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INTER-4 OP ID: NY <br /> CERTIFICATE OF LIABILITY INSURANCE DA7E(MMIDDI <br /> 01/21/20114 4 <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(les) 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 NAME: NanC Young <br /> Summers Thompson Lowry, Inc. PHONE FAX <br /> 100 Europa Drive, Suite 571 c No Ext:919-969-5301 (AIC No): 919-9424221 <br /> Chapel Hill, NC 27517 ADDRESS:nanC StIinSUre.COm <br /> Larry A.Summers <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:Association Insurance Company <br /> INSURED Inter-Faith Council for Social INSURER B:*Alliance for Non-Profits for <br /> I10 Service WMain Street lnc. INSURER C:Hartford Fire Ins,Co. 19682 <br /> 110 W. <br /> Carrboro, INC 27510 INSURER D:The Hanover Ins Co 22292 <br /> INSURER E: <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 /> INS TYPE OF INSURANCE <br /> LTR POLICY NUMBER MMILDO MOMILDID X LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,00 <br /> B X COMMERCIAL GENERAL LIABILITY 2013-17838 07/0112013 07/01/2014 PREMISES Ea occurrence $ 500,000 <br /> CLAIMS-MADE 1 OCCUR MED EXP(Any one person) $ 20,000 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> X Professional lM/2 GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> X POLICY PR <br /> 0 FILOC Emp Ben. $ INCLUDE <br /> AUTOMOBILE LIABILITY EOMaBINdEDtSINGLE LIMIT $ 1,000,00 <br /> B X ANY AUTO 201317838 07/01/2013 07/01/2014 BODILY INJURY(Per person) $ <br /> ALL AUTOS OWNED SCHEDULED <br /> AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> X AUTOS (PER ACCIDENT $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 <br /> B EXCESS LIAB CLAIMS-MADE 20131783SUMB 07/01/2013 07/01/2014 AGGREGATE $ 1,000,00 <br /> DED X RETENTION 10,000 $ <br /> WORKERS COMPENSATION X PRY LIMITS ER <br /> AND EMPLOYERS'LIABILITY <br /> A ANY PROPRIETORIPARTNERIEXECUTIVE YIN WC522-000320-113 07/0112013 07/0112014 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICERIMEMBER EXCLUDED? F-1 NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE <br /> D yes,describe 1,000,00 <br /> ribe under E.L.DISEASE-POLICY LIMIT $ 1,000,00 <br /> DESCRIPTION OF OPERATIONS below <br /> C Crime 22BODEQ5679 07/01/2013 07/01/2014 100,00 <br /> D D&O/EPLI LHR8785106 07/01/2013 07/01/2014 1,000,00 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Inter-Faith Council for Social ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Service,Inc. AUTHORIZED REPRESENTATIVE <br /> 110 W.Main Street <br /> Carrboro, NC 27510 5+tmâ–ºnr.en S <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />