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DocuSign Envelope ID: 1D078E61-3408-4B43-8758-39AO9lBlBE00
<br /> NEWDE-1 OP ID: C1
<br /> ,acoRo CERTIFICATE OF LIABILITY INSURANCE DATE(M
<br /> 09/01/20 YYY)
<br /> /2020
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> 919 467-6339 CONTACT Ed Moore&Associates, Inc.
<br /> PRODUCER NAME:
<br /> Ed Moore&Associates,Inc. PHONE 919-467-6339 FAX 919-467-6434
<br /> 103-B Kilmayne Drive (Arc,No,Ext): (A/c,No):
<br /> Cary,NC 27511 E-MAIL cmoore@edmooreinsurance.com
<br /> Ed Moore&Associates,Inc. ADDRESS:
<br /> INSURERS AFFORDING COVERAGE NAIL#
<br /> INSURER A:Cincinnati Insurance Company 10677
<br /> I sur�ED INSURER B:All Risks Ltd-Oak River Ins Co
<br /> New Destinations Inc
<br /> PO Box 1239 INSURER C:
<br /> Fuquay Varina,NC 27526
<br /> INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 DDL UBR POLICY NUMBER POLICY EFF POLICY EXPINSD LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR ETD 0388216 05/26/2020 05126/2021 DAMAGE TO RENTED 1,000,000
<br /> X PREMISES Ea occurrence $
<br /> _ MED EXP(Any one person $ 10,000
<br /> PERSONAL&ADV INJURY $ 3,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> X POLICY PE LOC PRODUCTS-COMP/OP AGO $ 3,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY EOa accidem SINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO ETD 0388216 05/2612020 05126/2021 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> X AUTOS ONLY X AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PeOPERTn(DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
<br /> EXCESS LIAR CLAIMS-MADE ETD 0388216 05/26/2020 05126/2021 AGGREGATE $ 2,000,000
<br /> DED X RETENTION$ 0
<br /> B WORKERS COMPENSATION X IPER I I OTH-
<br /> AND EMPLOYERS'LIABILITY s AT ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N NEWC009178 05/26/2020 05/26/2021 AC E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER
<br /> n NH)
<br /> EXCLUDED? [NJ NIA
<br /> E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Professional Liab ETD0388216-INCL PRIOR ACT 05/26/2020 05/2612021 Incident 1,000,000
<br /> RETROACTIVE DATE 05/26/09 Aggregate 3,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Orange County Government is an additional insured with respect to General
<br /> Liability coverage when required by written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> ORANGCO
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Orange Count Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 9 Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Risk Manager
<br /> P.O. Box 8181
<br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE
<br /> Ed Moore&Associates,Inc.
<br /> ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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