Orange County NC Website
DocuSign Envelope ID:Al02013E-8A93-4147-8909-71 F057AA3A2A <br /> AGENCY CUSTOMER ID: 570000052633 <br /> LOC#: <br /> A ADDITIONAL REMARKS SCHEDULE Page _ Of <br /> AGENCY NAMED INSURED <br /> Aon Risk Services Central, Inc. Playpower Holdings, Inc. <br /> POLICY NUMBER <br /> See Certificate Number: 570074933698 <br /> CARRIER NAIC CODE <br /> See Certificate Number: 570074933698 EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br /> INSURER(S)AFFORDING COVERAGE NAIC # <br /> INSURER <br /> INSURER <br /> INSURER <br /> INSURER <br /> ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD <br /> certificate form for policy limits. <br /> POLICY POLICY <br /> INSR ADDL SUBR <br /> TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS <br /> LTR INSD WVD DATE DATE <br /> MM/DD/YYYY MM/DD/YYYY <br /> EXCESS LIABILITY <br /> C 000860430 10/01/2018 10/01/2019 Aggregate $5,000,000 <br /> Excess Liab $5M x $5M <br /> Each $5,000,000 <br /> Occurrence <br /> ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />