2024-357-E-AMS-Analytical Consultants- Appraisal Fees Sportsplex-Passmore Center and Soltys

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1001486 2005 155279 205 01-19-2023 INSR LTR TYPE OF INSURANCE ADD INSD SUB WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY)POLICY EXP (MM/DD/YYYY)LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: Y Y 93-AP-H378-4 10/01/2023 10/01/2024 EACH OCCURRENCE 3,000,000$ DAMAGE TO RENTED PREMISES (Ea occurrence)300,000$ MED EXP (Any one person)10,000$ PERSONAL & ADV INJURY 3,000,000$ GENERAL AGGREGATE 6,000,000$ PRODUCTS - COMP/OP AGG 6,000,000$ $ B AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOSHIRED AUTOS ONLY NON-OWNED AUTOS ONLY N N 156 3777-C08-33C 03/08/2024 09/08/2024 COMBINED SINGLE LIMIT (Ea accident)$ BODILY INJURY (Per person)1,000,000$ BODILY INJURY (Per accident)1,000,000$ PROPERTY DAMAGE (Per accident)1,000,000$ $ A UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION 10,000$ N/A 93-CX-N223-5 10/11/2023 10/11/2024 EACH OCCURRENCE 2,000,000$ AGGREGATE 2,000,000$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N Y / N N / A N 93-GE-S675-1 10/01/2023 10/01/2024 PER STATUTE OTH- ER $ E.L. EACH ACCIDENT 1,000,000$ E.L. DISEASE - EA EMPLOYEE 1,000,000$ E.L. DISEASE - POLICY LIMIT 1,000,000$ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CANCELLATION AUTHORIZED REPRESENTATIVE 06/25/2024This form was system-generated on . E-MAIL ADDRESS:kevin.cooke.e3t6@statefarm.com CONTACT NAME:Kevin Cooke PHONE (A/C, No, Ext):919-918-4478 FAX (A/C, No): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :State Farm Fire and Casualty Company 25143 INSURER B :State Farm Mutual Automobile Insurance Company 25178 INSURER C : INSURER D : INSURER E : INSURER F : PRODUCER INSURED Kevin Cooke 200 Timberhill Pl Unit 202 Chapel Hill NC 275141964 ANALYTICAL CONSULTANTS, INC 125 KINGSTON DR STE 206 CHAPEL HILL NC 275141649 REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/25/2024 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER Orange County 300 West Tryon Street P.O. Box 8181 Hillsborough NC 27278 The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 7C0D2154-DFFB-4C29-B61B-981C9754D1DD