Orange County NC Website
ORANCOU -50 JSHARMA <br /> ACORO `3 DATE (MM/DD/YYYY) <br /> CERTIFICATE LIABILITYINSURANCE 7/19/2023 <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 <br /> NAME: <br /> Alliant Insurance Services, Inc. PHONE 619 238 -1828 FAX <br /> 101 N . Tryon St, Ste 6000 (A/C, No, Ext) : ( (A/C, No) : <br /> Charlotte, NC 28246 ADDRESS : <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURERA : Charter Oak Fire Insurance Company 25616 <br /> INSURED INSURER B : Phoenix Insurance Company 2623 <br /> Orange County , NC INSURER c : Travelers Property Casualty Company of America 25674 <br /> 300 West Tryon Street INSURER D : Farmington Casualty Company 41483 <br /> Hillsborough, NC 27278 INSURER E : Syndicate 2623/623 at Lloyd's (Beazley Furlonge Ltd .) <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER : 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 INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> CLAIMS-MADE ® OCCUR ZLP91 N5373023PA 7/1 /2023 7/1 /2024 DAMAGE TO RENTED <br /> PREMISES Ea occurrence) $ <br /> MED EXP (Any oneperson) $ <br /> PERSONAL & ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 0001000 <br /> X POLICY F1PECOT- LOC PRODUCTS - COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2 , 0001000 <br /> Ea accident $ <br /> X ANY AUTO H8106T107454PHX23 7/1 /2023 7/1 /2024 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> A�T OS ONLY AUOTOOS ONLYY PeOr accRden DAMAGE $ <br /> C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 41000 , 000 <br /> EXCESS LIAR CLAIMS-MADE ZUP16P3255723PA 7/ 1 /2023 7/112024 AGGREGATE $ 41000 , 000 <br /> DED RETENTION $ $ <br /> D WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS' LIABILITY Y / N UBST76883623PAD 7/1 /2023 7/1 /2024 STA UTE I I ER 100007000 <br /> ANY OFFICER/MEMBER/ EXCLUDED? ECUTIVE ® N / A E. L. EACH ACCIDENT <br /> (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE 1 , ®00 , ® ®® <br /> If yes, describe under 1 , 000 , 000 <br /> DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ <br /> E Cyber Liability FN2311046 7/1 /2023 7/1 /2024 Limit 1 , 000 , 000 <br /> A Prof. Liability ZLP91 N6373023PA 7/1 /2023 7/1 /2024 Limit 21000 , 000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> Evidence of coverage only. <br /> Y <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> U <br /> ACORD 25 ( 2016/03 ) © 1988 =2015 ACORD CORPORATION . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br />