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DocuSign Envelope ID:3D4D20DD-E384-4780-B168-B7B2CCA4B00B
<br /> DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 01/12/2023
<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(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 /> PRODUCER CONTACT Carmen Canady
<br /> NAME:
<br /> Insurance Management Consultants,Inc. pAJC o Ext: (704)799-1600 n/Xc,No): (704)799-2955
<br /> P.O.Box 2490 E-MAIL cert@imcipls.com
<br /> ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Davidson NC 28036 INSURERA: Hartford Underwriters Ins Co 30104
<br /> INSURED INSURER B: Nutmeg Insurance Company 39608
<br /> Progressive Design Collaborative,Ltd. INSURER C: Travelers Casualty&Surety Company 19038
<br /> 3101 Poplarwood Ct INSURER D:
<br /> Suite 320 INSURER E:
<br /> Raleigh NC 27604 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 22/23 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 INSURANCEADDLSUBR POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE TO_7CLAIMS-MADE � OCCUR PREM SES Ea oNcE ante $ 1,000,000
<br /> X General Liability MED EXP(Anv one person) $ 10,000
<br /> A Y 22SBWAT6PP1 08/16/2022 08/16/2023 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN-LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X JECT LOC PRODUCTS AGG $POLICY ❑ PRO 4,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ $2 000 000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y 22SBWAT6PP1 08/16/2022 08/16/2023 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED �/ NON-OWNED PROPE DAMAGE $
<br /> AUTOS ONLY /� AUTOS ONLY Per accidentRTY
<br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000
<br /> A EXCESS LIAB CLAIMS-MADE Y 22SBWAT6PP1 08/16/2022 08/16/2023 AGGREGATE $ 5,000,000
<br /> DED RETENTION $ 10,000 $
<br /> WORKERS COMPENSATION A STATUTE EERH
<br /> AND EMPLOYERS'LIABILITY Y/N 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> B OFFICER/MEMBER EXCLUDED? NIA Y 22WEGAT6PSX 08/16/2022 08/16/2023
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Each Claim $3,000,000
<br /> C Professional Liability 105662340 08/16/2022 08/16/2023 Aggregate $3,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> If required by written contract and executed prior to any loss,Orange County,its officers,official agents,and employees are included as additional insured
<br /> under the general,auto and umbrella policies subject to all policy terms and conditions.If required by written contract and executed prior to any loss,a
<br /> waiver of subrogation is provided for the workers compensation policy subject to all policy terms and conditions.Policies provide 30 day notice of
<br /> cancellation.
<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 /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn:Risk Management
<br /> AUTHORIZED REPRESENTATIVE
<br /> PO Box 8181
<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 />
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