Orange County NC Website
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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 />Move United <br />451 Hungerford Drive <br />Suite 608 <br />Rockville, MD 20850 <br />Type of Program/Event: Adapted Sports Program training clinics for NC schools <br />Safety Equipment or Precaution: All adaptive equipment including wheelchairs, blackout goggles, etc., are checked and <br />monitored by trained BIIS staff. Providing the educational training/disability awareness event at multiple schools <br />within Orange County. <br />Event Address: 3729 Murphey School Rd, Durham, NC 27705 <br />Orange County, its officers, agents and employees are included as Additional Insured as respects to General <br />Liability. <br />Excess Abuse limits via Umbrella Coverage. <br />2 2 <br />Willis Towers Watson Northeast, Inc. <br />See Page 1 <br />See Page 1 See Page 1 See Page 1 <br />25 Certificate of Liability Insurance <br />W29878787CERT:3097459BATCH:24540739SR ID: <br />DocuSign Envelope ID: 5B0A0BDD-DA6D-48E7-A65E-A0859BD61F52