2020-236-E IT - Xentegra Citrix support

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DocuSign Envelope ID: 16A1E508-142E-464E-B422-7E9F22FAACCO hibit B XENTELLC DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 2/20/2020 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jane McInnis USI Insurance Services LLC PHONE 980 495 0870 FAX 610 537 4064 A/C,No,Ext: A/C,No 6100 Fairview Road, Suite 800 E-MAIL ADDRESS::ane.mcinnis usi.com Charlotte, NC 28210 INSURER(S)AFFORDING COVERAGE NAIC# 855 874-1396 INSURER A:Sentinel Insurance Company Ltd. 11000 INSURED INSURER B Hartford Ins Cc of the Midwest 37478 XenTegra, LLC INSURER C•NAS Insurance PO Box 1954 INSURER D: Huntersville, NC 28070-1954 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 22SBAVW1344 11/15/2019 11/15/2020 EACH OCCURRENCE $2 OOO OOO CLAIMS-MADE � OCCUR PREMISES ERENTED ccr nce $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY JECTPRO- LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: EPL $$10,000 A AUTOMOBILE LIABILITY 22SBAVW1344 11/15/2019 11/15/202 COEaMBINED ccidentS INGLE LIMIT $ , ,2 000 000 a ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR 22SBAVW1344 11/15/2019 11/15/2020 EACH OCCURRENCE s2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s2,000,000 DED X RETENTION$10000 $ B WORKERS COMPENSATION 22WBCEM0165 11/15/2019 11/15/2020 X PER T, OTH- AND EMPLOYERS'LIABILITY STATU ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 C Professional 1125501 11/22/2019 11/22/2020 $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION Orange Count Local Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Carolina ACCORDANCE WITH THE POLICY PROVISIONS. 405 Meadowlands Drive Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE � iViLl1 6 - ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S27957261/M27957242 TJFH3