Orange County NC Website
DocuSign Envelope ID:842FD480-B3A9-49E9-B3F5-8348D6ACB504 <br /> Client#:43952 TEMPI <br /> ATE(MMFDDIYYYYJ <br /> ACORD.. CERTIFICATE OF LIABILITY INSURANCE D0911212018 <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 pollcy(fes}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 NAAMNE: R.IVette Aponte <br /> (M)Wharton/Lyon& Lyon PHONE 973 992-5715 F 9739926660 <br /> AfC No Ext; AIG No: <br /> 101 S.Livingston Avenue E-MAIL p <br /> ADDRESS: is onte whartoninsurance.com <br /> Livingston,NJ 07039 INSURERS)AFFORDING COVERAGE NAiC# <br /> 973 992-5775 INSURER A Caunnamal Casually Company 20427 <br /> INSURED INSURER B: <br /> Tempest Interactive Media LLC <br /> INSURER c: <br /> 30 S.15th Street,Suite 800 <br /> INSURER t7 <br /> Philadelphia,PA 19102 <br /> INSURER E <br /> INSURER F' <br /> COVERAGES CERTIFICATE NUMBER: 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 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 /> INGR LTR TYPE OF INSURANCE 1NSRL SUER� ..vu POLICY NUMBER 1 MMi2ffXYY POLICY lD1YYYY LIMITS <br /> A GENERAL LIABILITY X 84031355889 D 112612018 01/26/2019 pEAA}C.,�HgOCCURRENCE S 1 000,0 0 0 <br /> X COMMERCIAL'GENERAL LIABILITY PREMISES EaEoocTurrence S 300 000 <br /> CLAIMS-MADE a OCCUR MED EXP(Any Cara person) $10x000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> X POLICY JECT PRO- LCC S <br /> A AUTOMOBILE LIABILITY 84031355889 0112612018 01/26/201 sa al lNN-DISINGLE LIMIT 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS Ix AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE S <br /> X HIRED AUTOS AUTOS <br /> Per accident <br /> A x UMBRELLA LIAR X( OCCUR 84031355889 312212018 01126/2019 EACH OCCURRENCE s2,000,000 <br /> EXCESS LIAB CLAiMS•MADE AGGREGATE s2,000,000 <br /> DED RETENTION$10 000 $ <br /> wORKERSCOMPENSATION MIA WCSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S <br /> OFFICERIMEMBEREXCLUDED? NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Employee Liab 84031355889 1(2612018 011261201 $1,000,000$2,000,000 <br /> A E&O 84031355889 1/2612018 011261201 $2,000,0001$2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,IF mare space Is required) <br /> Coverage is subject to policy terms,conditions and exclusions <br /> Orange County Government included as additional insured for commercial General Liability with respect to <br /> work performed by the named insured when required by a written and executed contract.,as per form <br /> Blanket Additional Insured's.,Primary and Noncontributory.,Waiver of Subrogation form SB-1469321F. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 200 S.Cameron St. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> (E 1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) 1 of 9 The ACORD name and logo are registered marks of ACORD <br /> #S3649521M364941 . RIA <br />