2018-526-E Health - Durham County lab services

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DocuSign Envelope ID: A3B2EA3D- 26A5- 4EE2- 967A- OF734EE55228 AC"R" CERTIFICATE OF LIABILITY INSURANCE �f DATE(MMIDDIYYYY) 6/19/2018 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 center rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 4700 Homewood Court, Suite 260 Raleigh NC 27609 -5732 CONTACT NAME: Lnrl Staples _ (ACNE 336 -217 5767 FAX Ext1. _ _ Arc No : 336 - 275 -1776 E -MAIL ADDRESS:. Lori_5taples @arc INSURER(S) AFFORDING COVERAGE T NAIC It COMMERCIAL GE NEPAL LIABILITY CLAIMS-MADE ® OCCUR INSURER A :Safety NBYIDnaI_C85U81ty corpOrati4n -' 15105 INSURED COUNOPO -01 County of Durham - INSURER B - -- EACH OCCURRENCE - -- Durham Co Courthouse INSURER C: INSURER D: 3rd Floor #200 Durham NC 27701 I _ INSURERE: INSURER F: COVERAGES C €RTIFICATF NUMBER- 17nnrAs;rmn RFVICInAI AIIIiSARI:�D• 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. _ 1NSR LTR TYPE OF INSURANCE ADDL IN o SUDR V POLICYNUMBER r POLICY EFF 1 MMIDDIYYYY ) POLICY EXP IMM[DDrfYYYI LIMITS A X COMMERCIAL GE NEPAL LIABILITY CLAIMS-MADE ® OCCUR GLE4056678 8/112018 511!2015 EACH OCCURRENCE $2,000,000 D TM AGE TO RENTED PREMISES Eaoccurrence $500,000 MED EXP (Any one person) $ e. PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY JEO LOC IENERAL AGGREGATE $ 4,000,000 I PRODUCTS - COMPICP AGG — --- - $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY 1 ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS COMBINED SINGLE LIMIT 1Ea accidenl . $ BODILY INJURY (Per person) $ $ BODILY INJURY Per accident ( _ ) - HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident} $ UMBRELLA LIAB OCCUR k EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ I DED RETENTION S $ WORKERS COMPENSATION AND EMPLDYERS'LIABII.ITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBEREXCLUDED? NIA I PER OTH- STATUTE FR__ E.L. EACH ACCIDENT - $ $ (Mandatory in NH) If yes, descrihe under E.L. DISEASE - EA EMPLOYEE ---FA E - — $ DESCRIP7rbN OE OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS 7 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) - 1 .11-. C County of Durham 200 E Main Street Durham NC 27701 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TIVE (01588 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD