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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
<br />07/12/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
<br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
<br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATIONIS WAIVED,
<br />subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not
<br />confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CAY INSURANCE SERVICES INC/PHS
<br />20266646
<br />The Hartford Business Service Center
<br />3600 Wiseman Blvd
<br />San Antonio, TX 78251
<br />CONTACT
<br />NAME:
<br />PHONE
<br />(A/C, No, Ext):
<br />(866) 467-8730 FAX
<br />(A/C, No):
<br />(888) 443-6112
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAIC#
<br />INSURED
<br />SCORPION STARTUP, LLC DBA PARATUS SERVICE GROUP
<br />PO BOX 4096
<br />CARY NC 27519-4096
<br />INSURER A : Sentinel Insurance Company Ltd.11000
<br />INSURER B :Hartford Fire and Its P&C Affiliates 00914
<br />INSURER C :Hartford Accident and Indemnity Company 22357
<br />INSURER D :
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: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
<br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR TYPE OF INSURANCE ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER POLICY EFF
<br />(MM/DD/YYYY)
<br />POLICY EXP
<br />(MM/DD/Y YYY)LIMITS
<br />A
<br />COMMERCIAL GENERAL LIABILITY
<br />X 20 SBM AH3941 07/09/2021 07/09/2022
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS-MADE X OCCUR DAMAGE TO RENTED
<br />PREMISES (Ea occurrence)$1,000,000
<br />X General Liability MED EXP (Any one person)$10,000
<br />PERSONAL & ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $2,000,000
<br />POLICY X PRO-
<br />JECT
<br />LOC PRODUCTS - COMP/OP AGG $2,000,000
<br />OTHER:
<br />C
<br />AUTOMOBILE LIABILITY
<br />20 UEC EB4304 10/11/2020 10/11/2021
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)$1,000,000
<br />X ANY AUTO BODILY INJURY (Per person)
<br />ALL OWNED
<br />AUTOS
<br />SCHEDULED
<br />AUTOS BODILY INJURY (Per accident)
<br />X HIRED
<br />AUTOS X NON-OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />A
<br />X UMBRELLA LIAB
<br />EXCESS LIAB
<br />X OCCUR
<br />CLAIMS-
<br />MADE 20 SBM AH3941 07/09/2021 07/09/2022
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE $5,000,000
<br />DED X RETENTION $ 10,000
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY
<br />PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N/ A 20 WBC AI5610 07/09/2021 07/09/2022
<br />X PER
<br />STATUTE
<br />OTH-
<br />ER
<br />Y/N E.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />A FAILSAFE TECHNOLOGY E OR
<br />O
<br />20 SBM AH3941 07/09/2021 07/09/2022 Each Glitch
<br />Aggregate
<br />$1,000,000
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008, attached to this
<br />policy.
<br />CERTIFICATE HOLDER CANCELLATION
<br />Orange County Solid Waste Management
<br />1207 EUBANKS RD
<br />CHAPEL HILL NC 27516-5691
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
<br />BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
<br />IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD
<br />DocuSign Envelope ID: 8CF67996-515A-45D8-B2DD-0F58229EF6A1
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