Orange County NC Website
DocuSign Envelope ID: FE1 E8B92-9595-4C5D-B35A-2BA611765673 <br /> ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> ll.. � r 01/21/2021 <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 /> PRODUCER CONTACT NAME: Paul Hundal <br /> Fenix Risk Management aIC No Ext: (770)696-1388 FA No): (770)696-1358 <br /> Court E-MAIL <br /> 800 Abbe smm enxrsmana <br /> y i <br /> ADDRESS: y�fiik ement.com g <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> Alpharetta GA 30004 INSURER A: CHARTER OAK FIRE INS CO(TRAVELERS) 25615 <br /> INSURED INSURER B: TRAVELERS PROP CAS CO OF AMERICA 25674 <br /> Business Oriented Software INSURER C: TRAVELERS INDEMNITY CO.OF CT 25682 <br /> 350 Research Ct INSURER D: CERTAIN UNDERWRITERS AT LLOYD'S OF LON[ 15792 <br /> Ste 110 INSURER E: <br /> Norcross GA 30092 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE L^ OCCUR PREM SESOEa occurrDence $ 300,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A 6809N406018 09/01/2020 09/01/2021 PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICY❑ PRO- <br /> ❑ <br /> JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED 6809N406018 09/01/2020 09/01/2021 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> XHIRED �/ NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY X AUTOS ONLY Per accident <br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 <br /> B EXCESS LLIAB CLAIMS-MADE CUP9N414750 09/01/2020 09/01/2021 AGGREGATE $ 5,000,000 <br /> DED X RETENTION$ 5000 PR/COMP OPS AGG $ 5,000,000 <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> C OFFICER/MEMBER EXCLUDED? ❑Y N/A UB9N414657 09/01/2020 09/01/2021 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> Errors and Omissions 2,000,000 <br /> D Includes Cyber Liability' ESJO121019512 09/01/2020 09/01/2021 <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 /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County Information Technologies <br /> 131 West Margaret Lane AUTHORIZED REPRESENTATIVE <br /> Paul Hundal <br /> Hillsborough NC 29278 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />