Orange County NC Website
Docusign Envelope ID:OB18F280-87A5-4A76-8CD5-OD6337C1BB4C <br /> 72/28/2025 <br /> E(MM/DDYYY) <br /> ACC" CERTIFICATE OF LIABILITY INSURANCE IY <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 <br /> NAME: Carol Alley <br /> Frost Insurance-Select Business PHONE FAX <br /> 1006 Banister Ln,#1404 AIC No Ext: 512-473-4558 A/C No), <br /> Austin TX 78704 ADDRESS: carol.alley@frostinsurance.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: Hartford Lloyds Insurance Company 38253 <br /> INSURED SPEAKWR-01 INSURER B:Travelers Casualty&Surety Company of America 31194 <br /> 8815W West 1 t De Vaca Lane INSURER C: Hartford CasualtyInsurance Company29424 <br /> 8815 <br /> Galveston TX 77554 INSURER D:The Hartford <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1124806839 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 /> A COMMERCIAL GENERAL LIABILITY 65SBATN1170 2/25/2025 2/25/2026 EACH OCCURRENCE $2,000,000 <br /> DAMAGE CLAIMS-MADE1:1 OCCUR PREM SES�IENTE a o_cur ence $300,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $Excluded <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY❑ PRO- <br /> POLICY ❑ LOC PRODUCTS-COMP/OP AGG $4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY 65SBATN1170 2/25/2025 2/25/2026 COMBINED SINGLE LIMIT $2,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> A X UMBRELLA LIAB X OCCUR 65SBATN1170 2/25/2025 2/25/2026 EACH OCCURRENCE $1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED RETENTION$ $ <br /> D WORKERS COMPENSATION 65WECP08262 3/10/2025 3/10/2026 X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ 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 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> B Professional Liability 105753957 3/4/2025 3/4/2028 Professional Agg 4,000,000 <br /> C Crime 65BDDHO9855 3/10/2025 3/10/2026 Crime Limit 5,000 <br /> C Privacy&Network Security 65MB0340073 8/16/2024 8/16/2025 Privacy Limit 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Professional Liability Prior Acts date 3/4/2010 <br /> The General Liability and Auto Liability policies include a blanket additional insured endorsement on primary and non-contributory basis only when there is a <br /> written contract between the named insured and the certificate holder that requires such status. <br /> The General Liability,Auto Liability and Workers Compensation policies include a blanket automatic waiver of subrogation endorsement only when there is a <br /> written contract with the Named Insured and the certificate holder that requires such status. <br /> 30 Day Notice of Cancellation applies on General Liability,Auto Liability and Workers Compensation policies only when there is a written contract that requires <br /> such, <br /> See Attached... <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 /> Orange County, NC ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 300 West Tyron Street <br /> PO Box 8181 AUTHORIZED ESENTATIVE <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 <br />