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DocuSign Envelope ID: E2377815-D922-4567-91C8-D342867F1906
<br /> 70,
<br /> E(MM/DDIYYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 126/2021
<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
<br /> MARSH USA,INC. NAME,PHONE FAX
<br /> 20 CHURCH STREET,8TH FLOOR A/C,No,Ext: A/C No),
<br /> HARTFORD,CT 06103 E-MAIL Q ADDRESS: Otis.certre uest Marsh.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> CN103059650-Otis-STAND-20-21' INSURER A: National Union Fire Insurance Co.Of Pittsburgh,PA 19445
<br /> INSURED INSURER B: AIU Insurance Co 19399
<br /> OTIS WORLDWIDE CORPORATION
<br /> OTIS ELEVATOR COMPANY INSURER C: New Hampshire Insurance Co. 23841
<br /> ONE CARRIER PLACE INSURER D:
<br /> FARMINGTON,CT 06032
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: NYC-010502694-04 REVISION NUMBER: o
<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 INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY 3980241 12/01/2020 12/01/2021 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X� OCCUR $2,000,000 General Aggregate DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $ 300,000
<br /> Per Project/Location MED EXP(Any one person) $ 10,000
<br /> "'$10,000,000 General Aggregate PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: Per Policy GENERAL AGGREGATE $ 2,000,000
<br /> POLICY JE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 4594517(AOS) 12/01/2020 12/01/2021 COEaMBINED accident SINGLE LIMIT $ 1,000,000
<br /> A X ANY AUTO 4594518(MA) 12/01/2020 12/01/2021 BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED 4594519(VA) 12/01/2020 12/01/2021 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY Per accident)
<br /> ccident $
<br /> A X UMBRELLA LIAB X OCCUR 3980244 12/01/2020 12/01/2021 EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION 020608650(AOS) 12/01/2020 12/01/2021 X PER oTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> B ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N 020608652(CA) 12/01/2020 12101/2021 E.L.EACH ACCIDENT $ 1,000,000
<br /> B OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) 020608653(FL) 12/01/2020 12/01/2021 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> C If yes,describe under 020608654(MA,ND,OH,WA,WI,WY) 12/01/2020 12/01/2021 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> This certificate only applies to 100 EKING ST,300 W TRYON ST-HUMAN SVC,106 E MARGARET LANE,125 COURT ST,COUNTY JAIL,510 MEADOWLANDS DRIVE,106 E
<br /> MARGARET LANE,2551 HOMESTEAD ROAD,COURT AND KING STREETS,301 W TRYON STREET,200 S CAMERON STREET,106 NASH&KOLLOCK ST
<br /> TRD08016A.
<br /> TRD08016Z
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> PO 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 /> Manashi Mukherjeeau �"
<br /> ©1988-2016 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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