Orange County NC Website
DocuSign Envelope ID:DA42AO9B-3AOD-4C9A-91F3-5A132AF24C9B <br /> ACO-T. CERTIFICATE OF LIABILITY INSURANCE REVISED D 04/22/20 0 <br /> PRODUCER Serial# 211513 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> WILLIS CANADA INC.,A WILLIS TOWERS WATSON COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 100 KING STREET WEST,SUITE 4700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> TORONTO,ON M5X 1 E4 CANADA <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: <br /> CHAMELEON SOFTWARE INSURER B: <br /> 9888 W BELLEVIEW AVE#110 INSURER C: <br /> LITTLETON, CO 80123 INSURER D: CFC UNDERWRITING LIMITED <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR NSR DATE MMIDD/YY DATE MM/DD/YY <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurence $ <br /> CLAIMS MADE Fx_1 OCCUR MED EXP (Anyone person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PE LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKER'S COMPENSATION AND TORY LIIMITS OER <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> EL EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ <br /> OTHER <br /> D CYBER LIABILITY ESH071163701 06/01/19 06/01/20 LIMIT$5,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> RE: CHAMELEON SOFTWARE <br /> WITH REGARDS TO THE CYBER LIABILITY POLICY, IT IS HEREBY UNDERSTOOD AND AGREED THAT ORANGE COUNTY ANIMAL <br /> SHELTER IS ADDED AS AN ADDITIONAL INSURED, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF <br /> THE NAMED INSURED. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN <br /> ORANGE COUNTY ANIMAL SHELTER <br /> 1601 EURBANKS ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> CHAPEL HILL, INC 27516 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> c EV <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />