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Page 1 of 2 <br />CERTIFICATE OF LIABILITY INSURANCE DATE IMM(DOIYYVY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 'CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT : .11 the certllicate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />PRODUCER <br />Willis of New .'io_rk, Ini:. <br />26 i>.o, Box 305191 <br />TN <br />INSURED National <br />Building <br />COVERAGES CERTIFICATE NUMBER• <br />fA��NJ,. c .. th 1-877-945-737-8 I Nol: 1-888-4 67-2378 <br />�lR\ss: certificates @wil lis.com INSURER/Sl AFFORDING COVERAGE INSURER A: ACE American 22667 INSURER B : Old Rep ublic fnsurance _COf!'pany <br />INSURER C: INSURER D: INSURER E: INSURER F: 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 INDICATED. NOTWITHST_AN DING ANY REQUIREMENT. TEAM OR CONDITION 'OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIF ICATE MAY BE 'ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN .IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANO CONOITIO.N.S OF SUCH POLICIES. LIMI.TS SHOWN MAY HAVE BEEN REDUCE.D BY PAID CLAIMS. INSR POLICY EFF POl.lCY-EX P-,------------------f LTR TYPE OF INSURANCE ,d,,,. 1 .... -. POLICY NUMBER MM'DDIYYYYI IMMIDOIYYYV'I LIMITS <br />'A <br />COMME RCIAL GENERAL LIABILrrY C�IMS-�AOE OCCUR <br />'-- <br />� <br />GEN'L AGGREGATE LIMIT APPLIES PER: POLIC_'f JECT 'LOG OTHER: AUTOMOBILE LIABILITY <br />X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS <br />X HIRED X ·NON·OWNEO AUTOS O�LY AUTOS ONLY <br />_ UMBRELLA LIAS �-OCCUR <br />EXCESS LIAS ; I CLAIMS•MADE OED RETENTION $ WORKERS COMPENSATION 'AND EMPLOYERS'.UABILJTY .YIN B ANYPROPRIETORtPARTNEAIEXECUTIVE OFFICEAIMEMBEAEXCL.UDEO?. (Mandatory in NH) �ii��ftfr3�,.���PERATi0Ns bolow ·A Excess General LiabilitY, <br />MWC -o·o <br />EACH OCCURRENCE __ -+:_S ____ 5_c,_0_O_0.c_, _0 0�0 <br />-1 ' DAMAGe'foRrn'ftPREMJSES 7Ea occurrence\ MEO EXP (Anv one oerson) $ <br />GENEAALAGGREGATE, $ PRODUCTS·· COMPIOP AGG $ <br />BODILY INJURY (Per persoii) $ BODILY INJURY (Pe_r acci.dent) $ <br />;p�?�2c:%�RAMAOE s <br />EACH OCCURRENCE AGGREGATE <br />1 0TH, EA E.l.EACHACC!OENi S E.L. DISEASE . EA EMPLOYEE $ E.L. DISEASE, POLICY LIMIT $ <br />Each Occurrence Seie Bt:ilow <br />$5, oo·o; o�o <br />DESCRIPTION OF .OPERATIONS I LOCATIONS I VEHCLES (ACOR D·101, Addilional Remarils Schedule, may be attached II more space Is required) Pr.Oducts-Completed Operations Aggt'egate Limit -$S, 000, 000 Personal and Advert ising Inj ury Limit. -$5,000,000 Damag'e To Premi·s es Ren ted To You Lin:ilt -Medical Expense Limit -$0 <br />orange County Public Transportation is iricluded as Additional Insured as respects General Liability and Automobi le <br />CERTIFICATE HOLDER <br />Orange County Transportation <br />600 Hwy 86 N P.O. Box 8181 Hillsborough, NC <br />ACORD 25 (2016103) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL .BE DELIVERED IN ACCORDANCE WITH TH� POLICY PROVISIONS. <br />AUTHOFl1zeo REPResENTAlive <br />© 1988-2016 ACORD CORPORATION. All rights reserved. The· ACORD name and logo are registered mark's of ACORD sa Io: 16927441 DATCR : 928392 2of2 7659 <br />Docusign Envelope ID: 30116525-3CA0-44BF-A300-567E64354BC7