2019-179-E AMS - CRA Link lower level contract amendment

Browse Search

DocuSign Envelope ID:5046519B-8BB1-4E3B-8A31-B79D798F18B6 -� ® 76T, E(MMIDDIYYYY) -`� ® CERTIFICATE OF LIABILITY INSURANCE 11/2018 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 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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER COONTACT Cayla Nugent Insurance Management Consultants, Inc. PHO NE No,_ExtJ: (704)799-1600 I{AX No): (704)799-2955 P.O. Boas 2490 E-MAIL ca 1amc @ii ls.com ADDRESS:_ y P INSURERS)AFFORDING COVERAGE NAM# Davidson NC 28036 INSURERA:Beazley Insurance Company,... Inc 37540 INSURED INSURER B CRA Associates, Inc. INSURER C: ........ 222 Cloister Court INSURERD: ... INSURER E Chapel Hill NC 27514 INSURERF COVERAGES CERTIFICATE NUMBER:6/7/18 PL Renewal REVISION NUMBER: 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. INSR - ..................--- ADDLjSUBR!.. POLIGYEFF POLICYEXP _..._ -.. LTR I TYPE OF INSURANCE I POLICY NUMBER I MMIDD/YYYY MMIDDlYYYY ' LIMITS I COMMERCIAL GENERAL.LIABILITY EACH OCCURRENCE $ ❑ DAMAGE TO RENTED CLAIMS-MADE OCCUR $j PREMISES Ea occurrence).. .-...... __ MED EXP(Any one person) $ _ — PERSONAL&ADV INJURY $ I GEN'L AGGREGATE LIMIT APPLIES PER: E GENERAL AGGREGATE $ € PRO- 1 LOG PRODUCTS-COMP/OP AGG � $ OTHER: I i COMBINED SINGLE LIMIT I AUTOMOBILE LIABILITY (_Ea ac cf l$ .... . ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED ! BODILY INJURY(Peraccident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS _.(Per auident) E$ I UMBRELLA LIAB I I GCCUR ! EACH OCCURRENCE I$ EXCESS LIAB i t _ CLAIMS-MADE 3 AGGREGATE ........ DED I RETENTION$ $ WORKERS COMPENSATION I I I PER 1OTH- AND EMPLOYERS'LIABILITY YIN STATUTE [ _FR EANY PROPRIETOR/PARTNER/EXECLITIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A ...._ ..............._� ..........._ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under ! DFSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability V15TPT181101 6/7/2018 6/7/2019 Per Claim $1,000,000 Aggregate $Z r 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION tcomar@o.rangecountync.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P. 0. Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE Jeff Todd/NF n 1988-2014 ACORD CORPORATION. All rights reserved. ACCORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(20sa01)