Orange County NC Website
AGENCY CUSTOMER ID: <br />ADDITIONAL REMARKS SCHEDULE <br />LOC #: <br /> ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance <br />EFFECTIVE DATE: <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSUREDAGENCY <br />See Certificate Number: <br />See Certificate Number: <br /> 570099522384 <br /> 570099522384 <br />Aon Risk Services South, Inc. <br /> 570000019132 <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />INSURER(S) AFFORDING COVERAGE <br />Page _ of _ <br />NAIC # <br />Randstad North America, Inc. <br /> TYPE OF INSURANCE <br />POLICY NUMBER LIMITS <br />OTHER <br />A ERISA Bond P00100020901204 10/01/2022 10/01/2023 <br />F E&O - Miscellaneous <br />Professional-Primary <br />EOC435913814 01/01/2023 01/01/2024 <br />Aggregate $1,000,000 <br />Occurrence $1,000,000 <br />Each Loss $1,000,000 <br />SIR $103,613 <br />Aggregate $1,000,000 <br />Crime- Client Property <br />Info Technology/Internet <br />ADDL <br />INSD <br />INSR <br />LTR <br />SUBR <br />WVD <br />POLICY <br />EFFECTIVE DATE <br />(MM/DD/YYYY) <br />POLICY <br />EXPIRATION DATE <br />(MM/DD/YYYY) <br />SIR applies per policy terms & conditions <br />SIR applies per policy terms & conditions <br />ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />DocuSign Envelope ID: E1B078A6-EFC2-4935-B98B-D38AF4BEDBB7