Orange County NC Website
DocuSign Envelope ID:4A1CAFEE-D114-48135-8C57-307E984BA25D <br /> DATE(MM/DD/YYYY) <br /> ,a�oRo CERTIFICATE OF LIABILITY INSURANCE <br /> 02/10/2021 <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 BELOW. <br /> 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. If <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain <br /> / p y, policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c <br /> 'D <br /> PRODUCER CONTACT <br /> NAME: <br /> Aon Risk Services Northeast, Inc. m <br /> New York NY Office PHONE.Ext): 8662837122 (A/XC.No.): (800) 363-0105 n <br /> 0 <br /> one Liberty Plaza E-MAIL x <br /> 165 Broadway, Suite 3201 ADDRESS: <br /> New York NY 10006 USA <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: Berkley National Insurance Company 38911 <br /> STR, LLC <br /> INSURER B: <br /> 735 East Main St. <br /> Hendersonville TN 37075 USA INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 570086024920 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. Limits shown are as requested <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS <br /> A X COMMERCIAL GENERAL LIABILITYTCP7014917 07/01/2020 07/01/2021 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED $1 000 000 <br /> L� PREMISES Ea occurrence <br /> MED EXP(Any one person) $15,000 <br /> PERSONAL&ADV INJURY $1,000,000 0 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY II�JECT �LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> --II m <br /> OTHER: o <br /> r <br /> A AUTOMOBILE LIABILITY TCA-7015094 07/01/2020 07/01/2021 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) 0 <br /> O <br /> OWNED <br /> S AUTOS CHEDULED BODILY INJURY(Per accident) Z <br /> AUTOS ONLY "M <br /> HIREDAUTOS NON-OWNED PROPERTY DAMAGE Ip <br /> ONLY AUTOS ONLY Per accident 2 <br /> F IE <br /> • X UMBRELLA LIAB X OCCUR TCP7014917 07/01/2020 07/01/2021 EACH OCCURRENCE $10,000,000 v <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DED RETENTION <br /> A WORKERSCOMPENSATIONAND TWc7014918 07/01/2020 07/01/2021 X I PER STATUTE I OTH <br /> EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N/A <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 /> D <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Orange County - Chapel Hill/orange County Visitors Bureau is included as Additional Insured in accordance with the policy <br /> provisions of the General Liability policy. <br /> 5F <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ' <br /> POLICY PROVISIONS. <br /> J <br /> Orange County - Chapel Hill AUTHORIZED REPRESENTATIVE 11=� <br /> Orange County visitors Bureau <br /> 501 W. Franklin Street <br /> Chapel Hill NC 27516 USA lla_ p �iOR <br /> - <br /> JGtDfc c/I h�eJ � <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />