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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />INSURER(S) AFFORDING COVERAGE
<br />INSURER F :
<br />INSURER E :
<br />INSURER D :
<br />INSURER C :
<br />INSURER B :
<br />INSURER A :
<br />NAIC #
<br />NAME:CONTACT
<br />(A/C, No):FAX
<br />E-MAILADDRESS:
<br />PRODUCER
<br />(A/C, No, Ext):PHONE
<br />INSURED
<br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
<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 />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 />OTHER:
<br />(Per accident)
<br />(Ea accident)
<br />$
<br />$
<br />N / A
<br />SUBR
<br />WVD
<br />ADDL
<br />INSD
<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 />$
<br />$
<br />$
<br />$PROPERTY DAMAGE
<br />BODILY INJURY (Per accident)
<br />BODILY INJURY (Per person)
<br />COMBINED SINGLE LIMIT
<br />AUTOS ONLY
<br />AUTOSAUTOS ONLY NON-OWNED
<br />SCHEDULEDOWNED
<br />ANY AUTO
<br />AUTOMOBILE LIABILITY
<br />Y / N
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />DESCRIPTION OF OPERATIONS below
<br />If yes, describe under
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />$
<br />$
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />E.L. DISEASE - EA EMPLOYEE
<br />E.L. EACH ACCIDENT
<br />EROTH-STATUTEPER
<br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />EXCESS LIAB
<br />UMBRELLA LIAB $EACH OCCURRENCE
<br />$AGGREGATE
<br />$
<br />OCCUR
<br />CLAIMS-MADE
<br />DED RETENTION $
<br />$PRODUCTS - COMP/OP AGG
<br />$GENERAL AGGREGATE
<br />$PERSONAL & ADV INJURY
<br />$MED EXP (Any one person)
<br />$EACH OCCURRENCE
<br />DAMAGE TO RENTED $PREMISES (Ea occurrence)
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADE OCCUR
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO-JECT LOC
<br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
<br />CANCELLATION
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03)
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />CERTIFICATE HOLDER
<br />The ACORD name and logo are registered marks of ACORD
<br />HIRED
<br />AUTOS ONLY
<br />3/10/2026
<br />Arthur J.Gallagher Risk Management Services,LLC
<br />500 N Brand Boulevard,Suite 100
<br />Glendale CA 91203
<br />Rachael Orman
<br />818-539-9422 818-539-1510
<br />rachael_orman@ajg.com
<br />License#:0D69293 Associated Industries Insurance Company,Inc.23140
<br />URBAINS-01 Oak River Insurance Company 34630UrbanInstitute
<br />500 L'Enfant Plaza SW
<br />Washington DC 20024-2131
<br />Trumbull Insurance Company 27120
<br />Hartford Accident and Indemnity Company 22357
<br />Hartford Casualty Insurance Company 29424
<br />Gemini Insurance Company 10833
<br />1634412345
<br />D X 1,000,000
<br />X 300,000
<br />10,000
<br />1,000,000
<br />3,000,000
<br />X
<br />Y 42 UUN AY6W3H 1/1/2026 1/1/2027
<br />3,000,000
<br />C 1,000,000
<br />X X
<br />42UENBH4SXX 1/1/2026 1/1/2027
<br />E X X 12,000,00042RHUBA1PJG1/1/2026 1/1/2027
<br />12,000,000
<br />X 10,000
<br />B XYURWC7086171/1/2026 1/1/2027
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />A
<br />F
<br />Cyber Liability
<br />Professional Liability ACL1269842 00
<br />VIPL057338
<br />1/1/2026
<br />2/27/2026
<br />1/1/2027
<br />1/1/2027
<br />Each Claim/AGG Cyber
<br />Prof Liab $5000 Ret
<br />Retention Cyber
<br />$5,000,000
<br />$2,000,000
<br />$50,000
<br />Policy:Directors &Officers
<br />Policy #:MKLV3MMN000281
<br />Policy Term:1/1/26 to 1/1/27
<br />Policy Carrier:Evanston Insurance Company
<br />Per Claim:$5,000,000 /Aggregate:$5,000,000
<br />Policy:Employment Practices Liability
<br />Policy #:MKLV3MMN000281
<br />See Attached...
<br />Orange County
<br />300 West Tryon Street
<br />P.O.Box 8181
<br />Hillsborough,NC 27278
<br />Docusign Envelope ID: C0C02768-82C9-473A-904B-51774C892C63
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