Orange County NC Website
FORM NUMBER: <br />EFFECTIVE DATE: <br />The ACORD name and logo are registered marks of ACORD <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE <br />FORM TITLE: <br />Page of <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY NAMED INSURED <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Maury, Donnelly & Parr, Inc. <br />OXFOHOU-01 <br />SEE PAGE 1 <br />1 <br />SEE PAGE 1 <br />ACORD 25 Certificate of Liability Insurance <br />1 <br />SEE P 1 <br />Oxford House, Inc1010 Wayne Ave, Ste 300Silver Spring, MD 20910 <br />SEE PAGE 1 <br />KWENGLER <br />1 <br />Additional Coverages: <br />Sexual Abuse and Molestation <br />Policy # HHS 8530942 <br />Effective Date: 11/18/23-12/31/24 <br />Carrier: Berkley Regional Insurance Company <br />General Aggregate: $3,000,000 <br />Each Claim Limit: $1,000,000 <br />Docusign Envelope ID: 9ADEFAD5-C106-45CE-909F-ED02DFA16A16