Orange County NC Website
DocuSign Envelope ID:8D6BF819-7F7F-492F-B590-6156F7327668 <br /> AC"R"0 Fil <br /> TE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 2/16/2019 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Moira Crosby <br /> Y <br /> Hays Companies Inc. PHONE FAX <br /> AIC No Ext: (A/C, <br /> A/C No): <br /> 133 Federal Street, 4th Floor E-MAIL mcrosb @ha scornp anies.com <br /> ADDRESS: Y �' <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Boston MA 02110 INSURER A:Hartford Fire Insurance Company 19682 <br /> INSURED INSURER B:Hartford Casualty Insurance Company 29424 <br /> Tyler Technologies, Inc. INSURERC:Llo ds of London Syndicates 048337 & <br /> 5101 Tennyson Parkway INSURERD: 048945 <br /> INSURER E: <br /> Plano TX 75024 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:12.17.19-4.1.20 GL Auto REVISION NUMBER: <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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A CLAIMS-MADE AMAGE TO RENTED 1,000,000 <br /> OCCUR D <br /> PREMISES Ea occurrence $ <br /> 08UENAY8572 4/1/2019 4/1/2020 MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> PRO- <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COEa aMBINEDccident SINGLE LIMIT $ 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> A ALL OWNED SCHEDULED <br /> AUTOS AUTOS 08UENAY8572 4/1/2019 4/1/2020 BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY <br /> DAMAGE <br /> HIRED AUTOS AUTOS er <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 <br /> B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 25,000,000 <br /> DIED RETENTION$ 08XHUAZ8392 4/1/2019 4/1/2020 $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTI . E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> B (Mandatory in NH) 08WEEL5271 4/1/2019 4/1/2020 E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> C Cyber/Privacy Prof Liab B0621PTYLE000219 12/17/2019 12/17/2020 Limit $20,000,000 <br /> C Cyber/Privacy Prof Liab B0621PTYLE000319 12/17/2019 12/17/2020 Excess Limit $10,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> James Hays/MCROSB <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> I N S025(201401) <br />