY PROPRIETDRMARTNER(EXECUTIVE Z NIA E.L. EACH ACCIDENT $ 1, 0 fl'0 , 0 O O <br />OFFICERIMEMSEREXCLUDED? E..L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />ffMandatary,II NH] <br />ff yes, descn6e under E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS baiow <br />A 711- 01- -28 -25 -0046 1-5/1/2 017 10/1/2418 <br />Blanket Business $392,787 Limit. <br />Personal Property $1,000 Deductible <br />(All Risks) - <br />DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 181, Additional Remarks Schedule, maybe attached if more space is required] <br />See attached: <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 />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Evidence of Insurance <br />Coll:5131369 Tp1:2172358 Cert :25741381 0 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />