Orange County NC Website
DocuSign Envelope ID:BE948547-DFB5-4563-86D7-3 BAD C4768A61 <br /> DATE(MM/DD/YYYY) <br /> ,a�oRo® CERTIFICATE OF LIABILITY INSURANCE <br /> 01/12/2024 <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 w/ p y, 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 '6 <br /> NAME: <br /> AOn Risk Services Central, Inc. PHONE FAX <br /> Chicago IL Office (A/C.No.Ezt): (866) 283-7122 (A/c.No.): (800) 363-0105 <br /> 200 East Randolph E-MAIL x° <br /> Chicago IL 60601 USA ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: Lexington Insurance Company 19437 <br /> Motorola Solutions, Inc. INSURERB: Liberty Mutual Fire Ins Co 23035 <br /> Attn Stephanie Lampi <br /> 500 west Monroe INSURERC: Liberty Insurance Corporation 42404 <br /> Chicago IL 60661 USA <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 570103594994 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 MAYBE 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 /> INSR ADDL SUBR EFF EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (POLICYMM/DD/YYYY) (POLICYMM/DD/YYYY) LIMITS <br /> B X COMMERCIAL GENERAL LIABILITY TB2641005169073 07/01/2023 07/01/2024 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MAD DAMAGE TO RENTED <br /> E X OCCUR PREMISES(Ea occurrence) $250,000 <br /> MED EXP(Any one person) $1.0,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> X POLICY ❑PRO ❑ <br /> JECT LOG PRODUCTS-COMP/OP AGG $2,000,000 <br /> 0 <br /> OTHER: o <br /> r <br /> B AUTOMOBILE LIABILITY A52-641-005169-013 07/01/2023 07/01/2024 COMBINED SINGLE LIMIT <br /> (Ea accident) $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) •' <br /> O <br /> OWNED <br /> S AUTOS 2CHEDULED BODILY INJURY(Per accident) Z <br /> AUTOS ONLY PROPERTY DAMAGE iC <br /> HIRED AUTOS NON-OWNED (Per accident) U <br /> ONLY AUTOS ONLY <br /> 1= <br /> O1 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE L) <br /> EXCESS LAB CLAIMS-MADE AGGREGATE <br /> DED I RETENTION <br /> C WORKERS COMPENSATION AND WA764DO05169083 07/01/2023 07/01/2024 X PERSTATUTE ORTH- <br /> EMPLOYERS'LIABILITY Y/N All other States <br /> JE <br /> ANY PROPRIETOR/PARTNER/ E.L.EACH ACCIDENT $1,000,000 <br /> C EXECUTIVEOFFICER/MEMBER N N/A wc7641005169093 07/01/2023 07/01/2024 <br /> (Mandatory in NH) WI E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> Dyes,describe under $1,000,000 <br /> DESCRIPTION OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> A E&O - Miscellaneous 011663682 07/01/2023 07/01/2024 Each Claim $1,000,000 <br /> Professional-Primary Professional/Cyber/E&O Aggregate $1,000,000== <br /> SIR applies per policy ter s & condi ions <br /> .�R <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) ` <br /> �J <br /> 1 <br /> y7 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION r�J <br /> DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ar�J <br /> Orange County, NC AUTHORIZED REPRESENTATIVE IF <br /> 300 West Tryon Street <br /> Hillsborough NC 27278 USA fir. <br /> cXJ.'�!L i/GdQ/G�iGa'J�O ����9d�.Q-�e/9FG� �•� <br /> ©1988-2015 ACORD CORPORATION.All rights reserved <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />