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 />URBAINS-01 <br />1 1 <br />Arthur J.Gallagher Risk Management Services,LLC Urban Institute <br />500 L'Enfant Plaza SW <br />Washington DC 20024-2131 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Policy Term:1/1/26 to 1/1/27 <br />Policy Carrier:Evanston Insurance Company <br />Limit:$5,000,000 /Aggregate:$5,000,000 /Retention:$75,000 <br />Policy:Fiduciary Liability <br />Policy #:MKLV3MMN000281 <br />Policy Term:1/1/26 to 1/1/27 <br />Policy Carrier:Evanston Insurance Company <br />Limit:$5,000,000 /Aggregate:$5,000,000 /Retention:$0 <br />Policy:Crime <br />Policy #:MML-009509-0126 <br />Policy Term:1/1/26 to 1/1/27 <br />Policy Carrier:Atlantic Specialty Insurance Company <br />Employee theft:Limit:$2,000,000;Deductible:$15,000 <br />ERISA:Limit:$2,000,000 <br />Forgery or alteration:Limit:$2,000,000;Deductible:$15,000 <br />Theft of money and securities:Limit:$2,000,000;Deductible:$15,000 <br />Robbery or burglary of other property:Limit:$2,000,000;Deductible:$15,000 <br />Money and securities:Limit:$2,000,000;Deductible:$15,000 <br />Computer fraud:Limit:$2,000,000;Deductible:$15,000 <br />Funds transfer funds:Limit:$2,000,000;Deductible:$15,000 <br />Money orders and counterfeit paper currency:Limit:$2,000,000;Deductible:$15,000 <br />Computer Data Restoration Expenses Coverage:Limit:$100,000;Deductible:$5,000 <br />Orange County,its officers,agents and employees are designated are named additional insured on General Liability with respect to the operations of the named <br />insured.Waiver of Subrogation on Workers Compensation applies in favor of additional insured.Endorsement to Follow. <br />Docusign Envelope ID: C0C02768-82C9-473A-904B-51774C892C63