Orange County NC Website
GovClient PropHolder Identifier : 7777777707070700077761616045571110767735324015474207663304671635132070671557046332320717051333343000107215110746264610077665240764555370734235551277613007325220143371120076727242035772000777777707000707007 7777777707070700073525677115456000777415157126456507330510564233577075637733460364410752637771216645007032336353172000070222263530720110713332634217301007023336252062110077756163351765540777777707000707007 570102191891 CERTIFICATE NUMBER:CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) <br />10/10/2023 <br />Aon Risk Services Central, Inc. <br />PRODUCER <br />Philadelphia PA Office <br />100 North 18th Street <br />15th Floor <br />Philadelphia PA 19103 USA <br />(866) 283-7122 (800) 363-0105 <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 BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE <br />OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />CONTACT <br />NAME: <br />PHONE <br />(A/C. No. Ext): <br />E-MAIL <br />ADDRESS: <br />PRODUCER <br />CUSTOMER ID #: <br />FAX <br />(A/C. No.): <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A:INSURED XL Insurance America Inc 24554 <br />INSURER B:AXIS Insurance Company 37273 <br />570000093922 <br />Maximus US Services, Inc. <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />INSURER C:1600 Tysons Boulevard, Suite 1400 <br />McLean VA 22102 USA <br />LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />RE: 9873 - NC CO Orange CAP/EMS 23-25. <br />CERTIFICATE NUMBER: 570102191891 COVERAGES 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 />POLICY EXPIRATION <br />DATE (MM/DD/YYYY)LIMITS COVERED PROPERTYPOLICY EFFECTIVE <br />DATE (MM/DD/YYYY)POLICY NUMBER TYPE OF INSURANCEINSR <br />LTR <br />PROPERTY <br />CAUSES OF LOSS <br />BASIC <br />BROAD <br />EARTHQUAKE <br />FLOOD <br />BUILDING <br />PERSONAL PROPERTY <br /> BUSINESS INCOME <br />EXTRA EXPENSE <br />BLANKET BUILDING <br />BLANKET PERS PROP <br />BLANKET BLDG & PP <br />X <br />X <br />X <br />X <br />X <br />$5,000,000 <br />$10,000,000Loss Limit <br />A US00078612PR23A 05/01/2023 05/01/2024 <br />WIND <br />DEDUCTIBLES <br />BUILDING <br />CONTENTS RENTAL VALUE <br />SPECIAL <br />$500,000Loss Limit Ded <br />INLAND MARINE TYPE OF POLICY <br />CAUSES OF LOSS <br />NAMED PERILS <br />POLICY NUMBER <br />CRIME <br />TYPE OF POLICY <br />Crime - Primary <br />X <br />X <br />X $5,000,000 <br />$500,000 <br />Employee Dishonesty <br />Deductible <br />B P00100064849103 08/01/2023 08/01/2024 <br />SIR applies per policy terms & conditions <br />BOILER & MACHINERY / <br />EQUIPMENT BREAKDOWN <br />SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the Property <br />policy. <br />CERTIFICATE HOLDER CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />Orange County, North Carolina <br />PO Box 8181, 131 W. Margaret Ln. <br />Suite 333 <br />Hillsborough NC 27278 USA <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 <br />PROVISIONS. <br />ACORD 24 (2016/03) <br />© 1995-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11