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Holder Identifier : 7777777707070700077763616065553330762735665005564607662205770725122071660557146323320716041333243011007744415716234754077224351320541320774661515227657407764635516274570077727252025773110777777707000707007 6666666606060600062606466204446200620000406026202006222026040260200062222062400420020620000604226020006220004242242000062022062622402200620202624000042006220244022440240066646062240664440666666606000606006Certificate No : 570099522384 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 05/23/2023 <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 Services South, Inc. <br />Atlanta GA Office <br />3550 Lenox Road NE <br />Suite 1700 <br />Atlanta GA 30326 USA <br />PHONE(A/C. No. Ext): <br />E-MAILADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />(866) 283-7122 <br />INSURED 37273AXIS Insurance CompanyINSURER A: <br />22667ACE American Insurance CompanyINSURER B: <br />20702ACE Fire Underwriters Insurance Co.INSURER C: <br />43575Indemnity Insurance Co of North AmericaINSURER D: <br />26247American Guarantee & Liability Ins CoINSURER E: <br />INSURER F: <br />FAX(A/C. No.):(800) 363-0105 <br />Zurich American Ins Co 16535 <br />CONTACTNAME: <br />Randstad North America, Inc. <br />c/o Risk Management <br />3625 Cumberland Blvd., Ste. 600 <br />Atlanta GA 30339 USA <br />COVERAGES CERTIFICATE NUMBER:570099522384 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 />GEN'L AGGREGATE LIMIT APPLIES PER: <br />$1,000,000 <br />$100,000 <br />$10,000 <br />$1,000,000 <br />$1,000,000 <br />$1,000,000 <br />F 01/01/2023 01/01/2024GLO824974313 <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 />$1,000,000B10/01/2022 10/01/2023 COMBINED SINGLE LIMIT <br />(Ea accident)ISA H10690961 <br />EXCESS LIAB <br />X OCCUR <br />CLAIMS-MADE AGGREGATE <br />EACH OCCURRENCE <br />DED <br />$1,000,000 <br />$1,000,000 <br />01/01/2023UMBRELLA LIABE 01/01/2024AUC021337305 <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 STATUTED10/01/2022 10/01/2023 <br />All Other States <br />SCFC50671422C 10/01/2022 10/01/2023 <br />$1,000,000 <br />Y / N <br />(Mandatory in NH) <br />ANY PROPRIETOR / PARTNER / <br />EXECUTIVE OFFICER/MEMBER N / AN <br />WI <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />If yes, describe under DESCRIPTION OF OPERATIONS below <br />$1,000,000 <br />WLRC50671495 <br />EL Each AccidentWCUC5067153710/01/2022 10/01/2023 <br />OH $1,000,000EL Disease - Policy <br />EL Disease - Ea Empl $1,000,000 <br />Excess Workers CompensationB <br />SIR applies per policy terms & conditions <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Temporary Services Agreement. Orange Country, agents, officers and employees is included as Additional Insured in <br />accordance with the policy provisions of the General Liability policy. See attached addendum. <br />CANCELLATIONCERTIFICATE HOLDER <br />AUTHORIZED REPRESENTATIVEOrange Country <br />300 west Tryon Street <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: E1B078A6-EFC2-4935-B98B-D38AF4BEDBB7