Orange County NC Website
Holder Identifier : 7777777707070700077763616065553330763735764015474607762215770634132071660557146323320752405777247455007344015752234710073620355720545320770621155623657407364235552274130077727252025773110777777707000707007 6666666606060600062606466204446200602220604006222206202224062262020062222040602422000622220424006002206220006062042000062020262600400220602022626200262006200066022660042066646062240664440666666606000606006Certificate No : 570110302664 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 01/02/2025 <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this 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 />Chicago IL Office <br />200 East Randolph <br />Chicago IL 60601 USA <br />PHONE(A/C. No. Ext): <br />E-MAILADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />(866) 283-7122 <br />INSURED 16535Zurich American Ins CoINSURER A: <br />40142American Zurich Ins CoINSURER B: <br />25674Travelers Property Cas Co of AmericaINSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />FAX(A/C. No.):(800) 363-0105 <br />CONTACTNAME: <br />Storr Office Environments, Inc. <br />10800 World Trade Blvd. <br />Raleigh NC 27617-4200 USA <br />COVERAGES CERTIFICATE NUMBER:570110302664 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 />Limits shown are as requested <br />POLICY EXP (MM/DD/YYYY)POLICY EFF (MM/DD/YYYY)SUBRWVDINSR LTR ADDL 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 />$2,000,000 <br />$500,000 <br />Excluded <br />$2,000,000 <br />$4,000,000 <br />$4,000,000 <br />A 04/01/2024 04/01/2025YGLO348642523 <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 />X X <br />BODILY INJURY (Per accident) <br />$2,000,000A04/01/2024 04/01/2025 COMBINED SINGLE LIMIT <br />(Ea accident)BAP 3486424-23 <br />EXCESS LIAB <br />X OCCUR <br />CLAIMS-MADE AGGREGATE <br />EACH OCCURRENCE <br />DED <br />$10,000,000 <br />$10,000,000 <br />04/01/2024UMBRELLA LIABC 04/01/2025CUP2T43064724NF <br />RETENTION <br />X <br />E.L. DISEASE-EA EMPLOYEE <br />E.L. DISEASE-POLICY LIMIT <br />E.L. EACH ACCIDENT $1,000,000 <br />X OTH-ERPER STATUTEB04/01/2024 04/01/2025 <br />$1,000,000 <br />Y / N <br />(Mandatory in NH) <br />ANY PROPRIETOR / PARTNER / <br />EXECUTIVE OFFICER/MEMBER N / AN <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />If yes, describe under DESCRIPTION OF OPERATIONS below <br />$1,000,000 <br />WC348642323 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Orange County, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions <br />of the General Liability policy. <br />CANCELLATIONCERTIFICATE HOLDER <br />AUTHORIZED REPRESENTATIVEOrange County <br />300 West Tryon Street <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 EXPIRATION <br />DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />Docusign Envelope ID: AC91164D-E1A5-40BD-94BD-45969FB48079