Orange County NC Website
Browse       Search
DocuSign Envelope ID: AA1647C8 -B778- 4021- 9E83- EDC4C913A37C <br />AGENCY CUSTOMER ID: AFFILIV -01 <br />LOC #: 4 <br />A <br />illl� "R130 ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />Alliance Insurance Group <br />POLICY NUMBER <br />SEE PAGE 1 <br />CARRIER <br />SEE PAGE 1 <br />NAMED INSURED <br />The Stratford LLC <br />405 Smith Level Rd'. <br />Chapel Hill, NC 27516 <br />NAIC CODE <br />SEE P 1 EFFECTIVE DATE: <br />REISJ E1 <br />Page 1 of 1 <br />AUDI I I©NAL KtIYIAKKJ <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Cert[flcate of Liability Insurance <br />Description of Operations/Locations /Vehicles: <br />Sexual & Physical AbuselMolestation is an included coverage under the professional liability for a healthcare event with limits of <br />$1,000,000 Per Event/$3,000,000 Aggregate Limits <br />Orange County Local Government is listed as addtional insured, as per contract, in regards to their interest in the location and the <br />fallowing vehicle: <br />2010 . Dodge Grand Caravan SXT Sport Van VIN: 2D4RN5D18AR409690 <br />ACORD 101 (2008101) V "LUU8 AGUKU t;UKF iJKAI1UN. AN rignis reservea. <br />The ACORD name and logo are registered marks of ACORD <br />