Orange County NC Website
<br /> <br /> <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <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 />PRODUCER <br />Aon Risk Services Central, Inc. <br />Chicago IL Office <br />200 East Randolph <br />Chicago IL 60601 USA <br />CONTACT NAME: PHONE (866) 283-7122 (A/C. No. Ext): FAX (A/C. No.): (800) 363-0105 <br />E-MAIL ADDRESS: <br /> <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 />INSURER C: Lexington Insurance Company 19437 500 West Monroe <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 />INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS <br />B X COMMERCIAL GENERAL LIABILITY TB2641005169074 07/01/2024 07/01/2025 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $250,000 <br /> MED EXP (Any one person) $10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br />X POLICY PRO- LOC JECT <br />OTHER: <br />PRODUCTS - COMP/OP AGG $2,000,000 <br /> <br />B AUTOMOBILE LIABILITY AS2-641-005169-014 07/01/2024 07/01/2025 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 <br />BODILY INJURY ( Per person) <br />X ANY AUTO <br />BODILY INJURY (Per accident) OWNED <br />AUTOS ONLY <br />HIRED AUTOS <br />ONLY <br /> SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br /> <br /> UMBRELLA LIAB <br />EXCESS LIAB <br /> OCCUR <br />CLAIMS-MADE <br /> EACH OCCURRENCE <br /> AGGREGATE <br /> DED RETENTION <br />A <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR / PARTNER / EXECUTIVE N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br /> <br /> <br />N / A <br /> WA764D005169084 <br />All Other States <br />WC7641005169094 <br />WI <br />07/01/2024 <br /> <br />07/01/2024 <br />07/01/2025 <br /> <br />07/01/2025 <br />X PER STATUTE OTH- ER <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE-EA EMPLOYEE $1,000,000 <br />E.L. DISEASE-POLICY LIMIT $1,000,000 <br />C E&O - Miscellaneous <br />Professional-Primary <br /> 013461661 <br />Professional/Cyber/E&O <br />SIR applies per policy ter <br />07/01/2024 <br /> <br />ms & condit <br />07/01/2025 <br /> <br />ions <br />Each Claim <br />Aggregate <br />$1,000,000 <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. <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 <br /> POLICY PROVISIONS. <br />Orange County, NC <br />300 West Tryon Street AUTHORIZED REPRESENTATIVE <br />Hillsborough NC 27278 USA <br /> <br /> <br /> <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD 7777777707070700077763616065553330763735764015474607663304671635132070671557046332320753414667257555107700415312274310077664351724545720734261111263213007360231552234530077727252025773110777777707000707007 6666666606060600062606466204446200620222426226020006202004262240220060002242622620220622200424004200206002006262040020062202040622402200622220406026022206200024042220402066646062240664440666666606000606006 Holder Identifier : Certificate No : 570107051462 Docusign Envelope ID: 10B45E23-5352-46A3-9DFE-5DE93928E64C