Orange County NC Website
DocuSign Envelope ID: D442B3A4-5DOF-49D2-ABA8-60AB45788486 <br /> DATE(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE <br /> 02/23/2021 <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 Melnora Cruz <br /> NAME: <br /> MOC Insurance Services aCC Ext: (415)957-0600 A cX No): (415)957-0577 <br /> License No.0589960 E-MAIL mcruz@mocins.com <br /> ADDRESS: <br /> 101 Montgomery St.,Suite 800 INSURER(S)AFFORDING COVERAGE NAIC# <br /> San Francisco CA 94104 INSURERA: Federal Insurance Company 20281 <br /> INSURED INSURER B: Great Northern Ins.Co. 20303 <br /> Marcus&Millichap,Inc.;Marcus&Millichap REIS,Inc. INSURER C: Sentry Casualty Company 28460 <br /> 23975 Park Sorrento,Suite 400 INSURER D: Lloyds of London 15792 <br /> INSURER E: Travelers Property&Casualty <br /> Calabasas CA 91302 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 2020 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 INSURANCEADDLSUBR POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE F OCCUR PRIM SES Ea :Nru ence $ 1,000,000 <br /> X $10,000 Deductible MED EXP(Any one person) $ 10,000 <br /> A Y Y 36027390 10/31/2020 10/31/2021 PERSONAL&ADV INJURY $ 1,000,000 <br /> MOTHER <br /> LAGGREGATE LIMIT APPLIES PERGENERAL AGGREGATE $ 2,000,000 <br /> POLICY ❑ PRO FXLOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> JECT: Policy Aggregate $ 10,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED 73591246 10/31/2020 10/31/2021 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accidHent <br /> Comp/Collision Ded $ 1,000 <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 50,000,000 <br /> A/E EXCESS LAB CLAIMS-MADE 79883601/ZUP21P4726120NF 10/31/2020 10/31/2021 AGGREGATE $ 50,000,000 <br /> DED I I RETENTION $ None �/ $ <br /> WORKERS COMPENSATION X STATUTE ERH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 901994502(WI)901994501(AOS) 03/23/2020 03/23/2021E.L.EACHACCIDENT $ 1,000,000 <br /> OFFICER/MEMBEREXCLUDED El <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 /> D/A Professional Liability/Fidelity Bond SF202718P/82373662 08/12/2020 12/12/2021 E&O $5,000,000 <br /> Crime $3,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Location:401 Valley Forge Road,Hillborough,NC 27278 <br /> Orange County is named as additional insured as their interest may appear. <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 /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O.Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />