Orange County NC Website
DocuSign Envelope ID:CD64977C-17FD-49FO-9672-81 D6326AF370 <br /> _ Page 1 of 2 <br /> AC R& CERTIFICATE OF LIABILITY INSURANCE D10/25/20 8Y' <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 NAME: Willis Towers Watson Certificate Center <br /> Willis of New York, Inc. PHONE FAX <br /> c/o 26 Century Blvd A/C o Ex 1-877-945-7378 AIC No: 1-888-467-2376 <br /> EMAIL certificates@willis.com <br /> P.O. Box 305191 ADDRESS: <br /> Nashville, TN 372305191 USA INSURE%Sj AFFORDING COVERAGE NAICk <br /> INSURERA: ACE American Insurance Company 22667 <br /> INSURED INSURER B: Old Republic Insurance Company 24147 <br /> National Express LLC - <br /> DURHAM SCHOOL SERVICES, L.P. INSURERC: <br /> 2601 Navistar Drive Building 5 INSURER D: _ <br /> Lisle, IL 60532 USA <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:W8655692 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 /> - - - - - -- --- -- E --- I - -- - - - - ----- - - - - <br /> ILTR TYPE OF INSURANCE ADDL Sl1BR POLICY EFF POLICY EXP LIMITS <br /> NS SO VD POLICY NUMBER MMIDD/YYYV MMIDD1YYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 <br /> CLAIMS MADE XI OCCUR PREM SESO <br /> - (Ea occurrence) $ 5,000,000 <br /> A MED EXP(Any one person) $ 5,000 <br /> Y RDOG71209714 11/01/2018 11/01/2019 5,000,000 <br /> PERSONAL&ADV INJURY $ <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 <br /> l�-I JEOT I� PRODUCTS <br /> X POLICY LOC PRODUCTS-COMP/OP AGO $ 5,000,000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 <br /> IEa accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED Y ISAH25275834 11/01/2018 11/01/2019 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED E <br /> NON OWNEDAUTOS ONLYAUTOS ONLY (Pet accident) <br /> UMBRELLA LIAB OCCUR EACHOCCURRENCE $ <br /> EXCESS LIAB CLAIMS MADE AGGREGATE $ <br /> DED Ii RETENTION$ $ <br /> WORKERS COMPENSATION X STATUTE EORH- <br /> AND EMPLOYERS'LIABILITY <br /> B ANYPROPRIEI'ONPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 2,000,000 <br /> OFFICERIMEMBEREXCLUDED" NIA MWC 314263 00 11/01/2018 11/01/2019 -- --- -- - - - - -- - <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> II as,describe under 2,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE�POLICY LIMIT $ <br /> A Excess General Liability XSLG71209751 11/01/2018 11/O1/2019 General Aggregate $5,000,000 <br /> Each Occurrence $5,000,000 <br /> See Below <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> Products-Completed Operations Aggregate Limit - $5,000,000 <br /> Personal and Advertising Injury Limit - $5,000,000 <br /> Damage To Premises Rented To You Limit - $0 <br /> Medical Expense Limit - $0 <br /> Orange County Public Transportation is included as Additional Insured as respects General Liability and Automobile <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 /> Orange County Public Transportation <br /> AUTHORIZED REPRESENTATIVE <br /> 600 Hwy 86 N <br /> P.O. Box 8181 //"J ! �y <br /> Hillsborough, NC 27278 /ra <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> SR ID: 16927441 BATCH: 928392 <br /> 2 of 2 7659 <br />