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2024-657-E-OCOEI Dept-WeClaim Research-Youth Power Building Program
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2024-657-E-OCOEI Dept-WeClaim Research-Youth Power Building Program
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Last modified
11/19/2024 3:01:09 PM
Creation date
11/19/2024 3:01:01 PM
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Template:
Contract
Date
10/29/2024
Contract Starting Date
10/29/2024
Contract Ending Date
10/30/2024
Contract Document Type
Contract
Amount
$26,540.00
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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />10/24/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT <br />CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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 SUBROGATION IS <br />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 <br />certificate holder in lieu of such endorsement(s). <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />PRODUCER Simply Business <br />1 Beacon Street <br />15th Floor <br />Boston, MA 02108 <br />CONTACT Simply BusinessNAME: <br />PHONE FAX <br />(A/C, No, Ext):(844) 654-7272 (A/C, No): <br />E-MAIL <br />ADDRESS:contactus@simplybusiness.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A :Hiscox Insurance Company Inc 10200 <br />INSURED WeClaim Research, LLC <br />3600 N Duke St <br />Suite 1, #1388 <br />Durham, North Carolina 27704 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: <br />INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITSLTRINSD WVD (MM/DD/YYYY) (MM/DD/YYYY) <br />A X COMMERCIAL GENERAL LIABILITY X HIUS4712498XB1 10/23/2024 10/23/2025 EACH OCCURRENCE $1,000,000 <br />CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence)$100,000 <br />MED EXP (Any one person)$5,000 <br />PERSONAL & ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $2,000,000 <br />X <br />POLICY <br />PRO- <br />LOC PRODUCTS - COMP/OP AGG S/T Gen. Agg.JECT <br />OTHER: <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea accident) <br />ANY AUTO BODILY INJURY (Per person) <br />OWNED <br />SCHEDULED BODILY INJURY (Per accident) <br />AUTOS ONLY <br />AUTOS <br />HIRED NON-OWNED PROPERTY DAMAGE <br />AUTOS ONLY AUTOS ONLY (Per accident) <br />UMBRELLA LIAB OCCUR EACH OCCURRENCE <br />EXCESS LIAB CLAIMS-MADE AGGREGATE <br />DED RETENTION <br />WORKERS COMPENSATION PER OTH- <br />AND EMPLOYERS' LIABILITY Y / N STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br />N / AOFFICER/MEMBEREXCLUDED? <br />(Mandatory in NH)E.L. DISEASE - EA EMPLOYEE <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below <br />PROFESSIONAL LIABILITY EACH CLAIM <br />AGGREGATE <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <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 />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br />Orange County, its officers, agents, and employees are included as additional insured on the General Liability policy per written contract. <br />Orange County <br />300 West Tryon Street, P.O. Box 8181 <br />Hillsborough, NC 27278 <br />Docusign Envelope ID: 48740BF3-03AA-4A4F-AA52-EA3090F69700
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