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DocuSign Envelope ID:9B278559-A2DF-4CEC-ADOA-524A3146DCA5
<br /> A`R ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMI020�
<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 pollcy(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 endorsements.
<br /> PRODUCER NAME:NTACT Lori Staples _
<br /> Arthur J. Gallagher Risk Management Services, Inc. PHONE 336-217-5767 FAX No:336-275-1776
<br /> 4700 Homewood Court, Suite 260 FM
<br /> Raleigh NC 27609-5732 ADDRIESS: Lori Sta les a' .com
<br /> INSURE S AFFORDING COVERAGE NAIL#
<br /> INSURER A:Safety National Casualty Corporation 15105
<br /> INSURED COUNOFD-01 INSURER B:Safeco National Insurance Company 24759
<br /> County of Durham
<br /> Durham Co Courthouse INSURERC:Liberty Mutual Fire Insurance Company 23035
<br /> 3rd Floor#200 INSURER D:
<br /> Durham NC 27701 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1642140839 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 ADDL SUBR POLICY EFF I POLICY EXP
<br /> LTR TYPE OF INSURANCE JHM WVD POLICY NUMBER IMMIDDIYYYYl (MMIDD/YYYYILIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY GLE4058875 7/1/2020 7/1/2021 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE FK OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea ocrurrencel $500,000
<br /> MED EXP(Any one person) $
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> X.' POLICY JEa LOC PRODUCTS-COMPIOPAGG $4,000,000
<br /> OTHER: Retention $1,000,000
<br /> A AUTOMOBILE LIABILITY CA6675642 7/1/2020 7/1/2021 COMBINED SINGLE LIMIT $2,000,000
<br /> Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY Per accident $
<br /> )AUTOS ONLY AUTOS (
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per a.,Z $
<br /> Retention $1,000,000
<br /> A UMBRELLA LIAB X OCCUR XPE4058677 7/1/2020 7/1/2021 EACH OCCURRENCE $8,000,000
<br /> X EXCESS LIAB CLAIMS-MADE
<br /> AGGREGATE $8,000,000
<br /> DED RETENTION $
<br /> B WORKERS COMPENSATION SP4063178 7/1/2020 7/1/2021 X SPER TATUTE ERH
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000
<br /> OFFICE(Mandatory
<br /> In EREXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE $2,000,000
<br /> (Mandatory in NH)
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000
<br /> C Property YU2Z51292644010 7/1/2020 7/1/2021 Prop Blanket Limit $350,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> Excess Liability-Self Insured Retention:$1,000,000
<br /> Excess Workers'Compensation-Self Insured Retention:$600,000
<br /> County of Durham Self-Insured Retention:$1,000,000 any one occurrence(the County of Durham is Self-insured for all losses up to and including this retention
<br /> amount of$1,000,000).
<br /> Excess Liability-This policy includes the following endorsement:North Carolina-Governmental Immunity Endorsement.
<br /> Additional Insured endorsements for Certificate Holders are not included and not relevant to this policy due to the County of Durham's self-insured retention and
<br /> See Attached...
<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 /> County of Durham ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 200 E Main Street
<br /> Durham NC 27701 ;AUTHOREDREPRESENTATIVE
<br /> USA �
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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