Orange County NC Website
Strategic Government Resources, INC.Coverica <br />25 Certificate of Liability Insurance: Notes <br />Directors & Officers,/Crime <br />Policy # 82625020 <br />Effective Dates 12/16/2022-12/16/2023 <br />Limits: $1,000,000 Aggregate <br />Cyber Liability, Policy #D95977911 <br />Effective Dates: 3/22/2023-3/22/2024 <br />Limits: $1,000,000 Occurrence/$1,000,000 Aggregate <br />Deductible: $2,500 <br />Workers Compensation- Policy # 03501911 22 1 <br />Coverage State: OK <br />Effective Dates : 9/13/2022-9/13/2023 <br />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 />Workers Compensation- Policy # WC5-33S-B22Q5F-012 <br />Coverage State: VA, AZ, AR, CT, GA, IA, IL, KS, NC, OR, TN, NV, VT <br />Effective Dates : 10/01/2022-10/01/2023 <br />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 />Workers Compensation- Policy # 6R594951 <br />Coverage State: MO <br />Effective Dates : 10/01/2022-10/01/2023 <br />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 />Workers Compensation- Policy # 1810126342 <br />Coverage State: ME <br />Effective Dates : 10/01/2022-10/01/2023 <br />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 />Workers Compensation- Policy # 154887.801 <br />Coverage State: MN <br />Effective Dates : 10/01/2022-10/01/2023 <br />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 />Workers Compensation- Policy # 06349567 <br />Coverage State: PA <br />Effective Dates : 10/01/2022-10/01/2023 <br />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 />Workers Compensation- Policy # WCV5122211 <br />Coverage State: FL <br />Effective Dates : 1/15/2023-1/15/2024 <br />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 />Workers Compensation- Policy # 0107804.101 <br />Coverage State: NM <br />Effective Dates : 2/03/2023-2/03/2024 <br />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 />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 />DocuSign Envelope ID: 32A4FD5F-61F1-416A-9D7A-493A094B5097