Orange County NC Website
n 4.e_ �+ <br /> DocuSign Envelope ID:8CCC378C-D84F-4D9F-BAF3-FB77653CO88A Ali ment <br /> 78/3/2022 <br /> E(MM/DDYYY) <br /> ACC" CERTIFICATE OF LIABILITY INSURANCE /Y <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(lies) 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 /> NAME: <br /> Marsh &McLennan Agency LLC PHONE FAx <br /> 5500 Cherokee Avenue, Suite 300 LAIC, <br /> /C No Ext: 800-274-0268 A/c No), <br /> Alexandria VA 22312 ADDRESS: certificates@MarshMMA.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: Lloyds Syndicate 2623/623 55555 <br /> INSURED CARAHTECHN INSURER B: Hartford Casualty Insurance Company 29424 <br /> Carahsoft Technology Corp. <br /> FedResults, Inc. <br /> INSURERC: Hartford Fire Insurance Company19682 <br /> FedR <br /> 11493 Sunset Hills Road INSURERD: <br /> Suite 100 INSURER E: <br /> Reston VA 20190 <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:531318932 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 /> 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/DD/YYYY MM/DD/YYYY <br /> B X COMMERCIAL GENERAL LIABILITY Y Y ENP0651059 4/19/2022 4/19/2023 EACH OCCURRENCE $1,000,000 <br /> TED <br /> CLAIMS-MADE � OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $500,000 <br /> 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❑ PRO- <br /> JECT ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> X <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY Y Y ENP0651059 4/19/2022 4/19/2023 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> B X UMBRELLA LIAB X OCCUR ENP0651059 4/19/2022 4/19/2023 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Cyber Y Y W301BF210101 8/27/2021 8/27/2022 $5,000,000 Occurrence <br /> C Professional Liab 30TP032740921 2/6/2022 2/6/2023 $5,000,000 Aggregate <br /> Crime <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> 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 /> Orange County <br /> 131 W Margaret Lane AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />