2014-152 Finance - Alliance of AIDS Service for Outside Agency $3,000

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CERTIFICATE OF LIABILITY INSURANCE AI�SERV�ES�� ' DA 3TE/13/2014 ) 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Phyllis White Commercial Lines-(919)676-8834 PHONE 919.334.2634 FAX 877.506.0509 Wells Fargo Insurance Services USA, Inc. E-MAIL A/c No 8540 Colonnade Center Drive,Suite 111 ADDRESS: phyllis.white @wellfargo.com INSURERS AFFORDING COVERAGE NAIC# Raleigh,NC 27615 INSURERA: Lexington Insurance Company 19437 INSURED INSURER B: Auto-Owners Insurance CO. 18988 Alliance of Aids Services Carolina Inc INSURER C: Travelers Insurance Co Limited P O Box 12583 INSURER D: Travelers Casualty and Surety Co.of America 31194 INSURER E Raleigh,NC 27605 INSURER F: COVERAGES CERTIFICATE NUMBER: 7439344 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A 41-LX-008997322-8 11/16/2013 11/16/2014 CLAIMS-MADE a OCCUR DAMAGE (Ea occurrence $ RENTED 100,000 PREMISES S MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY E PRO- JECT [�]LOC 1,000,000 PRODUCTS-COMP/OP AGG $ OTHER: Deductible $ 1,000 B AUTOMOBILE LIABILITY 4443786900 05/01/2013 05/01/2014 COMINGLE LIMIT .,den t s $ 1,000,000 Ea .,den Ix ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) $ HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION 6JUB-4992P60-0-13 10/16/2013 10/16/2014 X PER TATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Employee Dishonesty 105505029 11/07/2013 10/07/2014 $250,000/$2,500 Deductible D Directors&Officers 105505029 11/07/2013 10/07/2014 $1,000,000 D Employment Practices Liability 105505029 11/07/2103 10/07/2014 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION Orange County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 S.Cameron St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01)