Orange County NC Website
MEDITWO-01 VANSICKLE <br /> ,a►CORO CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) <br /> 5//13/213/2025 <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 Emily Van Sickle <br /> NAME: <br /> Rogers Services Inc/Rogers Insurance Agency PHONE FAX <br /> 512 W Williams Street (A/C,No,Ext): (919)362-8310 (A/C,No): <br /> Apex,NC 27502 ADDRESS:emily@rogersinc.net <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:West Bend Insurance Company 15350 <br /> INSURED INSURER B:AXIS Insurance Company 37273 <br /> Media Two Interactive LLC INSURER C: <br /> 112 S Blount St INSURER D: <br /> Raleigh,NC 27601 <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 $ 2,000,000 <br /> CLAIMS-MADE X OCCUR A797738 8/15/2024 8/15/2025 DAMAGE TO RENTED 300,000 <br /> X PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 5,000 <br /> PERSONAL&ADV INJURY $ 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICYEl PECOT- 1:1LOC PRODUCTS-COMP/OP AGG $ 6,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> ANY AUTO X A797738 8/15/2024 8/15/2025 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIREDX NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> A X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE X A797738 8/15/2024 8/15/2025 AGGREGATE $ 5,000,000 <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y <br /> ANY PROPRIETOR/PARTNER/EXECU I IVE ❑ X A974100 8/15/2024 8/15/2025 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Technology E&O P00100016475206 8/15/2024 8/15/2025 Retention: $10,000 100,000 <br /> B Media Liability P00100016475206 8/15/2024 8/15/2025 Per Occurence 1,000,000 <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 on the General Liability,Automobile Liability and Umbrella Liability <br /> policies for work performed by the named insured and where required by written contract.Waiver of Subrogation applies in favor of the Certificate Holder on <br /> the Workers Compensation policy where 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 /> 300 West Tryon Street <br /> P.O.Boz 8181 <br /> Hillsborough,NC 27278 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 />