Orange County NC Website
ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />Other deductibles may apply as per policy terms and conditions.� <br />CRIME� <br />Policy No: BCCR-45003741-21� <br />Deductible: $100,000� <br />22 <br />A: Travelers Property Casualty Company of America� <br />PROPERTY� <br />San Jose <br />Policy:H-630-2P556136-TIL-21� <br />Travelers Paper: Travelers Property Casualty Company Of America Property� <br />� <br />Limits: $,3,000,000 Each Claim $1,000,000 Aggregate Retro Active Date: 10/31/2016� <br />�� <br />�� <br />Employee Benefits Effective 12/1/2021-12/1/2022� <br />GENERAL LIABILITY:� <br />Certificate of Liability Insurance <br />� <br />CN117631842 <br />Policy No:H-630-2P556136-TIL-21� <br />Limit: $1,000,000 $5,000 Waiting Period 24 Hours� <br />� <br />Effective 12/01/2021 Expire 12/01/2022� <br />Great American Insurance Company� <br />� <br />�� <br /> Marsh Risk & Insurance Services� 55 Almaden Blvd., Suite 600� Zoom Video Communications, Inc.� <br /> San Jose, CA 95113 <br />Limit:$1,000,000� <br />25 <br />Effective Date: 12/01/2021 Expire: 12/01/2022� <br />DocuSign Envelope ID: 1F271B3B-E0E5-4A0F-9D28-4189E6717556