Orange County NC Website
Browse       Search
MEDITWO-01 EVANSICKLE <br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br /> 5/13/2025 <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 endorsements), <br /> PRODUCER CONTACT Emily Van Sickle <br /> Rogers Services Inc/ Rogers Insurance Agency PHONEn o, Ext : 919 362 -8310 FAX <br /> 512 W Williams Street ) ) (A/C, No): <br /> Apex, NC 27502 ADDRIESS: emily@rogersinc . net <br /> INSURER(Sl AFFORDING COVERAGE NAIC # <br /> INSURERA : 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 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 ADDL SUER POLICY EFF POLICY EXP <br /> LTRTYPE OF INSURANCE D WVD POLICY NUMBER fMM/DD= IMMIDD8= LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,0001000 <br /> CLAIMS-MADE X OCCUR A797738 8/15/2024 8/15/2025 DAMAGE TO RENTED 300 , 000 <br /> X PREMISES Ea o rr nce $ <br /> MED EXP (Any oneperson) $ 5$6-0 <br /> PERSONAL & ADV INJURY $ 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4, 000, 000 <br /> X POLICY PROJECT- ❑ LOC PRODUCTS - COMP/OP AGG $ 61000, 000 <br /> OTHER: <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000 ,000 <br /> Ea accident $ <br /> ANYAUTO X A797738 8/15/2024 8/15/2025 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> $ <br /> A X UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ 55000, 000 <br /> EXCESS LIAB CLAIMS-MADE X A797738 8/15/2024 8/15/2025 AGGREGATE $ 5,0001000 <br /> DED RETENTION $ <br /> A WORKERS COMPENSATION X IPER STATUTE EORH <br /> Y / N X <br /> AND EMPLOYERS' LIABILITY A974100 8/15/2024 8/15/2025 1 ,0001000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N / A <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,OOt), �00 <br /> If yes, describe under 110001000 <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 11000, 000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached If more s ace 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 County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 ty ACCORDANCE WITH THE POLICY PROVISIONS . <br /> 300 West Tryon Street <br /> P .O. Box 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 />