Orange County NC Website
Docusign Envelope ID:A24A576E-CC4E-4A07-BA5B-5968721C4755 <br /> DATE(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE <br /> 76/23/2025 <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 <br /> NAME: Lindsay Spencer <br /> Arthur J. Gallagher Risk Management Services, LLC a/c"N Ext: 501-664-7705 A/C No):501-664-8052 <br /> 17900 Chenal Pkwy Ste 100 E-MAIL <br /> Little Rock AR 72223 ADDRESS: lindsay_spencer@ajg.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:PC-1092395 INSURERA: Federal Insurance Company 20281 <br /> INSURED PROPLSO-01 INSURERB: Beazley Excess and Surplus Insurance, Inc. 17520 <br /> 1 <br /> Mastin Blvd LLC 1080 INSURERC:Chubb National Insurance Company10052 <br /> 10801 <br /> Suite 580 INSURERD:ACE American Insurance Company 22667 <br /> Overland Park KS 66210 INSURERE: Lexington Insurance Company 19437 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1693618253 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 /> C X COMMERCIAL GENERAL LIABILITY Y D02997290 5/31/2025 5/31/2026 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE OCCUR PREM SES�RENTE a o_cur ence $1,000,000 <br /> 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 /> OTHER: $ <br /> A AUTOMOBILE LIABILITY 73652100 5/31/2025 5/31/2026 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 /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> A X UMBRELLA LAB X OCCUR 5672-97-00 5/31/2025 5/31/2026 EACH OCCURRENCE $10,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DED X RETENTION$n $ <br /> A WORKERS COMPENSATION Y 7184-4425 5/31/2025 5/31/2026 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 Cyber/Professional Liability D37889250201 5/31/2025 5/31/2026 Limit 5,000,000 <br /> D Foreign General Liability PHFD02261261001 5/31/2025 5/31/2026 Each Occ/Gen Agg 1000000/2000000 <br /> E Excess Cyber/Professional Liab 01-449-02-82 5/31/2025 5/31/2026 Limit 5,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Named Insureds Include: <br /> Propio LS, LLC <br /> American Sign Language Services, Inc. <br /> United Language Group, Inc. <br /> Elahi Enterprises,LLC <br /> Orange County,its officers,agents,and employees are designated as additional insureds where required in written contract as respects General Liability. <br /> Waiver of Subrogation as applies in favor of certificate holder where required in written contract as respects Workers Compensation. In no event shall <br /> coverages exceed the limits,terms,or conditions of the policies. <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 300 West Tryon Street <br /> PO Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 xv-- <br /> I;K <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />