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ALCOR" CERTIFICATE OF LIABILITY INSURANCE D/ 6(MMIDDIYYYY)
<br /> �� 11/25/2024
<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
<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 /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) 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 /> PRODUCER CONTACT
<br /> NAME:
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE FAX
<br /> Creekside Crossing (A/C.
<br /> A/C No Ext): 615-244-8484 A/c No):615-377-5101
<br /> 8 Cadillac Drive, Suite 200 ADDRIESS:
<br /> Brentwood TN 37027 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Casualty and Surety Company 19038
<br /> INSURED VACOLLC-01 INSURER B:Travelers Casualty and Surety Co of America 31194
<br /> Facility ID#03
<br /> Vaco LLC INSURER C:Ascot Insurance Company 23752
<br /> 5501 Virginia Way, Suite 120 INSURERD: Phoenix Insurance Company 25623
<br /> Brentwood TN 37027 INSURER E:ACE American Insurance Company 22667
<br /> INSURER F: Travelers Casualty Insurance Co of America 19046
<br /> COVERAGES CERTIFICATE NUMBER:1795623231 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.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY
<br /> D X COMMERCIAL GENERAL LIABILITY Y Y 630-366M7304 9/15/2024 9/15/2025 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES
<br /> (a oNTEcur DAMAGE TO ence) $1,000,000
<br /> X Contractual Liab 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 /> POLICY❑ PRO-
<br /> JECT [:] LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY Y Y BA-5Y65820A 9/15/2024 9/15/2025 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> comp/colt deductible $1,000/$1,000
<br /> B X UMBRELLA LIAB X OCCUR Y Y CUP-5Y703794 9/15/2024 9/15/2025 EACH OCCURRENCE $25,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000
<br /> DED RETENTION$ $
<br /> E WORKERS COMPENSATION Y (25)71834794 9/15/2024 9/15/2025 X SPERTATUTE OERH
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> F Primary Cyber/Tech E&O ZPP-51 N86155 9/15/2024 9/15/2025 Per Claim/Agg $5,000,000
<br /> C Excess Cyber/Tech E&O EOXS2410001905-02 9/15/2024 9/15/2025 Per Claim/Agg $5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> If required by written contract,Certificate Holder is included as additional insured on the General Liability Per Form Per form CG D2 46 04 19 per written
<br /> contract;Automobile Liability per Per form CA T4 74 02 16,Cyber/Tech E&O per written contract per form CYB-16002 Ed.06-20.The insurance provided in
<br /> the General Liability Per form CG T1 00 02 19,Automobile Liability per Per form CA T4 74 02 16 is primary and non contributing.Waiver of subrogation applies
<br /> to certificate holder as respects Commercial General Liability-Per form CG T1 00 02 19; Property per form DX T1 00 11 12,Workers Compensation per form
<br /> WC 000313; Automobile-Per form CA T3 53 02 15,Cyber/Tech E&O-per form CYB-16002 Ed.06-20. Umbrella Liability is follow form.Contractual Liability
<br /> per written contract is included on General Liability.Business Interruption/Income Insurance applies to the property policy per form IL T3 18 05 11 and cyber
<br /> policy per form DX T4 17.
<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 /> Orange County Government of North Carolina
<br /> 405 Meadowlands Drive PO Box 8181 AUTHORIZED REPRESENTATIVE
<br /> Hillsborough NC 27278
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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