Orange County NC Website
Holder Identifier : 7777777707070700077763616065553330763735764015474607762215770634132071660557146323320752405777247455007744415356674714073620311724101320770261115663657407764635516274570077727252025773110777777707000707007 6666666606060600062606466204446200620022404226202006222024240040020060002242402622220600000604026220206220204040062002062220042402420000622222426002062006222044020460042066646062240664440666666606000606006Certificate No :570103789129CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 01/31/2024 <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 />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 />PRODUCER <br />Aon Risk Services Central, Inc. <br />MSC#17382 <br />Aon <br />PO Box 1447 <br />Lincolnshire IL 60069 USA <br />PHONE <br />(A/C. No. Ext): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />(866) 283-7122 <br />INSURED 24147Old Republic Insurance CompanyINSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />FAX <br />(A/C. No.):(800) 363-0105 <br />CONTACT <br />NAME: <br />Stryker Corporation & Subsidiaries <br />1941 Stryker Way <br />Portage MI 49002 USA <br />COVERAGES CERTIFICATE NUMBER:570103789129 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 />POLICY EXP <br />(MM/DD/YYYY) <br />POLICY EFF <br />(MM/DD/YYYY) <br />SUBR <br />WVD <br />INSR <br />LTR <br />ADDL <br />INSD POLICY NUMBER TYPE OF INSURANCE LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />POLICY LOC <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />X <br />X <br />X <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />$3,000,000 <br />$100,000 <br />Excluded <br />$2,000,000 <br />$3,000,000 <br />$3,000,000 <br />A 02/01/2024 11/01/2024 <br />Y MWZY31274724 <br />PRO- <br />JECT <br />OTHER: <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />SCHEDULED <br /> AUTOS <br />HIRED AUTOS <br />ONLY <br />NON-OWNED <br />AUTOS ONLY <br />BODILY INJURY ( Per person) <br />PROPERTY DAMAGE <br />(Per accident) <br />X <br />X <br />BODILY INJURY (Per accident) <br />$1,000,000A02/01/2024 11/01/2024Y <br />Phys Dmge-Self Insd <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />MWTB 312744 24 <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE AGGREGATE <br />EACH OCCURRENCE <br />DED <br />UMBRELLA LIAB <br />RETENTION <br />E.L. DISEASE-EA EMPLOYEE <br />E.L. DISEASE-POLICY LIMIT <br />E.L. EACH ACCIDENT $2,000,000 <br />X OTH- <br />ER <br />PER STATUTEA02/01/2024 11/01/2024 <br />AOS <br />MWXS31274524A 02/01/2024 11/01/2024 <br />$2,000,000 <br />Y / N <br />(Mandatory in NH) <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />OFFICER/MEMBER EXCLUDED?N / A <br />Y <br />N <br />Excess WC - MI <br />SIR applies per policy terms & conditions <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />$2,000,000 <br />MWC31274324 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Master Service Contract and Stryker Pricing Statement (LUCAS3 Service Agmt-8 units, 4 yrs (5/Warranty) (Sept 2020) and ProCare <br />Powerload & LifePak Quote #: 10766705 & 10782333 - Ending 7/23/24 & 8/31/24. <br />Orange Country, its officers, agents and employees are included as Additional Insured (CG2026 1219) in accordance with the <br />policy provisions of the general liability and automobile liability policies, but only if or to the extent required by written <br />contract. A Waiver of Subrogation is granted in favor of Orange Country, its officers, agents and employees in accordance with <br />the policy provisions of the workers compensation policy, but only if or to the extent required by written contract. <br />CANCELLATIONCERTIFICATE HOLDER <br />AUTHORIZED REPRESENTATIVEOrange County <br />Attn: Emergency Services <br />PO Box 8181 <br />Hillsborough NC 27278 USA <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />Docusign Envelope ID: 124C2255-EB5C-4E9B-9434-35BB530FD7EA