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ACC>RO CERTIFICATE OF LIABILITY INSURANCE
<br />��.
<br />DATE(MMIDD/YYYY)
<br />6 /1 912 01 8
<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
<br />Arthur J. Gallagher Risk Management Services, Inc.
<br />4700 Homewood Court, Suite 260
<br />Raleigh NC 27609 -5732
<br />9
<br />CONTACT LOB Staples
<br />PHONE
<br />N . 336 -217 -5767
<br />ac No:336- 275 -1776
<br />EMAIL
<br />ADDRESS Lod Staples(d3aiG.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />X
<br />INSURER A: Safety National Casualty Corporation
<br />15105
<br />INSURED couNDFO -oi
<br />County of Durham
<br />INSURER e: Travelers Indemnity Company
<br />25658
<br />EACH OCCURRENCE
<br />$2,000,000
<br />Durham Cc Courthouse
<br />INSURERC:
<br />S rum ,Min
<br />3rd Floor #200
<br />Durham NC 27701
<br />INSURERD:
<br />$
<br />INSURER E_:
<br />INSURER F:
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />)( POLICY 0 PRO-
<br />ECT ❑ LOC
<br />OTHER
<br />USI
<br />14.401 are %9 =2111!.I -Iar0
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICYNUMBER
<br />POLICY
<br />fmslru
<br />EFF
<br />YYYY l
<br />POUCYEXP
<br />ikupD
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADE � OCCUR
<br />GLE4058675
<br />8112018
<br />8/12019
<br />EACH OCCURRENCE
<br />$2,000,000
<br />OR
<br />PREMGES Ea oc r
<br />S rum ,Min
<br />MED EXP (Any one person
<br />$
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />)( POLICY 0 PRO-
<br />ECT ❑ LOC
<br />OTHER
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />PRODUCTS- COMP /OPAGG
<br />$4,000,000
<br />I Retention
<br />$1,0D0.00D
<br />A
<br />AUTOMOBILELIASILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />CAE408676
<br />8112018
<br />8l1201B
<br />COMBINED SINGLE LIMIT
<br />e aco'denll
<br />$2,000,000
<br />X
<br />BODILY INJURY (Per parson)
<br />S
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY
<br />Par accident)
<br />DAMAGE
<br />$
<br />Retention
<br />$1,000,000
<br />A
<br />UMBRELLADAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />XPE4058677
<br />8/12018
<br />8112019
<br />EACH OCCURRENCE
<br />$6,000,000
<br />X
<br />AGGREGATE
<br />$8,000,000
<br />LIED
<br />_
<br />RETENTION$
<br />$
<br />A
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBEREXCLUDED] ❑
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />SP4058708
<br />7112018
<br />7112018
<br />X
<br />STATUTE
<br />OTH
<br />E,L. EACH ACCIDENT
<br />$2000,000
<br />E.L.DISEASE- EAEMPLOYEE
<br />$2,000.00D
<br />E.L. DISEASE - POLICY LIMIT
<br />$2,000000
<br />B
<br />Property
<br />KTKCMB2A02033918
<br />7112018
<br />]X2019
<br />Prop Blanket Limit
<br />$350,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached if more apace is reyulretl)
<br />Excess Liability - Self Insured Retention: $1,000,000
<br />Excess Workers' Compensation - Sea Insured Retention: $600,000
<br />County of Durham Self- Insured Retention: $1,000,000 any one occurrence (the County of Durham is Self- Insured for all losses up to and including this retention
<br />amount of $1,000,000).
<br />Excess Liability - This policy includes the following endorsement: North Carolina - Governmental Immunity Endorsement.
<br />Additional Insured endorsements for Certificate Holders are not included and not relevant to this policy due to the County of Durham's self - insured retention and
<br />See Attached...
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />County of Durham ACCORDANCE WITH THE POLICY PROVISIONS.
<br />200 E Main Street
<br />Durham NC 27701 ;A:H0,R7DREPRESENTATNE
<br />USA
<br />©1988 -2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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