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A <br /> Client#:509918 20JOINTORA <br /> ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) <br /> 6/28/2012 <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 be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER NCONT CT <br /> BB&T Insurance Services PH Nli, ):919 281-4500 FAX No): 8887468761 <br /> Post Office Box 13941 E-MAIL <br /> ADDRESS: <br /> Durham,NC 27709 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 919 281-4500 <br /> INSURER A:Philadelphia Indemnity Insuranc _18058 <br /> INSURED INSURER e:Allied Eastern Indemnity Compan 11242 <br /> Joint Orange Chatham Community Action <br /> INSURER C: <br /> Inc;35 Chatham St. <br /> PO Box 27 INSURER D <br /> INSURER E: <br /> Pittsboro, NC 27312 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 ADDLSUBR POLICY EFF POUCY EXP UMITS <br /> LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) <br /> A GENERAL LIABIUTY PHPK834126 03/29/2012 03/29/2013 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES(Ea m�t�En°ence) $100,000 <br /> CLAIMS-MADE _ X OCCUR MED EXP(Any one person) $5,000 <br /> PERSONAL 8 ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PCT LOC $ <br /> AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT <br /> (Ea accident) ti <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS (Per accident) <br /> $ <br /> A X UMBRELLA UAB X OCCUR PHUB374902 03/29/2012 03/29/2013 EACH OCCURRENCE $1,000,000 <br /> EXCESS UAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED Xi RETENTION$10000 $ <br /> B WORKERS COMPENSATION 5186003 03/29/2012 03/29/2013 X WC TORY LIMITS ERH- <br /> TO <br /> AND EMPLOYERS'UABILITY RY LS ER <br /> Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 <br /> OFFICER/MEMBER EXCLUDED? y N I A <br /> (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> certificate holder is additonal insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ANY OF THE County of Orange THE SHOULD EXPIRATION DATE V THEREOF$NOTICE POUCIES WIBLL CBE CDELIVERED NE <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> T <br /> AUTHORIZED REPRESENTATIVE <br /> I . (�_ f1w e^ <br /> O 19B8-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD <br /> #S8848616/M8509878 SB7 <br />