Orange County NC Website
ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />EXPEAQU-01 <br />1 1 <br />Alliant Insurance Services,Inc.Expert Aquatics,LLC <br />212 Powell Drive Suite 120 <br />Raleigh NC 27606 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Med Exp (Any one person):$5,000 <br />Personal &Adv Injury:$1,000,000 <br />Products-Comp/Op Agg:$2,000,000 <br />Professional Liability: <br />Carrier:Obsidian Specialty Insurance Company <br />Policy #LBK-PR-000000085-00;Policy Term:3/10/2025 to 3/10/2026 <br />Each Occurrence $1,000,000 <br />Aggregate $1,000,000 <br />Orange County Sportsplex Pool Project <br />Orange County,its officers,official agents and employees are included as an additional insured if listed in the contract per the provisions of the attached <br />endorsement(s). <br />Docusign Envelope ID: B4C2662D-2F37-49AF-9B7C-9B5EB7672877