Orange County NC Website
DocuSign Envelope ID: FC8EB5E0-55D9-441D-8E58-AFC583AE005C <br /> A Q® DATE(MM/DD/YYYY) <br /> ill%� r <br /> CERTIFICATE OF LIABILITY INSURANCE 07/17/2020 <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 /> PRODUCER CONTACT <br /> Marsh USA,Inc.(504)522-8541 NAME: <br /> 701 Po dras,Suite 4125 PHONE ac No): <br /> New Orleans,LA 70139 E-MAIL <br /> Attn:New0deans.CertRequest@marsh.com Fax:212-948-0537 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:National Union Fire Insurance Company of Pittsburgh, 19445 <br /> INSURED Lamar Advertising Company INSURER a:New Hampshire Insurance Company 23841 <br /> 8 all subsidiaries INSURER C: <br /> PO Box 66338 INSURER D: <br /> Baton Rouge,LA 70896 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: HOU-003686166-01 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 SUER POLICY EFF POLICY EXP LIMITS <br /> LTR POLICYNUMBER MWDD MM/DD <br /> A X COMMERCIAL GENERAL LIABILITY GL6862514(AOS) 01/01/2020 01/01/2021 EACH OCCURRENCE $ <br /> 2,000,000 <br /> -DAMAGE TO CLAIMS-MADE X OCCUR PREMISES Ea occurrence 5 1,000,000 <br /> MED EXP(Anyone person) $ 100,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE y 2,000,000 <br /> X POLICY JECTT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT j <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) t <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> UMBRELLALIAB HOCCUR EACH OCCURRENCE 5 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTIONS $ <br /> B WORKERS COMPENSATION WCO20608678(ADS) T TO1120 1 —X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE YIN❑N NIA A E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBEREXCLUDED? <br /> (Mandatory in NH) 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 /> See Additional Information <br /> for Other WC Policies <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> Re:Billboard Advert in Hillsborough,N <br /> Cen9ficate Holder Is Included as Additional Insured under General Liability as required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County North Carolina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> P.O.Box 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Hillsborough,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA Inc. <br /> Robert C.Hill <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />