Orange County NC Website
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />INSURER(S) AFFORDING COVERAGE <br />INSURER F : <br />INSURER E : <br />INSURER D : <br />INSURER C : <br />INSURER B : <br />INSURER A : <br />NAIC # <br />NAME:CONTACT <br />(A/C, No):FAX <br />E-MAILADDRESS: <br />PRODUCER <br />(A/C, No, Ext):PHONE <br />INSURED <br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES <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 />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 />OTHER: <br />(Per accident) <br />(Ea accident) <br />$ <br />$ <br />N / A <br />SUBR <br />WVD <br />ADDL <br />INSD <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 />$ <br />$ <br />$ <br />$PROPERTY DAMAGE <br />BODILY INJURY (Per accident) <br />BODILY INJURY (Per person) <br />COMBINED SINGLE LIMIT <br />AUTOS ONLY <br />AUTOSAUTOS ONLY NON-OWNED <br />SCHEDULEDOWNED <br />ANY AUTO <br />AUTOMOBILE LIABILITY <br />Y / N <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />DESCRIPTION OF OPERATIONS below <br />If yes, describe under <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />$ <br />$ <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. EACH ACCIDENT <br />EROTH-STATUTEPER <br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />EXCESS LIAB <br />UMBRELLA LIAB $EACH OCCURRENCE <br />$AGGREGATE <br />$ <br />OCCUR <br />CLAIMS-MADE <br />DED RETENTION $ <br />$PRODUCTS - COMP/OP AGG <br />$GENERAL AGGREGATE <br />$PERSONAL & ADV INJURY <br />$MED EXP (Any one person) <br />$EACH OCCURRENCE <br />DAMAGE TO RENTED $PREMISES (Ea occurrence) <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO-JECT LOC <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />© 1988-2016 ACORD CORPORATION. All rights reserved. <br />CERTIFICATE HOLDER <br />The ACORD name and logo are registered marks of ACORD <br />HIRED <br />AUTOS ONLY <br />02/26/2021 <br />MARSH USA, INC. <br />20 CHURCH STREET, 8TH FLOORHARTFORD, CT 06103 <br />CN103059650-Otis-STAND-20-21* <br />. <br />Otis.certrequest@Marsh.com <br />National Union Fire Insurance Co. Of Pittsburgh, PA <br />AIU Insurance Co <br />New Hampshire Insurance Co.23841 <br />19399 <br />19445 <br />OTIS WORLDWIDE CORPORATION <br />OTIS ELEVATOR COMPANYONE CARRIER PLACEFARMINGTON, CT 06032 <br />NYC-010502694-04 0 <br />X <br />X <br />X <br />'''Per Policy''' <br />'''$10,000,000 General Aggregate''' <br />'''Per Project / Location''' <br />'''$2,000,000 General Aggregate''' <br />3980241 12/01/2020 12/01/2021 <br />1,000,000 <br />10,000 <br />300,000 <br />1,000,000 <br />A <br />A <br />A <br />X <br />X X <br />4594519 (VA) <br />4594518 (MA) <br />4594517 (AOS) <br />12/01/2020 <br />12/01/2020 <br />12/01/2020 <br />12/01/2021 <br />12/01/2021 <br />12/01/2021 1,000,000 <br />A X X 3980244 12/01/2020 12/01/2021 <br />10,000,000 <br />10,000,000 <br />B <br />B <br />B <br />N <br />020608654 (MA,ND,OH,WA,WI,WY) <br />020608653 (FL) <br />020608652 (CA) <br />020608650 (AOS) <br />12/01/2020 <br />12/01/2020 <br />12/01/2020 <br />12/01/2020 <br />12/01/2021 <br />12/01/2021 <br />12/01/2021 <br />12/01/2021 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />This certificate only applies to 100 E KING 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 />C <br />2,000,000 <br />2,000,000 <br />X <br />A <br />Orange County <br />Manashi Mukherjee <br />of Marsh USA Inc. <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />DocuSign Envelope ID: F3A72AFB-7E67-4665-B390-1E2F05A0DE9A