Orange County NC Website
ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />Research Triangle Regional Public Transportation Authority DBA Go <br />Triangle <br />P O Box 13787 <br />Research Triangle Park, NC 27709 <br />INSURER AFFORDING COVERAGE: Evanston Insurance Company NAIC#: 35378 <br />POLICY NUMBER: MKLV2EUE100674 EFF DATE: 07/01/2019 EXP DATE: 07/01/2020 <br />TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br />Excess Liability $5,000,000 xs $10,000,000 <br />22 <br />Willis of Virginia, Inc. <br />See Page 1 <br />See Page 1 See Page 1 See Page 1 <br />25 Certificate of Liability Insurance <br />W12270017CERT:1318029BATCH:18362881SR ID: <br />DocuSign Envelope ID: 482E99B7-9A3A-4E92-AA6E-2549FE065DDE