Orange County NC Website
Docusign�E.-n�vvelope ID : 8C7DOF83-A844-470B -BD7E-4C89FBF3FD2B <br /> A ® DATE (MM/DD/YYYY) <br /> �/� � CERTIFICATE OF LIABILITY INSURANCE 7/ 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 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 /> CONTPRODUCER NAME, IMA Wichita Team <br /> IMA, Inc . - Salt Lake City PHONE FAX <br /> 95 S State Street, Suite 1300 A/C No Ext • 31 &267-9221 A/c No) : <br /> AIL <br /> Salt Lake City LIT 84111 ADDRESS: certs imacor .com <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURER A : ACE American Insurance Company 22667 <br /> INSURED MEDIPRI-01 INSURER B <br /> Medical Priority Consultants , Inc. <br /> 110 S . Regent ST, Ste . 500 INSURER C <br /> Salt Lake City LIT 84111 INSURER D : <br /> INSURER E : <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 562357456 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 /> ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDI EFF MM/DD EXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ <br /> MED EXP (Anyone person) $ <br /> i <br /> PERSONAL & ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY JECT LOC PRODUCTS - COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY Ea BINEDtSINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS' LIABILITY Y / N STA UTE ERH <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E. L . EACH ACCIDENT $ <br /> OFFICER/MEMBEREXCLUDED? N / A <br /> (Mandatory in NH) E . L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> A Cyber Liability D02142405 2/1 /2024 2/1 /2025 See Below <br /> DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> Cyber Liability: Each Claim $5 , 000 , 000 , Aggregate $ 5 , 000 , 000 ; Retention $250 , 000 ; Retroactive Date 1 /15/2006 . <br /> Cyber Liability Policy includes coverage for Technology Errors & Omissions , Cyber Privacy, Network and Security Liability, and Miscellaneous First Party <br /> Insuring Agreements , subject to the policy terms , conditions, limitations and exclusions . <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 /> V � <br /> © 1988=2015 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />