Orange County NC Website
20 <br /> DATE(MM/DD/YYYY) <br /> A a CERTIFICATE OF LIABILITY INSURANCE <br /> 07/02/2024 <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 BELOW. <br /> 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.If <br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER 'p <br /> NAME: <br /> AOn Risk Services Central, Inc. FAX <br /> Chicago IL Office (A/C.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 <br /> 200 East Randolph E-MAIL C <br /> Chicago IL 60601 USA ADDRESS: _ <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Liberty Insurance Corporation 42404 <br /> Motorola Solutions, Inc. INSURER B: Liberty Mutual Fire Ins CO 23035 <br /> Attn Stephanie Lampi <br /> 500 west Monroe INSURER C: Lexington Insurance Company 19437 <br /> Chicago IL 60661 USA INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 570107051462 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. Limits shown are as requested <br /> LTR TYPE OF INSURANCE INSD I WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> B X COMMERCIAL GENERAL <br /> �LIABILITY TB2641005169074 07 01 2024 07 Ol 2025 EACH OCCURRENCE $1,000,000 <br /> DAMACLAIMS-MADE X IOCCUR -PREMISES <br /> RENTED $250,000 <br /> PREMISES(Ea occurrence) <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> X POLICY 17JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 0 <br /> OTHER: o <br /> r <br /> B AS2-641-005169-014 07/01/2024 07/01/2025 COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY <br /> $1,000,000(Ea accident) <br /> X ANY AUTO <br /> BODILY INJURY(Per person) O <br /> Z <br /> OWNED SCHEDULED BODILY INJURY(Per accident) .�. <br /> AUTOS ONLY AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> ONLY AUTOS ONLY (Per accident) <br /> 1= <br /> N <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE V <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION <br /> A WORKERS COMPENSATION AND wA764DO05169084 07/01/2024 07/01/2025 X PERSTATUTE I OTTH- <br /> EMPLOYERS'LIABILITY YIN All other States I ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N/A WC 7641005169094 07/01/2024 07/01/2025 <br /> (Mandatory in NH) <br /> If yes,describe under WI E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> c E&O - Miscellaneous 013461661 07/01/2024 07/01/2025 Each Claim $1,000,000 <br /> Professional-Primary Professional/Cyber/E&O Aggregate $1,000,000 <br /> SIR applies per policy ter us & conditions <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) s <br /> certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. I� <br /> l <br /> dim <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE N <br /> POLICY PROVISIONS. <br /> orange County, NC AUTHORIZED REPRESENTATIVE <br /> 300 west Tryon Street <br /> Hillsborough NC 27278 USA <br /> M <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />