Orange County NC Website
DocuSign Envelope ID: 7DCC2B8A-E44C-4172-BF52-8A8B6D647BED <br /> FARRSYS-01 NLEE <br /> , R CERTIFICATE OF LIABILITY INSURANCE DAE(MM/DD YYYY) <br /> 11% <br /> �� F6110/111/2022 <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(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 /> PRODUCER CONTACT William Millsaps <br /> NAME: <br /> Alera Group PHONE FAX <br /> 4325 Lake Boone Trail,Suite 200 (A/C,No,Ext): (919) 719-5643 (A/C,No): <br /> Raleigh,INC 27607 <br /> E-MAIL WMillsaps@trisure.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:The Hanover American Insurance Company 36064 <br /> INSURED INSURER B:Allmerica Financial Benefit Insurance Company 41840 <br /> Farragut Systems,Inc. INSURER C:The Hanover Insurance Company 22292 <br /> 2775 Meridian Parkway INSURER D:Lloyds of London <br /> Durham, NC 27713 <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE OCCUR ZZ6A289808 4/30/2022 4/30/2023 DAMAGE TO RENTED 100,000 <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY 1 PRO JECT F—] LOCPRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER $ <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> X ANY AUTO AW6A289825 4/30/2022 4/30/2023 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> EXCESS LIAB CLAIMS-MADE UH6A289810 4/30/2022 4/30/2023 AGGREGATE $ 2,000,000 <br /> DED X RETENTION$ 0 $ <br /> WORKERS COMPENSATION PER 0H- <br /> AND EMPLOYERS'LIABILITY Y/N STATLITE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED,) N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Property ZZ6A289808 4/30/2022 4/30/2023 Limit 50,000 <br /> D Tech Prof Liab/Cyber ESK0039457499 4/30/2022 4/30/2023 Limit 2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Operations of the named insured covered by the above referenced policies. <br /> Primary Tech E&O/Cyber(Noted above)$2,000,000 Limit;Excess Tech E&O/Cyber(Second Layer): Scottsdale Insurance Company; Policy#EKS3442020; <br /> Effective 8/9/2022-4/30/2023;$3,000,000 Limit XS$2,000,000; <br /> Orange County is an additional insured as respects Cyber Liability when required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />