Orange County NC Website
Holder Identifier : 7777777707070700077763616065553330763735764015474607762215770634132071660557146323320756041733247411007744015352234754073660755320541320774261155627657407360275112274130077727252025773110777777707000707007 6666666606060600062606466204446200600222606026220006220004042062002062022042622420000602222624026022206022204060262220062000060622420000602220424002262206220044202640042066646062240664440666666606000606006Certificate No : 570081814777 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 05/20/2020 <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 />PRODUCER <br />Aon Risk Insurance Services West, Inc. <br />Los Angeles CA Office <br />707 Wilshire Boulevard <br />Suite 2600 <br />Los Angeles CA 90017-0460 USA <br />PHONE(A/C. No. Ext): <br />E-MAILADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />(866) 283-7122 <br />INSURED 25674Travelers Property Cas Co of AmericaINSURER A: <br />38318Starr Indemnity & Liability CompanyINSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />FAX(A/C. No.):(800) 363-0105 <br />CONTACTNAME: <br />Lime Energy Company <br />2401 East Katella Avenue, Suite 300 <br />Anaheim CA 92806 USA <br />COVERAGES CERTIFICATE NUMBER:570081814777 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 />Limits shown are as requested <br />POLICY EXP (MM/DD/YYYY)POLICY EFF (MM/DD/YYYY)SUBRWVDINSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />POLICY LOC <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />X <br />X <br />X <br />X <br />X <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />$1,000,000 <br />$1,000,000 <br />$15,000 <br />$1,000,000 <br />$2,000,000 <br />$2,000,000 <br />Employee Benefits Liability <br />Contractual Liability Included <br />A 11/09/2019 11/09/20206307J366586TIL19 <br />PRO- <br />JECT <br />OTHER: <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />SCHEDULED <br /> AUTOS <br />HIRED AUTOS <br />ONLY <br />NON-OWNED <br />AUTOS ONLY <br />BODILY INJURY ( Per person) <br />PROPERTY DAMAGE <br />(Per accident) <br />X <br />BODILY INJURY (Per accident) <br />$1,000,000A11/09/2019 11/09/2020 COMBINED SINGLE LIMIT <br />(Ea accident)810-7N676545-19-43-G <br />EXCESS LIAB <br />X OCCUR <br />CLAIMS-MADE AGGREGATE <br />EACH OCCURRENCE <br />DED <br />$1,000,000 <br />$1,000,000 <br />11/09/2019UMBRELLA LIABA 11/09/2020CUP9056X9761943 <br />RETENTION <br />X <br />E.L. DISEASE-EA EMPLOYEE <br />E.L. DISEASE-POLICY LIMIT <br />E.L. EACH ACCIDENT $1,000,000 <br />X OTH-ERPER STATUTEA11/09/2019 11/09/2020 <br />$1,000,000 <br />Y / N <br />(Mandatory in NH) <br />ANY PROPRIETOR / PARTNER / <br />EXECUTIVE OFFICER/MEMBER N / AN <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />If yes, describe under DESCRIPTION OF OPERATIONS below <br />$1,000,000 <br />UB0L6636781943G <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Orange County is included as Additional Insured in accordance with the policy provisions of the General Liability and <br />Automobile Liability policies. <br />CANCELLATIONCERTIFICATE HOLDER <br />AUTHORIZED REPRESENTATIVEOrange County <br />PO Box 8181 <br />Hillsborough NC 27278 USA <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />DocuSign Envelope ID: 69370BFA-5538-4B9E-BA17-E7F5AC496936