Orange County NC Website
Docusign Envelope ID:8C7DOF83-A844-47OB-BD7E-4C89FBF3FD2B <br /> CERTIFICATE OF LIABILITY INSURANCE D7/11/202/4YY) <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: IMA WlClllta Team <br /> IMA, Inc. -Salt Lake City PHONE FAX <br /> 95 S State Street, Suite 1300 A/c No Ext: 316-267-9221 A/c No): <br /> Salt Lake City UT 84111 ADDRESS: certs@imacorp.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Federal Insurance Company 20281 <br /> INSURED MEDIPRI-01 INSURER B:Great Northern Insurance Company 20303 <br /> Medical Priority Consultants, Inc.110 S. Regent ST, Ste. 500 INSURERC:Chubb Indemnity Insurance Company 12777 <br /> Salt Lake City UT 84111 INSURER D: <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:1513371828 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 EFF POLICY EXP LIMITS <br /> LTR IN SD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 36027183 2/1/2024 2/1/2025 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED PREM SES Ea occurrrence $1,000,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY JECTPRO ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> X PRO- <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY Y Y 73587016 2/1/2024 2/1/2025 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> A X UMBRELLA LIAB X OCCUR Y Y 79887942 2/1/2024 2/1/2025 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 <br /> DIED X RETENTION$n $ <br /> C WORKERS COMPENSATION Y 71753870 2/1/2024 2/1/2025 X <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE NIA <br /> E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/M EMBER EXCLU DED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Named Insured Includes: Medical Priority Consultants, Inc., Priority Dispatch Corp., Regent Holdings,LLC,Priority Solutions, Inc., National Academies of <br /> Emergency Dispatch, International Academies of Emergency Dispatch,and Priority Dispatch Corp. UK,LTD. <br /> Certificate Holder and all other parties required by the contract are included as Additional Insured on the General Liability,Automobile Liability,and Umbrella <br /> Liability Policies,if required by written contract or agreement,subject to the policy terms and conditions.This Insurance is Primary&Non-Contributory on the <br /> General Liability,Automobile Liability,and Umbrella Liability Policies,if required by written contract or agreement,subject to the policy terms and conditions.A <br /> Waiver of Subrogation is provided in favor of the Certificate Holder and all other parties required by the contract on the General Liability,Automobile Liability, <br /> Umbrella Liability,and Workers Compensation Policies,if required by written contract or agreement,subject to the policy terms and conditions. <br /> Umbrella Liability policy is in excess of the General Liability,Automobile Liability and Employers Liability Policies,subject to the policy terms and conditions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County <br /> P.O. Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />