2019-443-E BOCC - Velasquez Digital Media cablecasting

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DocuSign Envelope ID:4EA9E902-880B-4F7D-B74C-1 DD7142B1 B38 '¢ CERTIFICATE OF LIABILITY INSURANCE [t6/021201 E{MMlDITIYYYY) 9 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 endorser- If SUBROGATIONIS WAIVED, subjectto 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 CONTACT USI INS SVCS NATIONAL INCIPHSINEW NA 22272525 PHONE (877)532-3486 FIA�X (888)443-6112 The Hartford Business Service Center (JVC,No,Ext): .No): 3600 Wiseman Blvd E-MAIL San Antonia,TX 78265 ADDRESS: INSURER(S)AFFORDING COVERAGE NAM# INSURED 1NSURERA: The Hartford Casualty Insurance Company 29424 Velasquez Digital Media Commun INSURER B PO 13OX 62441 ❑URHAM NC 27715-0441 INSURERC: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD o 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 SEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS ITR INSR WVD MMIDDIYYYY MIRMINY YYY COMMERCIAL CrENE!?AL LIABILITY EACH OCCURRENCE $2,O0D,D00 CLAIMS--MADE OCCUR DAMAGE TO RENTED $300,000 PREMISES ga accunance X General Liability MED EXP(Any one person) $10,000 A 22 SSM VD4347 07/01/2019 07/0112020 PERSONAL BADVINJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4,000,600 _ POLICY Q PRO- JECT I --]LOC PRODUCTS-COMP/OP AGG $4.000,000 =- OTHER AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $2,0OD,000 aZident _ ANY AUTO BODILY INJURY(Per pemm) A AUTOS AUTOS A OWNED UTC15 LED 22 SBM VD4347 0710IJ2019 07/01/2020 BODILY INJURY[Per accident) _ X HIRED X NON-CWNED PROPERTY DAMAGE AUTOS AUTOS (Per mvdenl) UMBRELLA LAB OCCUR EACH OCCURRENCE T EXCESS LIAR CLA1M5- AGGREGATE NWDE ED RETENTION$i WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STA7U R ANY YIN E.L.EACH ACCIDENT PROPRIETOWPARTNEMEXECUTIVE NI A OF FICEMMEM BER EXCLUDED? E.L.D I SEASE-EA EMP LOY EE (Mandatory in NH) If yes.describe under EL DISEASE-POLICY LIMIT DESCPJPTION OF OPERATIONS below A EMPLOYMENT PRACTICES 22 SBM VD4347 07/01/2019 07/011202-0 Each Claim Limit $5.000 LIABILITY Aggregate Limit $5,000 OESCRJPWNOFOPENATIONS/LOCATIONS/NFHICLES{ACORD 101.Additional Remarks Schedule.may beattached itmorespare is required) Those usual to the Insured's Operations. CERTIFICATE BOLDER CANCELLATION Orange County, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Division of Purchasing/Conh'ol Services BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELNERED Attn: Pam Jones IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 AUTHORIZED REPRESENTATIVE HILLSBOROUGH NC 27278 D 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACDRD