Orange County NC Website
DocuSign Envelope ID:42F2FA62-4D8F-4F99-B725-8D400772FB8A <br /> ACC 11 DATE'MMIDD/YYYY) <br /> �LfL��II���� CERTIFICATE OF LIABILITY INSURANCE F05/25�2018 <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 on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> MARSH USA INC. NAME: <br /> PHONE FAX <br /> 122517TH STREET,SUITE 1300 -LA/4,.tl%,11 tIT3L I.(a/C,No): <br /> DENVER,CO 80202-5534 E-MAIL <br /> Attn:Denver.CertRequest@marsh.com I F:212-948-4381 <br /> 1 NSURER(SJ AFFORDING COVERAGE NAIC# <br /> 402494-STND-GAWUP-18-19 INSURER A:Travelers Indemnit Co Of CT 25682 <br /> INSURED National CineMedia,LLC INSURER B:Travelers Property Casualty Co.Of America 25674 <br /> Attn:Debbie Baughman INSURER c:Travelers Indemni Co 25658 <br /> 9110 East Nichols Avenue,Suite 200 INSURER D: <br /> Centennial,CO 80112 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: SEA-003375153-19 REVISION NUMBER: 14 <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 /> IN$R TYPE OF INSURANCE A1UUl. IEKP <br /> ,SUB POLICY NUMBER POLICY <br /> �DDY EFF Pfi]GDIY LIMITS <br /> LTRWvD <br /> A X COMMERCIAL GENERAL LIABILITY 63011OD961218 05/25/2018 05/25/2019 EACH OCCURRENCE $ 1,000.000 <br /> 7L1anG—:10 <br /> CLAIMS-MADE �OCCUR PREMISES a D=ffe% $ 1,000,000 <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONALBADVINJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 <br /> X POLICY Wv 11 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> C AUTOMOBILE LIABILITY BA11OD961218 050018 05/25/2019 COMBINED SINGLELIM $ 1,000,000 <br /> LEp a20deni <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per acadenl <br /> $ <br /> X UMBRELLA LIAB X OCCUR CUP3J68250618 05/25/2018 05/25/2019 EACH OCCURRENCE $ 1,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 <br /> DED I I RETENTION$ $ <br /> B WORKERS COMPENSATION Y/N UB K47944A1 / 5l 5 1 XPER <br /> AND EMPLOYERS'LIABILITY STATUTE <br /> ANYPROPRIETORIPARTNERJEXECUT3VE E.L.EACHACCIDENT $ 1,000,000 <br /> OFFIC£r�rlEMBER EXCLUDED7 ❑N N/A <br /> (Mandatory In NH) E L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes.describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) <br /> Evidence of Insurance <br /> CERTIFICATE HOLDER CANCELLATION <br /> National CineMedia,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Attn:Debbie Baughman THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9110 East Nichols Avenue,Suite 200 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Centennial,CO 80112 <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> Jon Lindstrom <br /> @ 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />